EDWIN FRANCISCO SUAZA PA-C
NPI 1982161204
Physician Assistant in Spencer, IA

Active since February 22, 2019PECOS EnrolledAccepts Medicare Assignment
116 E 11TH ST STE 101, SPENCER, IA 51301(712) 264-3500 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2019, Feb 22, 2019 (2 updates tracked since 2019).

About Edwin Francisco Suaza Pa-c NPPES

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

EDWIN FRANCISCO SUAZA PA-C (NPI 1982161204) is an individual physician assistant in Spencer, Iowa and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1982161204
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEDWIN FRANCISCO SUAZACredential: PA-C
Location Address116 E 11TH ST STE 101Spencer, IA 51301-4365
Mailing Address116 E 11th St Ste 101Spencer, IA 51301-4365 · (712) 264-3500
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 22, 2019
Last NPPES UpdateJuly 10, 20192 updates tracked since enumeration
NPI 1982161204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
116 E 11TH ST STE 101, Spencer, IA 51301

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

Edwin Francisco Suaza Pa-c 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 ID6204177462
PECOS Enrollment IDI20190416002420
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 3

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 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.
348 services279 patients
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.
135 services116 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
40 services19 patients

Hospital Affiliations CMS Care Compare

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

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51301 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims15 services$8.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Family Medicine
116 E 11TH ST STE 101
SPENCER, IA 51301
Nurse Practitioner (Pediatrics)
116 E 11TH ST STE 101
SPENCER, IA 51301
Nurse Practitioner (Family)
116 E 11TH ST STE 101
SPENCER, IA 51301
Nurse Practitioner (Family)
116 E 11TH ST STE 101
SPENCER, IA 51301
Family Medicine
116 E 11TH ST STE 101
SPENCER, IA 51301
Nurse Practitioner (Family)
116 E 11TH ST STE 101
SPENCER, IA 51301

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 Edwin Suaza's NPI number?

The NPI number for Edwin Suaza is 1982161204. It was assigned to this individual provider in the NPPES registry on February 22, 2019.

Where is Edwin Suaza located?

Edwin Suaza practices at 116 E 11th St Ste 101, Spencer, IA 51301. The listed phone number is (712) 264-3500.

What is Edwin Suaza's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Edwin Suaza enrolled in Medicare?

Yes. Edwin Suaza 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 Edwin Suaza accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Edwin Suaza 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 Edwin Suaza affiliated with any hospitals?

According to CMS data, Edwin Suaza is affiliated with Spencer Municipal Hospital.

When was this NPI record last updated?

The NPPES record for Edwin Suaza was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.