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DR. MICHAEL B EDMOND M.D.
NPI 1568552107
Internal Medicine - Infectious Disease in Iowa City, IA

Active since October 13, 2006PECOS Enrolled
94.1/100
CMS Quality Rating
200 HAWKINS DR, DEPARTMENT OF INTERNAL MEDICINE, IOWA CITY, IA 52242(319) 353-8352(319) 353-7043 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2022, Jul 16, 2021, Apr 8, 2021 (3 updates tracked since 2021).

About Dr. Michael B Edmond M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL B EDMOND M.D. (NPI 1568552107) is an individual infectious disease provider in Iowa City, Iowa, licensed in Virginia (0101053269) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568552107
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. MICHAEL B EDMONDCredential: M.D.
Location Address200 HAWKINS DR, DEPARTMENT OF INTERNAL MEDICINEIowa City, IA 52242-1009
Mailing Address200 Hawkins Dr, Department Of Internal MedicineIowa City, IA 52242-1009 · (319) 353-8352 · Fax (319) 353-7043
Phone(319) 353-8352
Fax(319) 353-7043
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateApril 8, 20223 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1568552107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in VA · 0101053269✔ Licensed in IA · 28758
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101053269 (VA)
200 HAWKINS DR, Iowa City, IA 52242
Open in Google Maps ↗

Other Identifiers 1

Medicaid6067603VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael B Edmond M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Edmond reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wvu Medical Corporation
616 mi
Neurological Surgery
227 MEDICAL PARK DRIVE
Bridgeport, WV 26330
  • Reassigned Medicare billing, West Virginia enrollment
  • Medicare enrollment name: West Virginia University Medical Corporation
  • 2,471 clinicians in this Medicare group
NPI 1245625581 (681) 342-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANGIL LEE M.D.
Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2233
RAMI G. EL ABIAD M.D.
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-4901
GRERK SUTAMTEWAGUL MD
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Johnson County (319) 356-1616
DR. KALEB TANNER VEIT D.O.
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2320
OMAR JABER M.D
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 471-8958
JENNIFER MANCUSO MS, CGC
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Johnson County (319) 384-7983
ASHLEY KAISER M.D.
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Johnson County (319) 356-2294
MRS. NANCY JANE MILLICE
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242
Johnson County (319) 356-3825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Edmond's NPI number?

The NPI number for Michael Edmond is 1568552107. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Michael Edmond located?

Michael Edmond practices at 200 Hawkins Dr Department Of Internal Medicine, Iowa City, IA 52242. The listed phone number is (319) 353-8352.

What is Michael Edmond's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Michael Edmond enrolled in Medicare?

Yes. Michael Edmond is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Edmond's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Edmond reassigns Medicare benefits to Wvu Medical Corporation (Bridgeport, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Edmond's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Edmond accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Michael Edmond as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Edmond was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.