PHILIP MARSHALL EDMUNDSON M.D.
NPI 1831533835
Surgery - Surgical Critical Care in Dallas, TX

Active since April 20, 2013PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
8230 WALNUT HILL LN STE 320, DALLAS, TX 75231(214) 369-5432(214) 369-5591 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2019, Oct 19, 2018 (2 updates tracked since 2018).

About Philip Marshall Edmundson M.d. NPPES

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

PHILIP MARSHALL EDMUNDSON M.D. (NPI 1831533835) is an individual surgical critical care provider in Dallas, Texas, licensed in Texas (R7445) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Kaufman, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2013).

NPPES Registry Identity

NPI1831533835
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NamePHILIP MARSHALL EDMUNDSONCredential: M.D.
Location Address8230 WALNUT HILL LN STE 320Dallas, TX 75231-4481
Mailing Address8230 Walnut Hill Ln Ste 320Dallas, TX 75231-4481 · (214) 369-5432 · Fax (214) 369-5591
Fax(214) 369-5591
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2013
Enumeration DateApril 20, 2013
Last NPPES UpdateAugust 21, 20192 updates tracked since enumeration
NPI 1831533835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in TX · R7445
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License R7445 (TX)
8230 WALNUT HILL LN STE 320, Dallas, TX 75231

Other Identifiers 2

Medicaid388262301TX
Other388262302TX · Cshcn

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

Philip Marshall Edmundson 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 ID941550255
PECOS Enrollment IDI20180907000988
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
142 services85 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
97 services54 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
69 services67 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.
54 services39 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 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.
14 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Texas Health Presbyterian Hospital Kaufman

Acute Care Hospitals · Kaufman, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450292
Location850 Ed HallKaufman, TX 75142 · Kaufman County
Emergency services

Texas Health Presbyterian Hospital Dallas

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450462
Location8200 Walnut Hill LaneDallas, TX 75231 · Dallas County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Rockwall

Acute Care Hospitals · Rockwall, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670044
Location3150 Horizon RoadRockwall, TX 75032 · Rockwall County
Emergency services

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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Other Providers at the Same Location NPPES 19

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

Physician Assistant (Surgical)
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Nurse Practitioner (Acute Care)
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Surgery
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Surgery
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Surgery
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Surgery
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Surgery (Surgical Critical Care)
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231
Physician Assistant
8230 WALNUT HILL LN STE 320
DALLAS, TX 75231

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 Philip Edmundson's NPI number?

The NPI number for Philip Edmundson is 1831533835. It was assigned to this individual provider in the NPPES registry on April 20, 2013.

Where is Philip Edmundson located?

Philip Edmundson practices at 8230 Walnut Hill Ln Ste 320, Dallas, TX 75231. The listed phone number is (214) 369-5432.

What is Philip Edmundson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Philip Edmundson enrolled in Medicare?

Yes. Philip Edmundson 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 Philip Edmundson accept?

Health plans from Blue Cross and Blue Shield of Texas list Philip Edmundson 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 Philip Edmundson affiliated with any hospitals?

According to CMS data, Philip Edmundson is affiliated with Texas Health Presbyterian Hospital Kaufman, Texas Health Presbyterian Hospital Dallas and Texas Health Presbyterian Hospital Rockwall.

When was this NPI record last updated?

The NPPES record for Philip Edmundson was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.