Active NPI 1750440699 Individual Practitioner Male Practitioner

Dr. David A Edmonson , MD

Surgery • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Edmonson, MD is a certified Surgery practicing in Providence, RI. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Edmonson delivers high-quality medical care to the local community at 101 DUDLEY ST.

Dr. Edmonson is affiliated with Affinity Physicians Llc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, partial removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 Dudley St

Providence, RI 029052401

Telephone 4012741122

Fax 4014537597

Associated Practice Facility / Clinic

🏢 Women & Infants Hospital Of Rhode Island Facility NPI 1447233788

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Providence, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +2.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

95 Specialists

Practicing in Providence, RI (160 Statewide)

Telehealth Adoption Rate

4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edmonson (27 Years) 27 Yrs

Providence Specialty Average (24.5 Years) 24.5 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	95	88	$214.00	$72.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	16	$301.00	$103.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$520.00	$185.15
19301 Partial removal of breast	12	11	$1576.00	$655.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	89	$214.00	$72.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$301.00	$104.67
19301 Partial removal of breast	17	13	$1576.00	$671.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$520.00	$198.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	141	111	$210.50	$74.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$392.78	$141.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$517.87	$212.63
19301 Partial removal of breast	13	12	$1576.08	$686.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	113	$176.00	$76.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$257.00	$107.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$389.00	$148.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	134	105	$176.00	$58.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$257.00	$82.76
99442 Telephone medical discussion with physician, 11-20 minutes	17	17	$65.41	$54.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$488.00	$188.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	160	124	$175.87	$52.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$388.39	$133.35
19301 Partial removal of breast	19	16	$1575.00	$689.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	13	$257.00	$81.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$488.00	$173.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	120	99	$172.00	$53.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$385.00	$133.81
19301 Partial removal of breast	15	13	$1539.00	$682.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$484.00	$174.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$253.00	$81.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	99	$168.44	$51.98
19301 Partial removal of breast	15	15	$1524.80	$602.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$478.36	$172.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$385.00	$132.68

Medical Specialties & State Licenses

CMS Verified: 2026-05-11

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI MD11542

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 MA 243477

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

DE79127 (RI)

Hospital & Practice Group Affiliations

Affinity Physicians Llc.

455 Toll Gate Rd, Warwick, RI 028862759

Phone: 4017377010

Secondary Practice Locations

20 Oneil Blvd

Attleboro, MA 027031854

Phone: 5083421105

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Christopher Palmer , DO

Internal Medicine

NPI 1003102302

Doctor of Osteopathic Medicine (D.O.)

Christina Stang , LICSW

Social Worker - Clinical

NPI 1003354234

Licensed Independent Clinical Social Worker

Abigail Soscia , APRN

Nurse Practitioner - Family

NPI 1003562885

Advanced Practice Registered Nurse

Julie Knutson , RN, CNM

Advanced Practice Midwife

NPI 1013146109

Registered Nurse, Certified Nurse Midwife

Jessica Devine , FNP

Nurse Practitioner - Family

NPI 1013354430

Family Nurse Practitioner

Jean White , RN CDOE

Registered Nurse - Diabetes Educator

NPI 1013442623

RNCDOE

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2026

Surgery (License #243477 in MA)

✅

NPI Profile Active July 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 05, 2011

Registered at 101 DUDLEY ST, PROVIDENCE, RI 029052401 (Tel: 4012741122)

📍

Updated Business Mailing Address July 05, 2011

Registered at 101 DUDLEY ST, PHO OFFICE, PROVIDENCE, RI 029052401 (Tel: 4012741122)

👤

Provider Name / Credentials Updated July 05, 2011

Recorded as DAVID EDMONSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2011

Surgery (License #MD11542 in RI)

🟢

Initial NPI Registration & Enumeration December 06, 2006

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. David Edmonson. 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: 1750440699

Entity Type:

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

Enumeration Date: December 06, 2006

Last Update: May 11, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

101 Dudley St, Pho Office

Providence, RI 029052401

Phone: 4012741122

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.