MICHAEL D EDWARDS MD
NPI 1932160058
Radiology - Diagnostic Radiology in Pinehurst, NC

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
86.15/100
CMS Quality Rating
30 MEMORIAL DR, PINEHURST, NC 28374(910) 295-4400(910) 295-2810 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael D Edwards Md NPPES

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

MICHAEL D EDWARDS MD (NPI 1932160058) is an individual diagnostic radiology provider in Pinehurst, North Carolina, licensed in North Carolina (200200348) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of Northwestern University Feinberg Medical School (1997).

NPPES Registry Identity

NPI1932160058
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMICHAEL D EDWARDSCredential: MD
Location Address30 MEMORIAL DRPinehurst, NC 28374-8707
Mailing Address30 Memorial DrPinehurst, NC 28374-8707 · (910) 295-4400 · Fax (910) 295-2810
Fax(910) 295-2810
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1997
Enumeration DateMarch 29, 2006
Last NPPES UpdateFebruary 27, 2008
✔ NPI 1932160058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NC · 200200348
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
30 MEMORIAL DR, Pinehurst, NC 28374

Other Identifiers 5

Medicare PIN2021624ANC
Other13529NC · Bcbs Nc
Medicare UPINH84579NC
Medicare PIN2021624BNC
Medicaid8913529NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael 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 ID2264427970
PECOS Enrollment IDI20040420000623, I20040624000771, I20251126000130
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.

Medicare Billing Reassignments

9

Medicare enrollment records show Michael Edwards reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physiological Laboratory
30 MEMORIAL DR
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • 16 clinicians in this Medicare group
Specialist
30 MEMORIAL DR
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • 14 clinicians in this Medicare group
Specialist
30 MEMORIAL DR
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • 15 clinicians in this Medicare group
Magnetic Resonance Imaging (MRI)
237 N FAYETTEVILLE ST STE B
Asheboro, NC 27203
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
Diagnostic Radiology
364 WHITE OAK ST
Asheboro, NC 27203
  • Reassigned Medicare billing, North Carolina enrollment
  • 21 clinicians in this Medicare group
Diagnostic Radiology
1 SAINT FRANCIS DR
Greenville, SC 29601
  • Reassigned Medicare billing, North Carolina enrollment
  • 13 clinicians in this Medicare group
Diagnostic Radiology
600 SOMERSET AVE
Windber, PA 15963
  • Reassigned Medicare billing, North Carolina enrollment
  • 8 clinicians in this Medicare group
Diagnostic Radiology
390 VINEYARD WAY
West Grove, PA 19390
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 217 clinicians in this Medicare group
Diagnostic Radiology
600 E DIXIE AVE
Leesburg, FL 34748
  • Reassigned Medicare billing, Florida and North Carolina enrollments
  • 70 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 99

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
718 services718 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
713 services713 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
592 services576 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
419 services368 patients
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml A9579
This is an MRI procedure where a gadolinium-based contrast agent is injected into your body. The agent enhances the images, making it easier to detect abnormalities. It's safe and side effects are rare. It's administered per milliliter as needed.
366 services24 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
278 services263 patients

Hospital Affiliations CMS Care Compare 5

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

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340039
Location557 Brookdale DrStatesville, NC 28677 · Iredell County
Emergency services Birthing friendly

Randolph Hospital

Acute Care Hospitals · Asheboro, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340123
Location364 White Oak StreetAsheboro, NC 27204 · Randolph County
Emergency services Birthing friendly

Wooster Community Hospital

Acute Care Hospitals · Wooster, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360036
Location1761 Beall AvenueWooster, OH 44691 · Wayne County
Emergency services Birthing friendly

Temple Health - Chestnut Hill Hospital

Acute Care Hospitals · Philadelphia, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390026
Location8835 Germantown AvenuePhiladelphia, PA 19118 · Philadelphia County
Emergency services

Acmh Hospital

Acute Care Hospitals · Kittanning, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390163
LocationOne Nolte DriveKittanning, PA 16201 · Armstrong County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28374 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

86.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities0
Cost96.06

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%1,263 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%655 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%77 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Specialist
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Vascular & Interventional Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Radiology (Diagnostic Radiology)
30 MEMORIAL DR
PINEHURST, NC 28374
Physiological Laboratory
30 MEMORIAL DR
PINEHURST, NC 28374

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 Michael Edwards's NPI number?

The NPI number for Michael Edwards is 1932160058. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Michael Edwards located?

Michael Edwards practices at 30 Memorial Dr, Pinehurst, NC 28374. The listed phone number is (910) 295-4400.

What is Michael Edwards's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Michael Edwards enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Edwards reassigns Medicare benefits to 9 organizations: First Imaging Of The Carolinas (Pinehurst, NC), Pinehurst Radiology Associates (Pinehurst, NC), Pinehurst Radiology Group P A (Pinehurst, NC), American Healthcare Systems, LLC (Asheboro, NC), Radiology Associates Of North Carolina PC (Asheboro, NC) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Edwards accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Michael 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 Michael Edwards affiliated with any hospitals?

According to CMS data, Michael Edwards is affiliated with Iredell Memorial Hospital Inc, Randolph Hospital, Wooster Community Hospital, Temple Health - Chestnut Hill Hospital and Acmh Hospital.

When was this NPI record last updated?

The NPPES record for Michael Edwards was last updated on February 27, 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.