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DR. JAMES D. EDMONSON M.D.
NPI 1689617664
Surgery in Corinth, MS

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
25.9/100
CMS Quality Rating
2429 PROPER ST, CORINTH, MS 38834(662) 286-3735(662) 286-3721 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2020, Jul 30, 2020 (2 updates tracked since 2020).

About Dr. James D. Edmonson M.d. NPPES

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

DR. JAMES D. EDMONSON M.D. (NPI 1689617664) is an individual surgery provider in Corinth, Mississippi, licensed in Mississippi (13579) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Magnolia Regional Health Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1992).

NPPES Registry Identity

NPI1689617664
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JAMES D. EDMONSONCredential: M.D.
Location Address2429 PROPER STCorinth, MS 38834-5394
Mailing Address2429 Proper StCorinth, MS 38834-5394 · (662) 286-3735 · Fax (662) 286-3721
Phone(662) 286-3735
Fax(662) 286-3721
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1992
Enumeration DateJune 14, 2006
Last NPPES UpdateAugust 25, 20202 updates tracked since enumeration
NPPES CertifiedAugust 25, 2020
✔ NPI 1689617664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MS · 13579
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2429 PROPER ST, Corinth, MS 38834
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Other Identifiers 6

Other12658TN · Tlc
Other157866TN · Unison
Medicaid3729733TN
Medicaid0114762MS
Other26282TN · Vestica
Other3104220TN · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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

Dr. James D. Edmonson 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.

PECOS PAC ID6103875497
PECOS Enrollment IDI20120328000792
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.
481 services264 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
161 services160 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
130 services40 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.
116 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
101 services101 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
60 services58 patients

Hospital Affiliations CMS Care Compare 3

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

Magnolia Regional Health Center

Acute Care Hospitals · Corinth, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250009
Location611 Alcorn DriveCorinth, MS 38834 · Alcorn County
Emergency services Birthing friendly

Baptist Memorial Hospital Booneville

Acute Care Hospitals · Booneville, MS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250044
Location100 Hospital StreetBooneville, MS 38829 · Prentiss County
Emergency services

Tippah County Hospital

Critical Access Hospitals · Ripley, MS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number251337
Location1005 City Ave NorthRipley, MS 38663 · Tippah County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38834 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

25.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost86.36

Reported Quality Measures

Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
0%237 patients1/55-star benchmark: 96%
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.
3%237 patients1/55-star benchmark: 99%
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…
92%137 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%237 patients1/55-star benchmark: 59%
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.

Other Providers at the Same Location NPPES

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

SLEEP UNLIMITED CORINTH LAB LLC
Clinic/Center (Sleep Disorder Diagnostic)
2429 PROPER ST
CORINTH, MS 38834
Alcorn County (662) 284-9502

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 James Edmonson's NPI number?

The NPI number for James Edmonson is 1689617664. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is James Edmonson located?

James Edmonson practices at 2429 Proper St, Corinth, MS 38834. The listed phone number is (662) 286-3735.

What is James Edmonson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Edmonson enrolled in Medicare?

Yes. James Edmonson 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 James Edmonson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list James Edmonson 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 James Edmonson affiliated with any hospitals?

According to CMS data, James Edmonson is affiliated with Magnolia Regional Health Center, Baptist Memorial Hospital Booneville and Tippah County Hospital.

When was this NPI record last updated?

The NPPES record for James Edmonson was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.