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KRISTY D EDWARDS MD
NPI 1881642080
Family Medicine in San Angelo, TX

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
95.75/100
CMS Quality Rating
3016 VISTA DEL ARROYO DR, SAN ANGELO, TX 76904(325) 658-1511(325) 481-2166 Get Directions Write a Review

NPPES record last updated: May 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristy D Edwards Md NPPES

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

KRISTY D EDWARDS MD (NPI 1881642080) is an individual family medicine provider in San Angelo, Texas, licensed in Texas (TX5517) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1997).

NPPES Registry Identity

NPI1881642080
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTY D EDWARDSCredential: MD
Location Address3016 VISTA DEL ARROYO DRSan Angelo, TX 76904-6146
Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 658-1511 · Fax (325) 481-2166
Phone(325) 658-1511
Fax(325) 481-2166
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1997
Enumeration DateMay 4, 2006
Last NPPES UpdateMay 5, 2017
✔ NPI 1881642080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · TX5517
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.
3016 VISTA DEL ARROYO DR, San Angelo, TX 76904
Open in Google Maps ↗

Other Identifiers 4

Medicare OSCAR/certification00QW64TX
Medicaid192383101TX
Medicare OSCAR/certification458877TX
Medicare PIN547948YKRYTX

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristy D 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 ID2365514288
PECOS Enrollment IDI20080709000255
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 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 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.
184 services140 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
152 services115 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
68 services68 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
42 services38 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
38 services18 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
20 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Lillian M Hudspeth Memorial Hospital

Critical Access Hospitals · Sonora, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451324
Location308 HudspethSonora, TX 76950 · Sutton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76904 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

95.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers28 claims78 services$6.26 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers20 claims24 services$1.03 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier21 claims21 services$37.10 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers34 claims34 services$88.93 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers35 claims103 services$33.67 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers22 claims22 services$18.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SHANNON SENIOR HEALTH CLINIC
Family Medicine (Adult Medicine)
3016 VISTA DEL ARROYO DR
SAN ANGELO, TX 76904
Tom Green County (325) 949-9408
DR. BRENDA D OWENS MD
Family Medicine
3016 VISTA DEL ARROYO DR
SAN ANGELO, TX 76904
Tom Green County (325) 658-1511
SHANNON RURAL HEALTH CLINICS, INC
Family Medicine
3016 VISTA DEL ARROYO DR
SAN ANGELO, TX 76904
Tom Green County (325) 949-9408
BRANDI L DEPALMA CNS
Clinical Nurse Specialist (Adult Health)
3016 VISTA DEL ARROYO DR
SAN ANGELO, TX 76904
Tom Green County (325) 949-9408

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 Kristy Edwards's NPI number?

The NPI number for Kristy Edwards is 1881642080. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Kristy Edwards located?

Kristy Edwards practices at 3016 Vista Del Arroyo Dr, San Angelo, TX 76904. The listed phone number is (325) 658-1511.

What is Kristy Edwards's specialty?

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

Is Kristy Edwards enrolled in Medicare?

Yes. Kristy 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 Kristy Edwards accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kristy 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 Kristy Edwards affiliated with any hospitals?

According to CMS data, Kristy Edwards is affiliated with Shannon Medical Center and Lillian M Hudspeth Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kristy Edwards was last updated on May 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.