DR. JOHN R EDWARDS MD
NPI 1568692887
Neurological Surgery in Provo, UT
About Dr. John R Edwards Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN R EDWARDS MD (NPI 1568692887) is an individual neurological surgery provider in Provo, Utah, licensed in Utah (5583003) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains a secondary practice location in Lehi.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John R Edwards Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show John Edwards reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Provo, UT 84604
- Reassigned Medicare billing, Utah enrollment
- 1,729 clinicians in this Medicare group
Provo, UT 84604
- Reassigned Medicare billing, Utah enrollment
- 13 clinicians in this Medicare group
Lehi, UT 84043
- Reassigned Medicare billing, Utah enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 14
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Utah Valley Hospital
Acute Care Hospitals · Provo, UTAmerican Fork Hospital
Acute Care Hospitals · American Fork, UTOrem Community Hospital
Acute Care Hospitals · Orem, UTHoly Cross Hospital-Jordan Valley
Acute Care Hospitals · West Jordan, UTSpanish Fork Hospital
Acute Care Hospitals · Spanish Fork, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 John Edwards's NPI number?
The NPI number for John Edwards is 1568692887. It was assigned to this individual provider in the NPPES registry on July 21, 2009.
Where is John Edwards located?
John Edwards practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (801) 357-7404.
What is John Edwards's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is John Edwards enrolled in Medicare?
Yes. John Edwards is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for John Edwards's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Edwards reassigns Medicare benefits to 3 organizations: Ihc Health Services Inc (Provo, UT), Utah Neurological Clinic, PC (Provo, UT) and Summit Brain And Spine PC (Lehi, UT). Each 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 John Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Edwards accept?
Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list John Edwards 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.
Is John Edwards affiliated with any hospitals?
According to CMS data, John Edwards is affiliated with Utah Valley Hospital, American Fork Hospital, Orem Community Hospital, Holy Cross Hospital-Jordan Valley and Spanish Fork Hospital.
When was this NPI record last updated?
The NPPES record for John Edwards was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.
# Dr. John R Edwards, MD · NPI 1568692887
Neurological Surgery physician in Provo, Utah. Individual provider, active in the CMS NPPES registry since July 21, 2009.
## Identity
- **NPI:** 1568692887 (Entity type: Individual)
- **Enumerated:** July 21, 2009
- **Primary specialty:** Neurological Surgery · taxonomy 207T00000X
- **State license:** 5583003 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1034 N 500 W, Provo, UT 84604-3380
- **Phone:** (801) 357-7404 · **Fax:** (801) 357-7587
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ihc Health Services Inc (NPI 1003291568, Provo, UT); Utah Neurological Clinic, PC (NPI 1316165947, Provo, UT); Summit Brain And Spine PC (NPI 1962045096, Lehi, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 2009
## Record status
- **NPPES last updated:** October 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1568692887) · Data from the CMS NPPES public registry.