Active NPI 1366736159 Individual Practitioner Male Practitioner

Dr. Joshua Kenneth Edgerton , MD

Surgery • Mobile, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joshua Edgerton, MD is a certified Surgery practicing in Mobile, AL. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Edgerton delivers high-quality medical care to the local community at 6701 AIRPORT BLVD STE A208.

Dr. Edgerton maintains professional affiliations with Usa Health Physician Billing Services Llc, Usa Health Community Providers Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6701 Airport Blvd Ste A208

Mobile, AL 366083763

Telephone 2512663544

Fax 2512663543

Associated Practice Facility / Clinic

🏢 Usa Health Community Providers Llc Facility NPI 1619655842

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mobile, AL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -6.1 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

72 Specialists

Practicing in Mobile, AL (471 Statewide)

Telehealth Adoption Rate

5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edgerton (15 Years) 15 Yrs

Mobile Specialty Average (21.1 Years) 21.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	50	$231.74	$126.43
99213 Established patient office or other outpatient visit, typically 15 minutes	48	37	$162.99	$90.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	38	$289.79	$129.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$350.24	$164.28
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	30	$765.19	$96.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	15	$164.90	$77.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	14	$81.55	$48.73
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1170.70	$245.51
47562 Removal of gallbladder using an endoscope	12	12	$1445.90	$616.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	66	$224.64	$121.44
99213 Established patient office or other outpatient visit, typically 15 minutes	63	54	$153.33	$84.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$346.70	$158.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	40	$281.56	$124.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	24	$79.39	$47.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	29	$765.19	$73.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	17	$145.91	$75.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$92.81	$53.42
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1170.70	$238.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	101	78	$153.33	$86.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	48	$92.81	$54.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$346.70	$160.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	51	$224.64	$120.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	38	$281.56	$125.61
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	33	$765.19	$95.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	22	$79.39	$36.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	16	$145.91	$69.24
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$1170.70	$247.59
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	18	16	$511.07	$82.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	130	90	$153.33	$88.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	68	$224.64	$126.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$346.70	$163.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	34	$765.19	$94.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	24	$281.56	$132.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	17	$145.91	$69.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	17	$92.81	$54.42
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	18	17	$511.07	$83.36
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1170.70	$249.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	67	$153.33	$72.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	74	$224.64	$105.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$346.70	$158.95
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	25	21	$511.07	$85.71
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$765.19	$91.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	20	$79.39	$38.59
99221 Initial hospital inpatient care per day, typically 30 minutes	22	20	$216.00	$99.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	16	$145.91	$71.41
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1170.70	$255.82
47562 Removal of gallbladder using an endoscope	14	14	$1408.80	$631.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$281.56	$136.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	114	85	$153.33	$71.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	80	$224.64	$104.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$346.70	$157.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	31	$80.84	$38.19
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	39	$765.19	$84.07
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$1170.70	$253.30
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	17	$2678.83	$280.83
47562 Removal of gallbladder using an endoscope	18	18	$1408.80	$637.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$228.38	$103.51
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$874.30	$178.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	99	73	$153.33	$68.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	91	91	$346.70	$154.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	60	$224.64	$98.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	35	$79.39	$37.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	36	$765.19	$92.48
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$874.30	$145.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$281.56	$132.52
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$1170.70	$252.81
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	12	$2678.83	$319.59
47562 Removal of gallbladder using an endoscope	13	13	$1408.80	$600.94
43255 Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	11	$738.18	$181.59
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$664.22	$96.70
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$608.83	$182.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$346.70	$156.33
99213 Established patient office or other outpatient visit, typically 15 minutes	73	55	$153.33	$69.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	38	$79.39	$37.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	55	$224.64	$101.01
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	37	$765.19	$94.41
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	23	$1170.70	$252.94
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$216.00	$97.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$92.81	$41.36
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$874.30	$164.65
47562 Removal of gallbladder using an endoscope	13	13	$1408.80	$593.19
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	12	12	$511.07	$115.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$281.56	$132.12

Medical Specialties & State Licenses

CMS Verified: 2024-11-06

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AL MD.49740

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NC 2016-01821

Hospital & Practice Group Affiliations

Usa Health Physician Billing Services Llc

75 S University Blvd, Mobile, AL 366083274

Phone: 2516605555

Usa Health Physician Billing Services Llc

2451 University Hospital Dr, Mobile, AL 366172300

Phone: 2514717000

Usa Health Community Providers Llc

6801 Airport Blvd, Mobile, AL 366083709

Phone: 2512663580

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Jay Murray , MD

Surgery

NPI 1437154622

Doctor of Medicine (M.D.)

Dr. Ernest Burch , MD

Surgery

NPI 1477518926

Doctor of Medicine (M.D.)

Dr. Kristen Butler , MD

Surgery

NPI 1720307416

Doctor of Medicine (M.D.)

Dr. Alexander Blankenship , MD

Surgery

NPI 1881787471

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location November 06, 2024

Registered at 6701 AIRPORT BLVD STE A208, MOBILE, AL 366083763 (Tel: 2512663544)

📍

Updated Business Mailing Address November 06, 2024

Registered at PO BOX 36258, BELFAST, ME 049151204 (Tel: 2513182678)

✅

NPI Profile Active April 24, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 24, 2017

Registered at 330 NC 108 HWY, RUTHERFORDTON, NC 281393188 (Tel: 8282861743)

📍

Updated Business Mailing Address April 24, 2017

Registered at 330 NC 108 HWY, RUTHERFORDTON, NC 281393188 (Tel: 8282861743)

👤

Provider Name / Credentials Updated April 24, 2017

Recorded as JOSHUA EDGERTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2017

Surgery (License #2016-01821 in NC)

✅

NPI Profile Active August 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 24, 2016

Registered at 330 NC 108 HWY, RUTHERFORDTON, NC 281393188 (Tel: 8282861743)

📍

Updated Business Mailing Address August 24, 2016

Registered at 330 NC 108 HWY, RUTHERFORDTON, NC 281393188 (Tel: 8282861743)

👤

Provider Name / Credentials Updated August 24, 2016

Recorded as JOSHUA EDGERTON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2016

Surgery (License #R72646 in AZ)

🟢

Initial NPI Registration & Enumeration June 09, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Joshua Edgerton. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1366736159

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 09, 2011

Last Update: November 06, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 36258

Belfast, ME 049151204

Phone: 2513182678

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.