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DR. MICHAEL L EDWARDS MD
NPI 1649331729
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Mount Pleasant, SC

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
61.66/100
CMS Quality Rating
1230 HOSPITAL DR, STE A, MOUNT PLEASANT, SC 29464(843) 572-2100(843) 572-2163 Get Directions Write a Review

NPPES record last updated: February 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael L Edwards Md NPPES

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

DR. MICHAEL L EDWARDS MD (NPI 1649331729) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Mount Pleasant, South Carolina, licensed in South Carolina (12973) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with East Cooper Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1979).

NPPES Registry Identity

NPI1649331729
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. MICHAEL L EDWARDSCredential: MD
Location Address1230 HOSPITAL DR, STE AMount Pleasant, SC 29464-3251
Mailing Address9213 University Blvd, Suite CNorth Charleston, SC 29406-9145 · (843) 572-2100 · Fax (843) 572-2163
Phone(843) 572-2100
Fax(843) 572-2163
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1979
Enumeration DateDecember 13, 2006
Last NPPES UpdateFebruary 4, 2016
✔ NPI 1649331729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in SC · 12973
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1230 HOSPITAL DR, Mount Pleasant, SC 29464
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Other Names 1

Professional Name (2)Dr. Michael Lamar Edwards Md

Other Identifiers 3

Medicare ID-Type UnspecifiedA970787368SC
Medicaid129738SC
Medicare UPINA97078

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 and accepts Medicare assignment

Dr. Michael L 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.

PECOS PAC ID2163683079
PECOS Enrollment IDI20120419000388
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 Edwards reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sc Cardiovascular Associates LLC
0.4 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1156 BOWMAN RD UNIT 103
Mount Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
NPI 1508927591 (843) 654-7337

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 8

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.
495 services90 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.
256 services148 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
95 services44 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
54 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

East Cooper Medical Center

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number420089
Location2000 Hospital DrMount Pleasant, SC 29464 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 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
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

61.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality88.9
Improvement Activities0
Cost70.34

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%936 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%267 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%933 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%446 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
19%446 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 27% · 243 patients
39%243 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
56%446 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
3 suppliers26 claims308 services$21.90 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
3 suppliers26 claims201 services$7.35 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
4 suppliers34 claims34 services$642.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

SPORTS MEDICINE & ORTHOPAEDIC CENTERS, LLC
Clinic/Center (Multi-Specialty)
1230 HOSPITAL DR
MOUNT PLEASANT, SC 29464
Charleston County (843) 473-4331
LOWCOUNTRY HEALTHCARE, PA
Internal Medicine
1230 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 388-0106
FORT SUMTER SURGICAL CLINIC
Surgery
1230 HOSPITAL DR, SUITE A
MT PLEASANT, SC 29464
Charleston County (843) 971-4673

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 Edwards's NPI number?

The NPI number for Michael Edwards is 1649331729. It was assigned to this individual provider in the NPPES registry on December 13, 2006. The provider is also known as Dr. Michael Lamar Edwards MD.

Where is Michael Edwards located?

Michael Edwards practices at 1230 Hospital Dr Ste A, Mount Pleasant, SC 29464. The listed phone number is (843) 572-2100.

What is Michael Edwards's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Michael Edwards enrolled in Medicare?

Yes. Michael 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 organization bills Medicare for Michael Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Edwards reassigns Medicare benefits to Sc Cardiovascular Associates LLC (Mount Pleasant, SC). 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 Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Edwards accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Molina Healthcare and UnitedHealthcare list Michael 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 Michael Edwards affiliated with any hospitals?

According to CMS data, Michael Edwards is affiliated with East Cooper Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Edwards was last updated on February 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.