EDWARD J WARD III MD
NPI 1720013766
Family Medicine in St Charles, IL

Q: What is Edward Ward's NPI number?

The NPI number for Edward Ward is 1720013766. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Edward Ward's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Ward was last updated on February 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

2900 FOXFIELD RD, SUITE 200, ST CHARLES, IL 60174(630) 377-7900(630) 377-8007 Get Directions Write a Review

NPPES record last updated: February 19, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Edward J Ward Iii Md NPPES

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

EDWARD J WARD III MD (NPI 1720013766) is an individual family medicine provider in St Charles, Illinois, licensed in Illinois (036100523) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of Southern Illinois University School Of Medicine (1997).

NPPES Registry Identity

NPI1720013766

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameEDWARD J WARD IIICredential: MD

Location Address2900 FOXFIELD RD, SUITE 200St Charles, IL 60174-5799

Mailing Address2900 Foxfield Rd, Suite 200St Charles, IL 60174-5799 · (630) 377-7900 · Fax (630) 377-8007

Phone(630) 377-7900

Fax(630) 377-8007

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 1997

Enumeration DateJuly 11, 2006

Last NPPES UpdateFebruary 19, 2018

✔ NPI 1720013766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036100523

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2900 FOXFIELD RD, St Charles, IL 60174

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Other Identifiers 4

Other0222075IL · Blue Cross Group Number

Other3631498336019001IL · Cdpg Hfs Payee Id

Medicaid036100523IL

Other363149833IL · Tax Identification Number

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

Edward J Ward Iii 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 ID2062605223

PECOS Enrollment IDI20101020000301

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 Edward Ward reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Dupage Physician Group

11 mi

Family Medicine

5777 DEPARTMENT
Carol Stream, IL 60122

Reassigned Medicare billing, Illinois enrollment
1,664 clinicians in this Medicare group

NPI 1033149844 (630) 933-3300

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 13

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.

367 services308 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

276 services276 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.

225 services157 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

93 services93 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

93 services93 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

67 services67 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

65 services65 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

56 services42 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

30 services30 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

22 services21 patients

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0403

An Electrocardiogram (ECG) with 12 leads is a non-invasive test that measures the electrical activity of your heart. It's performed during your initial physical examination to screen for heart conditions. The results are interpreted and compiled into a report for further evaluation.

17 services17 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

16 services16 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140116

Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County

Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140211

Location300 Randall RdGeneva, IL 60134 · Kane County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Northwestern Medicine Kishwaukee Hospital

Acute Care Hospitals · Dekalb, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140286

LocationOne Kish Hospital DriveDekalb, IL 60115 · De Kalb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60174 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

Most-billed visit code 99214

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers29 claims72 services$6.16 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers13 claims14 services$0.99 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers12 claims510 services$0.77 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers12 claims12 services$23.92 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 20

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

DAVID W FLATT D.C.

Chiropractor (Orthopedic)

2900 FOXFIELD RD
ST CHARLES, IL 60174

Kane County (630) 208-3200

MICHELLE S. KRAMER ATC

Specialist/Technologist (Athletic Trainer)

2900 FOXFIELD RD
ST CHARLES, IL 60174

Kane County (630) 587-5788

MRS. PAMELA MARIE DENHOF ATC

Specialist

2900 FOXFIELD RD, LLA
ST CHARLES, IL 60174

Kane County (630) 587-5788

LAURA KOEPPEL TAGLE MD

Internal Medicine

2900 FOXFIELD RD
ST CHARLES, IL 60174

Kane County (630) 208-3200

DUKANE ALLERGY ASSOCIATES. LTD

Preferred Provider Organization

2900 FOXFIELD RD, SUITE 206
ST CHARLES, IL 60174

Kane County (630) 584-6127

SCOTT DUNCAN MCNAUGHTON M.D.

Internal Medicine

2900 FOXFIELD RD
ST CHARLES, IL 60174

Kane County (630) 208-3200

MARIO BLANQUEL

Specialist/Technologist (Athletic Trainer)

2900 FOXFIELD RD
ST CHARLES, IL 60174

Kane County (630) 208-3200

DR. ROBERT J CALABRIA D.O.

Family Medicine

2900 FOXFIELD RD
ST CHARLES, IL 60174

Kane County (630) 513-8275

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 Ward's NPI number?

The NPI number for Edward Ward is 1720013766. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Edward Ward located?

Edward Ward practices at 2900 Foxfield Rd Suite 200, St Charles, IL 60174. The listed phone number is (630) 377-7900.

What is Edward Ward's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edward Ward enrolled in Medicare?

Yes. Edward Ward 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 Edward Ward's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Ward reassigns Medicare benefits to Central Dupage Physician Group (Carol Stream, IL). 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 Edward Ward's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Edward Ward affiliated with any hospitals?

According to CMS data, Edward Ward is affiliated with Northwestern Medicine Mchenry, Northwestern Medicine Delnor Community Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Medicine Kishwaukee Hospital.

When was this NPI record last updated?

The NPPES record for Edward Ward was last updated on February 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.