RICHARD L EDELSON MD
NPI 1639160013
Dermatology in New Haven, CT

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
15 YORK ST, NEW HAVEN, CT 06510(203) 785-4632(203) 785-3315 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard L Edelson Md NPPES

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

RICHARD L EDELSON MD (NPI 1639160013) is an individual dermatology provider in New Haven, Connecticut, licensed in Connecticut (026935) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (1970).

NPPES Registry Identity

NPI1639160013
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameRICHARD L EDELSONCredential: MD
Location Address15 YORK STNew Haven, CT 06510-3221
Mailing AddressPo Box 9805, 300 George St 6th FloorNew Haven, CT 06536-0805
Fax(203) 785-3315
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1970
Enumeration DateNovember 3, 2005
Last NPPES UpdateJune 27, 2008
NPI 1639160013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CT · 026935
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
15 YORK ST, New Haven, CT 06510

Other Identifiers 3

Medicare UPINA61873
Medicare ID-Type Unspecified070000185CT
Medicaid001269356CT

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

Richard L Edelson 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.

PECOS PAC ID5395731368
PECOS Enrollment IDI20040423000922
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

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.

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.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

Student in an Organized Health Care Education/Training Program
15 YORK ST
NEW HAVEN, CT 06510
Student in an Organized Health Care Education/Training Program
15 YORK ST, YNHH DEPT OF MEDICINE, LMP 1092
NEW HAVEN, CT 06510
Dermatology (Dermatopathology)
15 YORK ST, LMP 5031
NEW HAVEN, CT 06510
Dermatology
15 YORK ST, DERMATOLOGY, LCI ROOM 609
NEW HAVEN, CT 06510
Internal Medicine
15 YORK ST, YNHH DEPT OF MEDICINE, LMP 1092
NEW HAVEN, CT 06510
Dermatology
15 YORK ST
NEW HAVEN, CT 06510
Internal Medicine (Infectious Disease)
15 YORK ST, NATHAN SMITH BUILDING
NEW HAVEN, CT 06510
Physician Assistant
15 YORK ST
NEW HAVEN, CT 06510

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 Richard Edelson's NPI number?

The NPI number for Richard Edelson is 1639160013. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Richard Edelson located?

Richard Edelson practices at 15 York St, New Haven, CT 06510. The listed phone number is (203) 785-4632.

What is Richard Edelson's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Richard Edelson enrolled in Medicare?

Yes. Richard Edelson 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.

When was this NPI record last updated?

The NPPES record for Richard Edelson was last updated on June 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.