EDGARD PEDRAZA M.D
NPI 1881881324
Psychiatry & Neurology - Psychiatry in Westland, MI

Q: What is Edgard Pedraza's NPI number?

The NPI number for Edgard Pedraza is 1881881324. It was assigned to this individual provider in the NPPES registry on September 28, 2007.

Q: What is Edgard Pedraza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Edgard Pedraza was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 28, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1547 S WAYNE RD, WESTLAND, MI 48186(734) 405-0176(586) 795-5540 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Edgard Pedraza M.d NPPES

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

EDGARD PEDRAZA M.D (NPI 1881881324) is an individual psychiatry provider in Westland, Michigan, licensed in Michigan (4301034895) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1969).

NPPES Registry Identity

NPI1881881324

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameEDGARD PEDRAZACredential: M.D

Location Address1547 S WAYNE RDWestland, MI 48186-5436

Mailing Address5528 Metro PkwySterling Heights, MI 48310-4105 · (586) 795-3232 · Fax (586) 795-5540

Phone(734) 405-0176

Fax(586) 795-5540

Sole ProprietorYes

Medical School CMSOtherGraduated 1969

Enumeration DateSeptember 28, 2007

Last NPPES UpdateJuly 3, 2008

✔ NPI 1881881324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MI · 4301034895

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1547 S WAYNE RD, Westland, MI 48186

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Other Identifiers 7

Medicaid4308952 10MI

Medicare PIN0N15280004MI

Other0N15280004MI · Medicare Pin Linked To Apex Behavioral Health

Other0N15280MI · Medicare Group Id For Apex Behavioral Health

Medicare PIN0P24590MI

Medicare UPINA79284MI

Medicaid4767490MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.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

Edgard Pedraza 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 ID8820022072

PECOS Enrollment IDI20050927000162

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 3

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.

108 services18 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.

52 services16 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

30 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48186 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

$177.36 typical visit price

range $58.04 – $177.36

Typical copayment $44.34 (range $14.51 – $44.34)

Most-billed visit code 99205

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

96.59

Improvement Activities

Other Providers at the Same Location NPPES 18

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

FANNY ELIZABETH GUTIERREZ-MEYERS LMSW

Social Worker (Clinical)