JAMES T EDINGER MD
NPI 1952563389
Pathology - Anatomic Pathology & Clinical Pathology in Columbia, MO

Q: What is James Edinger's NPI number?

The NPI number for James Edinger is 1952563389. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Q: What is James Edinger's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for James Edinger was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 26, 2008PECOS EnrolledAccepts Medicare Assignment

75.51/100

CMS Quality Rating

300 PORTLAND ST STE 110, COLUMBIA, MO 65201(573) 886-4600(573) 886-4695 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2022, Mar 17, 2021, Jul 10, 2020 (3 updates tracked since 2020).

On this page

About James T Edinger Md NPPES

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

JAMES T EDINGER MD (NPI 1952563389) is an individual anatomic pathology & clinical pathology provider in Columbia, Missouri, licensed in Missouri (2011010491) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Moberly Regional Medical Center, and is a graduate of University Of Pittsburgh School Of Medicine (2003).

NPPES Registry Identity

NPI1952563389

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameJAMES T EDINGERCredential: MD

Location Address300 PORTLAND ST STE 110Columbia, MO 65201-7390

Mailing Address300 Portland St Ste 110Columbia, MO 65201-7390 · (573) 886-4600 · Fax (573) 886-4695

Phone(573) 886-4600

Fax(573) 886-4695

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2003

Enumeration DateJune 26, 2008

Last NPPES UpdateApril 20, 20223 updates tracked since enumeration

NPPES CertifiedApril 20, 2022

✔ NPI 1952563389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in MO · 2011010491✔ Licensed in PA · MD435958✔ Licensed in KS · 04-35322

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

300 PORTLAND ST STE 110, Columbia, MO 65201

Open in Google Maps ↗

Other Identifiers 1

Medicaid206535007MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

James T Edinger 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 ID5799954863

PECOS Enrollment IDI20110805000273

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 10

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

2,720 services1,656 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

539 services349 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

80 services71 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

69 services51 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

57 services15 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

32 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Moberly Regional Medical Center

Acute Care Hospitals · Moberly, MO

3/5 CMS rating

OwnershipProprietary

CMS Certification Number260074

Location1515 Union AveMoberly, MO 65270 · Randolph County

Emergency services

Ozarks Healthcare

Acute Care Hospitals · West Plains, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260078

Location1100 Kentucky AveWest Plains, MO 65775 · Howell County

Emergency services Birthing friendly

Fitzgibbon Hospital

Acute Care Hospitals · Marshall, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260142

Location2305 S 65 HighwayMarshall, MO 65340 · Saline County

Emergency services Birthing friendly

Scotland County Hospital

Critical Access Hospitals · Memphis, MO

OwnershipGovernment - Hospital District or Authority

CMS Certification Number261310

Location450 E Sigler AvenueMemphis, MO 63555 · Scotland County

Emergency services

Carroll County Memorial Hospital

Critical Access Hospitals · Carrollton, MO

OwnershipVoluntary non-profit - Private

CMS Certification Number261332

Location1502 North JeffersonCarrollton, MO 64633 · Carroll County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

75.51/100

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

Scored as part of a group practice

Quality

71.19

Improvement Activities

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.

THOMAS BART SHAW MD

Pathology (Anatomic Pathology & Clinical Pathology)