Active NPI 1417905639 Individual Practitioner Male Practitioner

Dr. John W Edwards , MD

Urology • Pasadena, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Edwards, MD is a certified Urology practicing in Pasadena, CA. With approximately 63 years of clinical experience since graduating from University Of California, Irvine, California College Of Medicine in 1963, Dr. Edwards delivers high-quality medical care to the local community at 112 N MADISON AVE.

Dr. Edwards is affiliated with Pasadena Urological Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, complete ultrasound scan behind abdominal cavity, limited ultrasound scan of pelvis. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

112 N Madison Ave

Pasadena, CA 911011710

Telephone 6267968102

Fax 6267968060

Associated Practice Facility / Clinic

🏢 Pasadena Urological Medical Group Facility NPI 1548381577

Medicare Profile & Education

Medical School

University Of California, Irvine, California College Of Medicine

Graduation Year

1963

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Pasadena, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

63 Yrs +31.0 yrs vs City Avg

City Avg: 32.0 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

11 Specialists

Practicing in Pasadena, CA (1624 Statewide)

Telehealth Adoption Rate

36.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edwards (63 Years) 63 Yrs

Pasadena Specialty Average (32.0 Years) 32.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	214	111	$150.00	$98.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	57	$175.00	$138.47
76770 Complete ultrasound scan behind abdominal cavity	66	57	$210.00	$122.34
76857 Limited ultrasound scan of pelvis	65	53	$185.00	$48.65
76856 Complete ultrasound scan of pelvis	42	37	$185.00	$77.89
51798 Ultrasound measurement of bladder capacity after voiding	32	25	$45.00	$13.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$275.00	$174.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	177	100	$150.00	$97.98
76770 Complete ultrasound scan behind abdominal cavity	62	54	$210.00	$123.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	51	$175.00	$138.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$275.00	$173.95
76857 Limited ultrasound scan of pelvis	41	38	$185.00	$44.65
76856 Complete ultrasound scan of pelvis	36	31	$185.00	$78.21
51798 Ultrasound measurement of bladder capacity after voiding	14	11	$45.00	$11.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$125.00	$62.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	159	111	$150.00	$99.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	59	$175.00	$140.99
76770 Complete ultrasound scan behind abdominal cavity	46	41	$210.00	$127.53
76857 Limited ultrasound scan of pelvis	41	34	$185.00	$47.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$275.00	$182.59
76856 Complete ultrasound scan of pelvis	29	26	$185.00	$84.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$125.00	$62.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	170	105	$150.00	$101.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	51	$175.00	$143.61
76770 Complete ultrasound scan behind abdominal cavity	51	47	$210.00	$131.29
76856 Complete ultrasound scan of pelvis	40	37	$185.00	$84.14
76857 Limited ultrasound scan of pelvis	32	29	$185.00	$47.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$275.00	$184.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$125.00	$63.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$250.00	$124.38
52000 Diagnostic exam of bladder and urethra using an endoscope	14	14	$400.00	$274.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	227	128	$107.93	$82.98
76770 Complete ultrasound scan behind abdominal cavity	64	55	$210.00	$130.47
76856 Complete ultrasound scan of pelvis	49	39	$186.02	$81.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	30	$175.00	$121.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$250.00	$119.35
76857 Limited ultrasound scan of pelvis	20	19	$185.00	$42.68
81015 Urinalysis using microscope	20	15	$15.00	$3.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	309	173	$100.00	$79.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$250.00	$115.70
76770 Complete ultrasound scan behind abdominal cavity	71	67	$210.00	$125.19
76856 Complete ultrasound scan of pelvis	52	47	$185.00	$79.30
76857 Limited ultrasound scan of pelvis	36	34	$185.00	$44.71
81015 Urinalysis using microscope	31	21	$15.00	$3.32
52000 Diagnostic exam of bladder and urethra using an endoscope	19	17	$400.00	$208.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	327	180	$100.00	$75.86
76770 Complete ultrasound scan behind abdominal cavity	86	79	$210.00	$123.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$250.00	$111.70
76856 Complete ultrasound scan of pelvis	62	56	$185.00	$75.54
81015 Urinalysis using microscope	42	29	$15.00	$3.68
76857 Limited ultrasound scan of pelvis	38	36	$185.00	$42.77
52000 Diagnostic exam of bladder and urethra using an endoscope	25	22	$400.00	$173.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	339	185	$100.00	$74.97
76770 Complete ultrasound scan behind abdominal cavity	99	92	$210.05	$120.32
76856 Complete ultrasound scan of pelvis	79	71	$186.33	$76.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$250.00	$110.50
76857 Limited ultrasound scan of pelvis	51	45	$185.00	$44.72
81015 Urinalysis using microscope	43	33	$15.00	$4.10
51702 Simple insertion of temporary bladder tube	34	16	$175.00	$66.70
52000 Diagnostic exam of bladder and urethra using an endoscope	27	26	$400.00	$169.31
51701 Insertion of temporary bladder tube	22	13	$150.00	$49.56

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License CA A21138

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Group Ptan

W5818 (CA)

Commercial Insurance / Payer ID Railroad Medicare

340004150 (CA)

Hospital & Practice Group Affiliations

Pasadena Urological Medical Group

112 N Madison Ave, Pasadena, CA 911011710

Phone: 6267968102

Practice Associates & Co-Workers

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

3 Associated Practitioners

Oscar Bach , PA

Physician Assistant

NPI 1023632791

Physician Assistant

Dr. Lawrence Jones , MD

Urology

NPI 1548224124

Doctor of Medicine (M.D.)

Dr. Michael Bishai , MD

Urology - Pediatric Urology

NPI 1689761157

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 17, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location February 17, 2009

Registered at 112 N MADISON AVE, PASADENA, CA 911011710 (Tel: 6267968102)

📍

Updated Business Mailing Address February 17, 2009

Registered at 112 N MADISON AVE, PASADENA, CA 911011710 (Tel: 6267968102)

👤

Provider Name / Credentials Updated February 17, 2009

Recorded as JOHN EDWARDS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2009

Urology (License #A21138 in CA)

🟢

Initial NPI Registration & Enumeration May 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417905639

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: February 17, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

112 N Madison Ave

Pasadena, CA 911011710

Phone: 6267968102

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.