DR. DOUGLAS T. EDWARDS M.D.
NPI 1679556484
Ophthalmology in Wausau, WI
About Dr. Douglas T. Edwards M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOUGLAS T. EDWARDS M.D. (NPI 1679556484) is an individual ophthalmology provider in Wausau, Wisconsin, licensed in Wisconsin (45495) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Other Identifiers 2
Accepted Insurance
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. Douglas T. Edwards M.d. 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.
Areas of Expertise CMS Part B claims 15
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aspirus Rhinelander Hospital
Acute Care Hospitals · Rhinelander, WIAspirus Medford Hospital & Clinics, Inc
Critical Access Hospitals · Medford, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54403 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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WAUSAU, WI 54403
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 Douglas Edwards's NPI number?
The NPI number for Douglas Edwards is 1679556484. It was assigned to this individual provider in the NPPES registry on November 25, 2005.
Where is Douglas Edwards located?
Douglas Edwards practices at 800 N 1st St, Wausau, WI 54403. The listed phone number is (715) 261-8500.
What is Douglas Edwards's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Douglas Edwards enrolled in Medicare?
Yes. Douglas 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.
What insurance does Douglas Edwards accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Douglas 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 Douglas Edwards affiliated with any hospitals?
According to CMS data, Douglas Edwards is affiliated with Aspirus Rhinelander Hospital and Aspirus Medford Hospital & Clinics, Inc.
When was this NPI record last updated?
The NPPES record for Douglas Edwards was last updated on October 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.
