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EDWARD W ST. MARY MD
NPI 1679558720
Orthopaedic Surgery in Melbourne, FL

Active since December 13, 2005PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
205 E NASA BLVD, MELBOURNE, FL 32901(321) 361-5625(321) 728-8649 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2020, Mar 10, 2020, Oct 31, 2018 and 1 more (4 updates tracked since 2018).

About Edward W St. Mary Md NPPES

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

EDWARD W ST. MARY MD (NPI 1679558720) is an individual orthopaedic surgery provider in Melbourne, Florida, licensed in Florida (ME53713) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of University Of Florida College Of Medicine (1982).

NPPES Registry Identity

NPI1679558720
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameEDWARD W ST. MARYCredential: MD
Location Address205 E NASA BLVDMelbourne, FL 32901-1950
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 361-5625
Phone(321) 361-5625
Fax(321) 728-8649
Sole ProprietorYes
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1982
Enumeration DateDecember 13, 2005
Last NPPES UpdateMarch 19, 20204 updates tracked since enumeration
NPPES CertifiedMarch 19, 2020
✔ NPI 1679558720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in FL · ME53713
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
205 E NASA BLVD, Melbourne, FL 32901
Open in Google Maps ↗

Other Identifiers 3

Other07142FL · Bcbs
Other200037430FL · Rr Medicare
Medicaid013473400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Edward W St. Mary 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 ID2961591896
PECOS Enrollment IDI20071130000144
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 11

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.
216 services176 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.
180 services142 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.
95 services95 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
84 services62 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
60 services56 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
45 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County
Emergency services

Palm Bay Hospital

Acute Care Hospitals · Palm Bay, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100316
Location1425 Malabar Rd, NEPalm Bay, FL 32907 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.65
Promoting Interoperability78
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

SUKANYA PACHAIDEE MD
Internal Medicine (Rheumatology)
205 E NASA BLVD, SUITE 200
MELBOURNE, FL 32901
Brevard County (321) 676-6322
BRENT STEPHENS MD
Orthopaedic Surgery
205 E NASA BLVD
MELBOURNE, FL 32901
Brevard County (321) 361-5626
KRISTIN E DAMMANN PA
Physician Assistant (Surgical)
205 E NASA BLVD
MELBOURNE, FL 32901
Brevard County (321) 361-5626
DR. LILIA K VINARSKY M.D.
Pain Medicine (Interventional Pain Medicine)
205 E NASA BLVD
MELBOURNE, FL 32901
Brevard County (321) 725-4500
EVERETT SCHUYLER DEJONG MD
Orthopaedic Surgery
205 E NASA BLVD
MELBOURNE, FL 32901
Brevard County (321) 361-5624
KENDRA M RUCKMAN PA-C
Physician Assistant
205 E NASA BLVD
MELBOURNE, FL 32901
Brevard County (321) 361-5620

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 Edward St. Mary's NPI number?

The NPI number for Edward St. Mary is 1679558720. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Edward St. Mary located?

Edward St. Mary practices at 205 E Nasa Blvd, Melbourne, FL 32901. The listed phone number is (321) 361-5625.

What is Edward St. Mary's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Edward St. Mary enrolled in Medicare?

Yes. Edward St. Mary 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 Edward St. Mary accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Edward St. Mary 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 Edward St. Mary affiliated with any hospitals?

According to CMS data, Edward St. Mary is affiliated with Holmes Regional Medical Center, Viera Hospital and Palm Bay Hospital.

When was this NPI record last updated?

The NPPES record for Edward St. Mary was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.