DR. JAMES B EDMISTON MD
NPI 1922039700
Family Medicine in Miami Shores, FL

Q: What is James Edmiston's NPI number?

The NPI number for James Edmiston is 1922039700. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is James Edmiston's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Edmiston was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 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.

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment

9536 NE 2ND AVE, MIAMI SHORES, FL 33138(305) 754-7521(305) 759-9667 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. James B Edmiston Md NPPES

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

DR. JAMES B EDMISTON MD (NPI 1922039700) is an individual family medicine provider in Miami Shores, Florida, licensed in Florida (ME30583) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Steward North Shore Medical Center, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1922039700

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAMES B EDMISTONCredential: MD

Location Address9536 NE 2ND AVEMiami Shores, FL 33138

Mailing Address5607 Nw 27th Ave Ste 1Miami, FL 33142-2826 · (305) 805-1700 · Fax (305) 805-1715

Phone(305) 754-7521

Fax(305) 759-9667

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1976

Enumeration DateJuly 6, 2006

Last NPPES UpdateJune 16, 2026

NPPES CertifiedJune 16, 2026

✔ NPI 1922039700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME30583

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.

9536 NE 2ND AVE, Miami Shores, FL 33138

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Secondary Practice Location 1

Location 15361 NW 22nd AveMiami, FL 33142-8035 · Phone (305) 637-6400 · Fax (305) 636-5155

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), 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. James B Edmiston 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 ID7911186275

PECOS Enrollment IDI20110212000008

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 4

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.

85 services55 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.

84 services54 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.

46 services27 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.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Steward North Shore Medical Center

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100029

Location1100 NW 95th StMiami, FL 33150 · Miami-Dade County

Emergency services Birthing friendly

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100034

Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County

Emergency services Birthing friendly

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100131

Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33138 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

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Other Providers at the Same Location NPPES 2

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

HECTOR S ALVAREZ MD

Family Medicine

9536 NE 2ND AVE
MIAMI SHORES, FL 33138

Miami-Dade County (305) 754-7521

ALVAREZ & EDMISTON MD PA

Specialist

9536 NE 2ND AVE
MIAMI SHORES, FL 33138

Miami-Dade County (305) 754-7521

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 James Edmiston's NPI number?

The NPI number for James Edmiston is 1922039700. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is James Edmiston located?

James Edmiston practices at 9536 NE 2nd Ave, Miami Shores, FL 33138. The listed phone number is (305) 754-7521.

What is James Edmiston's specialty?

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

Is James Edmiston enrolled in Medicare?

Yes. James Edmiston 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 James Edmiston accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and UnitedHealthcare list James Edmiston 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 James Edmiston affiliated with any hospitals?

According to CMS data, James Edmiston is affiliated with Steward North Shore Medical Center, Mount Sinai Medical Center Of Florida, Inc and Hca Florida Aventura Hospital.

When was this NPI record last updated?

The NPPES record for James Edmiston was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 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.