MEGAN EDWARDS MD
NPI 1821011933
Family Medicine in Waukesha, WI

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC., WAUKESHA, WI 53189(262) 928-7555 Get Directions Write a Review

NPPES record last updated: January 13, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Megan Edwards Md NPPES

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

MEGAN EDWARDS MD (NPI 1821011933) is an individual family medicine provider in Waukesha, Wisconsin, licensed in Wisconsin (61168) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Medical College Of Wisconsin (2001).

NPPES Registry Identity

NPI1821011933
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMEGAN EDWARDSCredential: MD
Location Address2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC.Waukesha, WI 53189-7624
Mailing Address2130 Big Bend Rd, Prohealth Care Medical Associates Inc.Waukesha, WI 53189-7624 · (262) 928-7555
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2001
Enumeration DateJuly 26, 2006
Last NPPES UpdateJanuary 13, 2014
NPI 1821011933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WI · 61168 Licensed in NM · MD2005-0683
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.

2130 BIG BEND RD, Waukesha, WI 53189

Other Identifiers 3

Medicare PIN68375WI
Medicare ID-Type Unspecified347535616NM
Medicaid44172877NM

Accepted 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

Megan Edwards 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 ID1456371558
PECOS Enrollment IDI20131101000786
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 7

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, 20-29 minutes 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.
237 services224 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
55 services55 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
44 services22 patients
New patient office or other outpatient visit, 30-44 minutes 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.
40 services40 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
29 services29 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53189 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Internal Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC
WAUKESHA, WI 53189
Family Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES, INC.
WAUKESHA, WI 53189
Family Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53189
Family Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53189
Family Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES
WAUKESHA, WI 53189
Family Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES
WAUKESHA, WI 53189
Family Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53189
Internal Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53189

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 Megan Edwards's NPI number?

The NPI number for Megan Edwards is 1821011933. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Megan Edwards located?

Megan Edwards practices at 2130 Big Bend Rd Prohealth Care Medical Associates Inc., Waukesha, WI 53189. The listed phone number is (262) 928-7555.

What is Megan Edwards's specialty?

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

Is Megan Edwards enrolled in Medicare?

Yes. Megan Edwards 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 Megan Edwards accept?

Health plans from UnitedHealthcare list Megan Edwards 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 Megan Edwards affiliated with any hospitals?

According to CMS data, Megan Edwards is affiliated with Waukesha Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Megan Edwards was last updated on January 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.