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DR. THEODORE DURNER EDSON M.D.
NPI 1679572572
Colon & Rectal Surgery in San Diego, CA

Active since July 21, 2005PECOS Enrolled
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134(619) 532-7575 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theodore Durner Edson M.d. NPPES

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

DR. THEODORE DURNER EDSON M.D. (NPI 1679572572) is an individual colon & rectal surgery provider in San Diego, California, licensed in Illinois (036120197) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679572572
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. THEODORE DURNER EDSONCredential: M.D.
Location AddressNAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVESan Diego, CA 92134-5191
Mailing Address3456 Moon Field DrCarlsbad, CA 92008-5542 · (760) 729-2018 · Fax (760) 725-0117
Phone(619) 532-7575
Sole ProprietorNo
Enumeration DateJuly 21, 2005
Last NPPES UpdateNovember 19, 2024
NPPES CertifiedNovember 19, 2024
✔ NPI 1679572572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in IL · 036120197
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE, San Diego, CA 92134
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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. Theodore Durner Edson M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92134 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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.

BLAIRE BORISOFF DO
General Practice
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (949) 300-4575
MARY MEGAN HIGGINSON M.D.
Psychiatry & Neurology (Neurology)
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 532-5582
STEVEN FREUND
General Practice
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (678) 622-6155
DR. JUSTIN JAMES NORK D.O.
Urology
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7200
JACK TIMOTHY CATOE
Military Health Care Provider
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (443) 758-0522
JIREH ISAAC COHEN IDC
Military Health Care Provider (Independent Duty Corpsman)
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
ALICE VICTORIA KISTENEFF MD
Psychiatry & Neurology (Psychiatry)
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 532-5761
DR. ROBERT PATRICK SENKO O.D.
Optometrist
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 532-9830

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 Theodore Edson's NPI number?

The NPI number for Theodore Edson is 1679572572. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Theodore Edson located?

Theodore Edson practices at Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134. The listed phone number is (619) 532-7575.

What is Theodore Edson's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Theodore Edson enrolled in Medicare?

Yes. Theodore Edson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodore Edson was last updated on November 19, 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.