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DR. DAVID A EDMONSON M.D.
NPI 1750440699
Surgery in Providence, RI

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
101 DUDLEY ST, PROVIDENCE, RI 02905(401) 274-1122(401) 453-7597 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. David A Edmonson M.d. NPPES

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

DR. DAVID A EDMONSON M.D. (NPI 1750440699) is an individual surgery provider in Providence, Rhode Island, licensed in Rhode Island (MD11542) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and maintains a secondary practice location in Attleboro.

NPPES Registry Identity

NPI1750440699
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DAVID A EDMONSONCredential: M.D.
Location Address101 DUDLEY STProvidence, RI 02905-2401
Mailing Address101 Dudley St, Pho OfficeProvidence, RI 02905-2401 · (401) 274-1122 · Fax (401) 453-7597
Phone(401) 274-1122
Fax(401) 453-7597
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 6, 2006
Last NPPES UpdateMay 11, 2026
NPPES CertifiedMay 11, 2026
✔ NPI 1750440699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in RI · MD11542✔ Licensed in MA · 243477
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.
101 DUDLEY ST, Providence, RI 02905
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Secondary Practice Location 1

Location 120 ONeil BlvdAttleboro, MA 02703-1854 · Phone (508) 342-1105 · Fax (508) 342-1948

Other Identifiers 1

MedicaidDE79127RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. David A 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 ID8123041589
PECOS Enrollment IDI20100813000496, I20110315000765
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

4

Medicare enrollment records show David Edmonson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Affinity Physicians LLC
Same address
Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
NPI 1053038471 (401) 274-1122
Sturdy Health Inc
11 mi
Surgery
20 ONEIL BLVD
Attleboro, MA 02703
  • Reassigned Medicare billing, Massachusetts enrollment
  • 8 clinicians in this Medicare group
NPI 1194078311 (508) 342-1105
Wih Faculty Physicians, Inc
16 mi
Gynecologic Oncology
373 NEW BOSTON RD STE 3
Fall River, MA 02720
  • Reassigned Medicare billing, Massachusetts enrollment
  • 26 clinicians in this Medicare group
NPI 1669590295 (508) 235-3500
Pratt Surgical Associates Inc
41 mi
Surgery
800 WASHINGTON ST, BOX 1013
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 72 clinicians in this Medicare group
NPI 1912944182 (617) 636-5000

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 4

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.
95 services88 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.
22 services16 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.
13 services13 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220008
Location211 Park StreetAttleboro, MA 02703 · Bristol County
Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

CHRISTOPHER DONALD PALMER DO
Internal Medicine
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
BRITTANY S HAMPTON MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
HEIDI FANION LCSW
Social Worker (Clinical)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
MS. LINDA BEETLESTONE MS
Genetic Counselor, MS
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 453-7515
JULIE ANNA KNUTSON RN, CNM
Advanced Practice Midwife
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
BETHANY DAWSON LICSW
Social Worker (Clinical)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
HEATHER A SMITH MD, MPH
Obstetrics & Gynecology (Obstetrics)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
NADINE C KASSIS MD
Obstetrics & Gynecology
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100

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 David Edmonson's NPI number?

The NPI number for David Edmonson is 1750440699. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is David Edmonson located?

David Edmonson practices at 101 Dudley St, Providence, RI 02905. The listed phone number is (401) 274-1122.

What is David Edmonson's specialty?

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

Is David Edmonson enrolled in Medicare?

Yes. David 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.

Which organizations bill Medicare for David Edmonson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Edmonson reassigns Medicare benefits to 4 organizations: Affinity Physicians LLC (Providence, RI), Sturdy Health Inc (Attleboro, MA), Wih Faculty Physicians, Inc (Fall River, MA) and Pratt Surgical Associates Inc (Boston, MA). 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 David Edmonson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Edmonson accept?

Health plans from Anthem Blue Cross and Blue Shield list David 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 David Edmonson affiliated with any hospitals?

According to CMS data, David Edmonson is affiliated with Sturdy Memorial Hospital, Rhode Island Hospital, Kent County Memorial Hospital and Women & Infants Hospital Of Rhode Island.

When was this NPI record last updated?

The NPPES record for David Edmonson was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.