Active NPI 1326029125 Individual Practitioner Male Practitioner

Dr. Thomas Elliot Edwards , MD

Specialist • Decatur, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Edwards, MD is a certified Specialist practicing in Decatur, GA. With approximately 36 years of clinical experience since graduating from University Of North Carolina At Chapel Hill School Of Medicine in 1990, Dr. Edwards delivers high-quality medical care to the local community at 2799 LAWRENCEVILLE HWY.

Dr. Edwards is affiliated with Eugene B Gabianelli Md And Assoc Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, measurement of corneal curvature and depth of eye, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2799 Lawrenceville Hwy
Suite 104

Decatur, GA 300332531

Telephone 6785340200

Fax 6785340201

Associated Practice Facility / Clinic

🏢 Advanced Vision P.c. Facility NPI 1801826243

Medicare Profile & Education

Medical School

University Of North Carolina At Chapel Hill School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Decatur, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs -0.4 yrs vs City Avg

City Avg: 36.4 Yrs

State Avg: 36.1 Yrs

Regional Practice Density

25 Specialists

Practicing in Decatur, GA (979 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edwards (36 Years) 36 Yrs

Decatur Specialty Average (36.4 Years) 36.4 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	167	166	$230.83	$128.12
99213 Established patient office or other outpatient visit, typically 15 minutes	99	91	$156.41	$90.77
92136 Measurement of corneal curvature and depth of eye	96	54	$215.88	$36.01
66984 Removal of cataract with insertion of lens	91	50	$1783.85	$541.83
92133 Imaging of optic nerve	40	40	$95.00	$35.94
92083 Exam of visual field with extended testing	35	35	$165.00	$62.82
66821 Removal of recurring cataract in lens capsule using a laser	24	22	$670.00	$332.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$357.14	$168.41

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	515	511	$228.00	$128.39
99213 Established patient office or other outpatient visit, typically 15 minutes	331	220	$154.00	$90.79
92136 Measurement of corneal curvature and depth of eye	217	95	$216.00	$27.41
92133 Imaging of optic nerve	161	150	$95.00	$36.86
66984 Removal of cataract with insertion of lens	145	84	$1800.00	$540.70
92083 Exam of visual field with extended testing	112	106	$165.00	$62.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$349.00	$167.38
66821 Removal of recurring cataract in lens capsule using a laser	52	47	$670.00	$334.85
76514 Ultrasound scan of cornea to determine thickness	25	25	$50.00	$10.96

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	506	500	$228.00	$129.57
99213 Established patient office or other outpatient visit, typically 15 minutes	372	236	$154.00	$91.89
92136 Measurement of corneal curvature and depth of eye	282	117	$216.00	$27.18
92133 Imaging of optic nerve	173	165	$95.00	$37.31
66984 Removal of cataract with insertion of lens	170	100	$1800.00	$543.94
92083 Exam of visual field with extended testing	125	117	$165.00	$63.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	117	117	$349.00	$168.08
76514 Ultrasound scan of cornea to determine thickness	92	91	$50.00	$11.31
66821 Removal of recurring cataract in lens capsule using a laser	61	49	$670.00	$335.49

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	498	498	$197.67	$131.67
99213 Established patient office or other outpatient visit, typically 15 minutes	440	268	$135.18	$92.60
92133 Imaging of optic nerve	195	180	$73.24	$37.67
92083 Exam of visual field with extended testing	143	129	$134.55	$64.65
66984 Removal of cataract with insertion of lens	126	77	$1469.00	$545.74
76519 Ultrasound of eye for determination of lens power	122	54	$110.53	$36.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$309.37	$167.17
92136 Measurement of corneal curvature and depth of eye	57	43	$216.00	$29.64
66821 Removal of recurring cataract in lens capsule using a laser	41	37	$531.87	$335.97
67820 Removal of eyelashes using forceps	33	19	$197.80	$22.60
76514 Ultrasound scan of cornea to determine thickness	14	14	$38.96	$11.29
66982 Complex removal of cataract with insertion of prosthetic lens	13	11	$1614.67	$756.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	604	604	$128.02	$129.09
99213 Established patient office or other outpatient visit, typically 15 minutes	413	264	$75.99	$76.63
76519 Ultrasound of eye for determination of lens power	262	106	$34.93	$33.67
92133 Imaging of optic nerve	216	205	$37.85	$38.17
66984 Removal of cataract with insertion of lens	145	89	$565.79	$562.39
92083 Exam of visual field with extended testing	128	119	$64.18	$64.73
92004 New patient complete exam of visual system	101	101	$154.94	$151.65
66821 Removal of recurring cataract in lens capsule using a laser	50	46	$338.96	$341.22
67820 Removal of eyelashes using forceps	26	21	$33.52	$30.46
66982 Complex removal of cataract with insertion of prosthetic lens	17	13	$773.10	$770.17
76514 Ultrasound scan of cornea to determine thickness	15	15	$12.36	$11.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	667	667	$128.94	$127.74
99213 Established patient office or other outpatient visit, typically 15 minutes	507	298	$75.51	$75.08
76519 Ultrasound of eye for determination of lens power	332	127	$33.43	$33.16
92133 Imaging of optic nerve	224	211	$39.36	$37.48
66984 Removal of cataract with insertion of lens	213	109	$630.40	$558.86
92083 Exam of visual field with extended testing	140	134	$65.16	$65.05
92004 New patient complete exam of visual system	119	119	$154.09	$151.72
66821 Removal of recurring cataract in lens capsule using a laser	73	62	$340.48	$339.10
67820 Removal of eyelashes using forceps	48	34	$40.83	$36.96
66982 Complex removal of cataract with insertion of prosthetic lens	28	16	$722.53	$612.70
68761 Closure of tear duct opening using plug	16	15	$256.63	$204.01
76514 Ultrasound scan of cornea to determine thickness	14	14	$13.04	$12.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	664	664	$128.55	$126.29
99213 Established patient office or other outpatient visit, typically 15 minutes	542	339	$74.43	$73.07
76519 Ultrasound of eye for determination of lens power	345	136	$36.99	$35.92
66984 Removal of cataract with insertion of lens	245	116	$659.42	$473.86
92133 Imaging of optic nerve	224	216	$38.97	$37.76
92083 Exam of visual field with extended testing	175	156	$66.45	$64.27
92004 New patient complete exam of visual system	130	130	$154.10	$150.51
66821 Removal of recurring cataract in lens capsule using a laser	54	48	$338.36	$333.36
67820 Removal of eyelashes using forceps	38	27	$59.87	$49.12
76514 Ultrasound scan of cornea to determine thickness	21	21	$18.19	$14.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$112.83	$108.98
66982 Complex removal of cataract with insertion of prosthetic lens	17	11	$816.31	$695.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	721	721	$125.35	$123.26
99213 Established patient office or other outpatient visit, typically 15 minutes	570	356	$74.10	$72.89
76519 Ultrasound of eye for determination of lens power	288	112	$40.02	$39.46
92133 Imaging of optic nerve	252	244	$38.63	$37.23
92083 Exam of visual field with extended testing	182	166	$65.37	$64.11
66984 Removal of cataract with insertion of lens	171	105	$651.52	$641.29
92004 New patient complete exam of visual system	79	79	$150.85	$149.13
67820 Removal of eyelashes using forceps	60	38	$71.41	$60.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$109.60	$107.99
66821 Removal of recurring cataract in lens capsule using a laser	56	48	$335.18	$324.90
76514 Ultrasound scan of cornea to determine thickness	26	26	$15.45	$14.55
68761 Closure of tear duct opening using plug	15	13	$249.67	$180.91

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 038743

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000613082D (GA)

Hospital & Practice Group Affiliations

Eugene B Gabianelli Md And Assoc Llc

1100 Johnson Ferry Rd, Atlanta, GA 303421733

Phone: 4045319988

Eugene B Gabianelli Md And Assoc Llc

550 Peachtree St Ne, Atlanta, GA 303082248

Phone: 4048976810

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Rosanna Bahadur , MD

Ophthalmology

NPI 1265463434

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 May 31, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 31, 2011

Registered at 2799 LAWRENCEVILLE HWY, SUITE 104, DECATUR, GA 300332531 (Tel: 6785340200)

📍

Updated Business Mailing Address May 31, 2011

Registered at 2799 LAWRENCEVILLE HWY, SUITE 104, DECATUR, GA 300332531 (Tel: 6785340200)

👤

Provider Name / Credentials Updated May 31, 2011

Recorded as THOMAS EDWARDS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2011

Specialist (License #038743 in GA)

🟢

Initial NPI Registration & Enumeration November 09, 2005

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: 1326029125

Entity Type:

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

Enumeration Date: November 09, 2005

Last Update: May 31, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2799 Lawrenceville Hwy, Suite 104

Decatur, GA 300332531

Phone: 6785340200

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.