DR. TIMOTHY J EDWARDS (MD) – Gastroenterology Physician, NPI 1356388557

DR. TIMOTHY J EDWARDS (MD) is a healthcare provider. based in Cape girardeau, Missouri. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 2006010967 (MO). The NPI Number for DR. TIMOTHY J EDWARDS (MD) is 1356388557

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY J EDWARDS (MD)
NPI
1356388557
Phone
(573) 334-8870
Address
2321 WINNERS CIRCLE ST
Enumeration Date
31 May 2006
Last Update Date
22 July 2010

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5733313000
Graduation Year
2000 (26 years ago)
PAC ID
5597776658
Group Practice PAC ID
9931007929
Professional Enrollment ID
I20060606000059
Address ID
MO637035049CA211XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

489 GASTROENTEROLOGY in MO

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Provider Addresses for DR. TIMOTHY J EDWARDS (MD)

  • 2321 WINNERS CIRCLE ST

    CAPE GIRARDEAU, MO 637011945

    Phone: (573) 334-8870

    Type: Mailing

  • 1429, North Mount Auburn Road, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States

    CAPE GIRARDEAU, MO 637012171

    Phone: (573) 334-8870

    Fax: (573) 388-2310

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 116 Open Payments records for all available years, with a total value of $2,346.

Total Amount is formed as General ($2,346) + Research ($0) + Ownership ($0) = $2,346.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($327).

Total Amount

$2,346

General + Research + Ownership

Payments

116

Total payment records

General Amount

$2,346

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-06-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060606000059IGastroenterologyMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito362348$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare123123$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk105104$0
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk4949$0
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope4544$0
View full utilization report →

Insurance plans in this area (ZIP 63701)

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Provider's Procedures

DR. TIMOTHY J EDWARDS (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYMO45378Diagnostic examination of large bowel using an endoscope2323
GASTROENTEROLOGYMO45385Removal of polyps or growths of large bowel using an endoscope133133

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931007929View full group profile
NameSpecialtyState
-MO
-MO
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
Nurse PractitionerMO
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineMO
General SurgeryMO
Nurse PractitionerMO
-MO
-MO

Reviews

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Frequently asked questions

What is the standard ID for DR. TIMOTHY J EDWARDS (MD) in the U.S.?
In the U.S., DR. TIMOTHY J EDWARDS (MD) is identified by NPI 1356388557.
Is DR. TIMOTHY J EDWARDS (MD)'s NPI status active today?
Active status means DR. TIMOTHY J EDWARDS (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. TIMOTHY J EDWARDS (MD)?
NPPES ties DR. TIMOTHY J EDWARDS (MD) to Gastroenterology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. TIMOTHY J EDWARDS (MD) tied to Cape Girardeau, Missouri?
If you are local to Cape Girardeau, Missouri, DR. TIMOTHY J EDWARDS (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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