DR. ANDREW C EDMONDSON MD, PHD
NPI 1598103244
Pediatrics in Philadelphia, PA

Active since June 04, 2013PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD, 9NW63, PHILADELPHIA, PA 19104(215) 590-1220(215) 590-2768 Get Directions Write a Review

NPPES record last updated: June 4, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Andrew C Edmondson Md, Phd NPPES

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

DR. ANDREW C EDMONDSON MD, PHD (NPI 1598103244) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT203890) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2013).

NPPES Registry Identity

NPI1598103244
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ANDREW C EDMONDSONCredential: MD, PHD
Location Address3401 CIVIC CENTER BLVD, 9NW63Philadelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd, 9nw63Philadelphia, PA 19104-4319 · (215) 590-1220 · Fax (215) 590-2768
Fax(215) 590-2768
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2013
Enumeration DateJune 4, 2013
NPI 1598103244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in PA · MT203890
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3401 CIVIC CENTER BLVD, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew C Edmondson Md, Phd 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.

PECOS PAC ID3577835990
PECOS Enrollment IDI20170821000883
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

Pediatrics
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Gastroenterology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Hematology-Oncology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Dermatology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, 4TH FLOOR WOOD BUILDING
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598103244, enumerated as an "individual" on June 04, 2013.

The provider is located at 3401 CIVIC CENTER BLVD 9NW63 PHILADELPHIA, PA 19104 and the phone number is (215) 590-1220.

Pediatrics with taxonomy code 208000000X.