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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. EDWARD ELMER
NPI 1851368302
Orthopaedic Surgery in Pleasanton, TX

Active since March 03, 2006PECOS Enrolled
0/100
CMS Quality Rating
1102 N MAIN ST, PLEASANTON, TX 78064(830) 569-6009 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edward Elmer NPPES

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

DR. EDWARD ELMER (NPI 1851368302) is an individual orthopaedic surgery provider in Pleasanton, Texas, licensed in Texas (J1235) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Connally Memorial Medical Center, and is a graduate of Harvard Medical School (1983).

NPPES Registry Identity

NPI1851368302
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. EDWARD ELMER
Location Address1102 N MAIN STPleasanton, TX 78064-2618
Mailing Address1102 N Main StPleasanton, TX 78064-2618
Phone(830) 569-6009
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1983
Enumeration DateMarch 3, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1851368302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · J1235
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1102 N MAIN ST, Pleasanton, TX 78064
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Accepted Insurance

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

Dr. Edward Elmer 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 ID9436135399
PECOS Enrollment IDI20040629001567
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 10

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.

Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg J7332
Triluron is a treatment involving injections of a substance called hyaluronan into your joints. It helps to lubricate and cushion the joint, which can reduce pain and improve movement, especially in conditions like osteoarthritis. Each injection contains 1 mg of hyaluronan.
5,500 services61 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
653 services237 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
635 services244 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
308 services151 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.
138 services138 patients
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.
128 services98 patients

Hospital Affiliations CMS Care Compare 3

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

Connally Memorial Medical Center

Acute Care Hospitals · Floresville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450108
Location499 10th StreetFloresville, TX 78114 · Wilson County
Emergency services

Methodist Hospital Atascosa

Acute Care Hospitals · Jourdanton, TX
OwnershipProprietary
CMS Certification Number450165
Location1905 Hwy 97 EastJourdanton, TX 78026 · Atascosa County
Emergency services

Frio Regional Hospital

Critical Access Hospitals · Pearsall, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451391
Location200 S Ih 35Pearsall, TX 78061 · Frio County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78064 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES

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

ELMER ORTHOPAEDICS, PA
Specialist
1102 N MAIN ST
PLEASANTON, TX 78064
Atascosa County (830) 569-6009

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 Elmer's NPI number?

The NPI number for Edward Elmer is 1851368302. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Edward Elmer located?

Edward Elmer practices at 1102 N Main St, Pleasanton, TX 78064. The listed phone number is (830) 569-6009.

What is Edward Elmer's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Edward Elmer enrolled in Medicare?

Yes. Edward Elmer 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 Edward Elmer accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Edward Elmer 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 Elmer affiliated with any hospitals?

According to CMS data, Edward Elmer is affiliated with Connally Memorial Medical Center, Methodist Hospital Atascosa and Frio Regional Hospital.

When was this NPI record last updated?

The NPPES record for Edward Elmer was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.