DR. JOHN C EDWARDS MD
NPI 1972531861
Internal Medicine - Nephrology in Saint Louis, MO

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
1225 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 257-3760 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John C Edwards Md NPPES

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

DR. JOHN C EDWARDS MD (NPI 1972531861) is an individual nephrology provider in Saint Louis, Missouri, licensed in North Carolina (200501908) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1985).

NPPES Registry Identity

NPI1972531861
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JOHN C EDWARDSCredential: MD
Location Address1225 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address1801 Hickory StSaint Louis, MO 63104-2929 · (314) 623-1610
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1985
Enumeration DateJune 29, 2006
Last NPPES UpdateJanuary 13, 2021
NPPES CertifiedNovember 20, 2020
NPI 1972531861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NC · 200501908
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1225 S GRAND BLVD, Saint Louis, MO 63104

Accepted 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. John C 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 ID7113939331
PECOS Enrollment IDI20110816000748
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.

Follow-up hospital inpatient care per day, typically 25 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.
131 services43 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
102 services34 patients
Dialysis procedure including 1 evaluation 90945
Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.
42 services11 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
40 services24 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services29 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
30 services24 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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.

Psychiatry & Neurology (Vascular Neurology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Nurse Practitioner (Adult Health)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychiatry & Neurology (Neurology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Optometrist (Low Vision Rehabilitation)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Ophthalmology
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Ophthalmology
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Ophthalmology
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
Ophthalmology
1225 S GRAND BLVD
SAINT LOUIS, MO 63104

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 John Edwards's NPI number?

The NPI number for John Edwards is 1972531861. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is John Edwards located?

John Edwards practices at 1225 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 257-3760.

What is John Edwards's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is John Edwards enrolled in Medicare?

Yes. John 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.

What insurance does John Edwards accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list John 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 John Edwards affiliated with any hospitals?

According to CMS data, John Edwards is affiliated with Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for John Edwards was last updated on January 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.