Active NPI 1013967884 Individual Practitioner Male Practitioner

Dr. Michael Anthony Edwards , MD

Surgery • Jacksonville, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Edwards, MD is a certified Surgery practicing in Jacksonville, FL. With approximately 28 years of clinical experience since graduating from George Washington University School Of Medicine in 1998, Dr. Edwards delivers high-quality medical care to the local community at 4500 SAN PABLO RD S.

Dr. Edwards is affiliated with Mayo Clinic Jacksonville and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 2157073133

Fax 2157073945

Associated Practice Facility / Clinic

🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jacksonville, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +5.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

138 Specialists

Practicing in Jacksonville, FL (2030 Statewide)

Telehealth Adoption Rate

14.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

87.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edwards (28 Years) 28 Yrs

Jacksonville Specialty Average (22.4 Years) 22.4 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	58	$637.00	$176.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	53	$473.00	$124.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$743.00	$163.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	15	$469.00	$116.38
49650 Repair of groin hernia using an endoscope	28	28	$3746.70	$511.49
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$851.00	$216.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$474.00	$108.40
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$312.00	$88.21
49659 Hernia repair procedure using an endoscope	12	12	$22340.23	$2072.51
49618 Repair of recurrent entrapped hernia of abdomen, more than 10 cm in length	11	11	$7608.33	$1131.72

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	78	71	$450.00	$127.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$707.00	$166.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$456.00	$112.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$604.00	$173.92
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$296.00	$89.91
49650 Repair of groin hernia using an endoscope	19	19	$3841.86	$491.46
43644 Bypass operation of stomach using an endoscope	13	13	$23553.11	$1813.10
49616 Repair of recurrent entrapped hernia of abdomen, 3-10 cm in length	12	12	$6327.47	$868.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$456.00	$111.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	32	$450.00	$125.92
49650 Repair of groin hernia using an endoscope	24	24	$3709.46	$484.52
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$296.00	$90.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$707.00	$168.21
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	19	$46.00	$22.62
49654 Repair of incisional hernia using an endoscope	13	13	$6069.88	$744.87
17999 Skin, mucus membrane and beneath the skin procedure	11	11	$13389.69	$1855.42

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	44	42	$151.54	$125.15
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	28	$22.18	$22.40
17999 Skin, mucus membrane and beneath the skin procedure	20	20	$15039.34	$1346.72
49650 Repair of groin hernia using an endoscope	19	19	$487.88	$464.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$169.08	$170.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$112.81	$113.54
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$91.32	$91.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	51	48	$23.16	$22.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	36	$168.90	$140.60
49650 Repair of groin hernia using an endoscope	28	27	$801.02	$423.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$126.18	$104.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$220.45	$154.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	16	$73.78	$74.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$108.33	$108.92

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	55	55	$190.55	$153.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$119.24	$102.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	27	$171.52	$133.51
49650 Repair of groin hernia using an endoscope	23	23	$505.36	$415.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	12	$47.74	$38.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$156.43	$93.58
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	$228.45	$195.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	13	$88.44	$70.67
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$89.41	$71.68

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	27	19	$200.00	$111.42
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$130.00	$75.01
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	$445.00	$220.10

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	57	33	$200.00	$113.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	18	$140.47	$75.75
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$130.00	$77.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$85.00	$41.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$300.00	$173.82

Medical Specialties & State Licenses

CMS Verified: 2020-08-31

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME136929

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 GA 057799

Surgery

NUCC Taxonomy Code: 208600000X

State License PA MD450548

Surgery

NUCC Taxonomy Code: 208600000X

State License MA 223815

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

710203021E (GA)

Medicaid State Provider ID

710203021D (GA)

Medicaid State Provider ID

710203021A (GA)

Medicaid State Provider ID

710203021B (GA)

Medicaid State Provider ID

G57799 (SC)

Medicaid State Provider ID

710203021C (GA)

Commercial Insurance / Payer ID Railroad Medicare

P00423698 (GA)

Hospital & Practice Group Affiliations

Mayo Clinic Jacksonville

4500 San Pablo Rd S, Jacksonville, FL 322241865

Phone: 9049532000

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Doctor of Medicine (M.D.)

Dr. Michael Cline , MD

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Dr. Sanjiv Dewan , MD

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Business Mailing Address August 31, 2020

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 2157073133)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2020

Surgery (License #ME136929 in FL)

📍

Updated Practice Location February 11, 2019

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 2157073133)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2019

Surgery (License #223815 in MA)

✅

NPI Profile Active March 21, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 21, 2017

Registered at 3401 N BROAD ST, 4TH FL PARKINSON PAVILION, PHILADELPHIA, PA 191405103 (Tel: 2157073133)

📍

Updated Business Mailing Address March 21, 2017

Registered at 2450 W HUNTING PARK AVE, PHILADELPHIA, PA 191291302 (Tel: 2157073133)

👤

Provider Name / Credentials Updated March 21, 2017

Recorded as MICHAEL EDWARDS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2017

Surgery (License #057799 in GA)

✅

NPI Profile Active March 20, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 20, 2014

Registered at 3401 N BROAD ST, PHILADELPHIA, PA 191405103 (Tel: 2157073133)

📍

Updated Business Mailing Address March 20, 2014

Registered at 2450 W HUNTING PARK AVE, PHILADELPHIA, PA 191291302 (Tel: 2157073133)

👤

Provider Name / Credentials Updated March 20, 2014

Recorded as MICHAEL EDWARDS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2014

Surgery (License #MD450548 in PA)

🟢

Initial NPI Registration & Enumeration May 11, 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: 1013967884

Entity Type:

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

Enumeration Date: May 11, 2006

Last Update: August 31, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Phone: 2157073133

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.