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EDWARD J CLIFFORD M.D.
NPI 1730122763
Surgery - Surgical Oncology in Irving, TX

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
2021 N MACARTHUR BLVD STE 400, IRVING, TX 75061(972) 256-3537(972) 255-7916 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Edward J Clifford M.d. NPPES

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

EDWARD J CLIFFORD M.D. (NPI 1730122763) is an individual surgical oncology provider in Irving, Texas, licensed in Texas (H2307) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center At Irving, and maintains a secondary practice location in Grapevine.

NPPES Registry Identity

NPI1730122763
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameEDWARD J CLIFFORDCredential: M.D.
Location Address2021 N MACARTHUR BLVD STE 400Irving, TX 75061-2226
Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 234-2987
Phone(972) 256-3537
Fax(972) 255-7916
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJune 14, 2006
Last NPPES UpdateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
✔ NPI 1730122763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in TX · H2307
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
2021 N MACARTHUR BLVD STE 400, Irving, TX 75061
Open in Google Maps ↗

Secondary Practice Location 1

Location 11631 Lancaster Dr Ste 225Grapevine, TX 76051-3502 · Phone (817) 662-0008 · Fax (817) 662-0014

Accepted Insurance

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

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 Clifford 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 ID9739090085
PECOS Enrollment IDI20060106000191
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 Reassignments

3

Medicare enrollment records show Edward Clifford reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Southwestern Medical Center At Dallas
6.8 mi
Internal Medicine
1801 INWOOD RD, 7TH FLOOR
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1982850699 (214) 645-0624
Healthtexas Provider Network
11 mi
Anesthesiology
3600 GASTON AVE STE 550
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
NPI 1174416689 (214) 821-1177
Texas Oncology PA
11 mi
Medical Oncology
3410 WORTH ST
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 1,054 clinicians in this Medicare group
NPI 1003083445 (972) 997-8000

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 9

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.
85 services63 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
36 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
22 services22 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.
20 services20 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
16 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center At Irving

Acute Care Hospitals · Irving, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450079
Location1901 N Macarthur BlvdIrving, TX 75061 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450563
Location1650 W College StGrapevine, TX 76051 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75061 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
$172.86 typical visit price
range $57.18 – $172.86
Typical copayment $43.21 (range $14.29 – $43.21)
Most-billed visit code 99205
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

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…
100%114 patients5/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%302 patients5/55-star benchmark: 100%
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.
75%193 patients4/55-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…
19%193 patients1/55-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…
2%193 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 4

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

ONCOLOGY PHARMACY SERVICES, INC
Pharmacy (Specialty Pharmacy)
2021 N MACARTHUR BLVD STE 400
IRVING, TX 75061
Dallas County (972) 253-3751
DR. GILBERTO JIMENEZ-JUSTINIANO M.D.
Internal Medicine (Hematology & Oncology)
2021 N MACARTHUR BLVD STE 400
IRVING, TX 75061
Dallas County (972) 256-3537
KIRAN REDDY KANCHARLA MD
Internal Medicine (Hematology & Oncology)
2021 N MACARTHUR BLVD STE 400
IRVING, TX 75061
Dallas County (972) 256-3537
DR. NAROTHAM R THUDI MD
Internal Medicine (Hematology & Oncology)
2021 N MACARTHUR BLVD STE 400
IRVING, TX 75061
Dallas County (972) 256-3537

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 Clifford's NPI number?

The NPI number for Edward Clifford is 1730122763. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Edward Clifford located?

Edward Clifford practices at 2021 N Macarthur Blvd Ste 400, Irving, TX 75061. The listed phone number is (972) 256-3537.

What is Edward Clifford's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Edward Clifford enrolled in Medicare?

Yes. Edward Clifford 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 organizations bill Medicare for Edward Clifford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Clifford reassigns Medicare benefits to 3 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX), Healthtexas Provider Network (Dallas, TX) and Texas Oncology PA (Dallas, TX). Each 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 Clifford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Clifford accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Edward Clifford 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 Clifford affiliated with any hospitals?

According to CMS data, Edward Clifford is affiliated with Baylor Scott & White Medical Center At Irving and Baylor Scott & White Medical Center Grapevine.

When was this NPI record last updated?

The NPPES record for Edward Clifford was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.