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EVERTON ANTHONY EDMONDSON M.D.
NPI 1912985813
Psychiatry & Neurology - Neurology in Houston, TX

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
6560 FANNIN ST, SUITE 1234, HOUSTON, TX 77030(713) 797-1180(713) 797-0641 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Everton Anthony Edmondson M.d. NPPES

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

EVERTON ANTHONY EDMONDSON M.D. (NPI 1912985813) is an individual neurology provider in Houston, Texas, licensed in Texas (G9451) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of New York University School Of Medicine (1980).

NPPES Registry Identity

NPI1912985813
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameEVERTON ANTHONY EDMONDSONCredential: M.D.
Location Address6560 FANNIN ST, SUITE 1234Houston, TX 77030-2761
Mailing Address6560 Fannin St, Suite 1234Houston, TX 77030-2761 · (713) 797-1180 · Fax (713) 797-0641
Phone(713) 797-1180
Fax(713) 797-0641
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1980
Enumeration DateJanuary 3, 2006
Last NPPES UpdateNovember 13, 2020
NPPES CertifiedNovember 13, 2020
✔ NPI 1912985813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · G9451
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License G9451 (TX)
6560 FANNIN ST, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 4

Medicaid139241717TX
Medicaid139241712TX
Medicaid139241716TX
Other8AJ445TX · Blue Cross

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

Everton Anthony Edmondson 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 ID1355352758
PECOS Enrollment IDI20060524000132
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 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.
215 services94 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
75 services56 patients
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.
42 services31 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.
18 services14 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.
18 services18 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

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.

JANET L ATTISHA RN, ACNP
Nurse Practitioner
6560 FANNIN ST, STE 1260
HOUSTON, TX 77030
Harris County (713) 797-0466
TIEN WONG M.D.
Ophthalmology
6560 FANNIN ST, STE 750
HOUSTON, TX 77030
Harris County (713) 524-3434
DR. OLGA WALN M.D.
Psychiatry & Neurology (Neurology)
6560 FANNIN ST, STE 802
HOUSTON, TX 77030
Harris County (713) 441-9551
PARTNERS IN INTERNAL MEDICINE, P.A.
Internal Medicine
6560 FANNIN ST, SUITE 1012
HOUSTON, TX 77030
Harris County (281) 657-0770
KEVIN ANTHONY GRIMES MD
Internal Medicine (Infectious Disease)
6560 FANNIN ST, SUITE 1540
HOUSTON, TX 77030
Harris County (713) 799-9997
NICOLE BAUTISTA DAVENPORT P.A.-C
Physician Assistant
6560 FANNIN ST, SUITE 1842
HOUSTON, TX 77030
Harris County (713) 790-2089
DR. MICHAEL POOL COSELLI M.D.
Surgery
6560 FANNIN ST, STE 1608
HOUSTON, TX 77030
Harris County (713) 796-1608
DR. WILLIAM HYPES OBENOUR JR. M.D.
Internal Medicine
6560 FANNIN ST, SUITE 1112
HOUSTON, TX 77030
Harris County (713) 790-1541

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 Everton Edmondson's NPI number?

The NPI number for Everton Edmondson is 1912985813. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Everton Edmondson located?

Everton Edmondson practices at 6560 Fannin St Suite 1234, Houston, TX 77030. The listed phone number is (713) 797-1180.

What is Everton Edmondson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Everton Edmondson enrolled in Medicare?

Yes. Everton Edmondson 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 Everton Edmondson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Everton Edmondson 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 Everton Edmondson affiliated with any hospitals?

According to CMS data, Everton Edmondson is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Everton Edmondson was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.