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DR. JOSEPH GORDON EDELSON MD
NPI 1598766255
Internal Medicine - Gastroenterology in Petoskey, MI

Active since August 03, 2005PECOS Enrolled
82.45/100
CMS Quality Rating
560 W MITCHELL ST STE M40, PETOSKEY, MI 49770(231) 487-3637(231) 487-6513 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2024, Aug 23, 2018, Apr 10, 2018 (3 updates tracked since 2018).

About Dr. Joseph Gordon Edelson Md NPPES

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

DR. JOSEPH GORDON EDELSON MD (NPI 1598766255) is an individual gastroenterology provider in Petoskey, Michigan, licensed in Michigan (4301114320) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1598766255
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JOSEPH GORDON EDELSONCredential: MD
Location Address560 W MITCHELL ST STE M40Petoskey, MI 49770-2278
Mailing AddressPo Box 844088Dallas, TX 75284-4088 · (505) 609-2258 · Fax (505) 609-2259
Phone(231) 487-3637
Fax(231) 487-6513
Sole ProprietorNo
Enumeration DateAugust 3, 2005
Last NPPES UpdateNovember 12, 20243 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1598766255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in MI · 4301114320✔ Licensed in CO · 51996✔ Licensed in SC · 29735✔ Licensed in NM · MD2018-0675
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
560 W MITCHELL ST STE M40, Petoskey, MI 49770
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11020 Lakeview AvePueblo, CO 81004-3508 · Phone (719) 557-3660 · Fax (719) 564-2624
Location 2630 W Maple StFarmington, NM 87401-6113 · Phone (505) 609-6349

Other Identifiers 2

Medicaid297351SC
Medicaid1598766255MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joseph Gordon Edelson Md 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.

Areas of Expertise CMS Part B claims 6

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
51 services50 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services21 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
23 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49770 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

82.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.08
Promoting Interoperability100
Improvement Activities40
Cost54.76

Other Providers at the Same Location NPPES 2

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

ALISSA GRACY
Nurse Practitioner (Acute Care)
560 W MITCHELL ST STE M40
PETOSKEY, MI 49770
Emmet County (231) 487-2391
DR. LUKE MCCRONE MD
Internal Medicine (Gastroenterology)
560 W MITCHELL ST STE M40
PETOSKEY, MI 49770
Emmet County (231) 487-2391

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 Joseph Edelson's NPI number?

The NPI number for Joseph Edelson is 1598766255. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Joseph Edelson located?

Joseph Edelson practices at 560 W Mitchell St Ste M40, Petoskey, MI 49770. The listed phone number is (231) 487-3637.

What is Joseph Edelson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Joseph Edelson enrolled in Medicare?

Yes. Joseph Edelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Edelson was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.