Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Debra Gale Edwards , MD

Emergency Medicine โ€ข Kettering, OH

Active NPI 1376757690 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

3535 Southern Blvd
Kettering, OH 454291221

Call 9373958166 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3535 Southern Blvd

Kettering, OH 454291221

Telephone 9373958166
Organization at the Same NPPES Address or Phone
Kettering Physiatrists, Inc. Facility NPI 1902893035

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 10 distinct additional practice-address records in Beavercreek, OH; Centerville, OH; Dayton, OH and 7 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Emergency Medicine Specialists Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Jc Edwards School Of Medicine, Marshall University

Graduation Year

2006

Medicare patients

301 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $43,603 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $33,347 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

88 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$794 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

20 years (graduated 2006)

CMS Doctors and Clinicians data list 2006 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Edwards has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Edwards as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Kettering and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Emergency Medicine in Kettering, OH (2024, 110 clinicians with data). Median for this group: 408. Middle half: 280 to 575.

More Medicare Part B services than 65% of clinicians listed under Emergency Medicine in Ohio (2024, 2,055 clinicians with data). Median for this group: 317. Middle half: 182 to 477.

Medicare-allowed amount

A lower Medicare-allowed amount than 65% of clinicians listed under Emergency Medicine in Kettering, OH (2024, 110 clinicians with data). Median for this group: $50,554. Middle half: $38,381 to $63,908.

Close to the middle for clinicians listed under Emergency Medicine in Ohio (2024, 2,055 clinicians with data). Median for this group: $39,994. Middle half: $23,011 to $58,136.

Paid by Medicare

A lower Medicare payment amount than 65% of clinicians listed under Emergency Medicine in Kettering, OH (2024, 110 clinicians with data). Median for this group: $38,862. Middle half: $30,019 to $49,247.

Close to the middle for clinicians listed under Emergency Medicine in Ohio (2024, 2,055 clinicians with data). Median for this group: $30,587. Middle half: $17,377 to $44,685.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Emergency Medicine in Kettering, OH (2024, 105 clinicians with data). Median for this group: 106. Middle half: 51 to 208.

Close to the middle for clinicians listed under Emergency Medicine in Ohio (2024, 1,764 clinicians with data). Median for this group: 96. Middle half: 42 to 175.

Part D drug cost

Close to the middle for clinicians listed under Emergency Medicine in Kettering, OH (2024, 105 clinicians with data). Median for this group: $725. Middle half: $314 to $1,359.

A higher Part D drug cost than 60% of clinicians listed under Emergency Medicine in Ohio (2024, 1,764 clinicians with data). Median for this group: $536. Middle half: $229 to $1,099.

147 active clinicians are listed under Emergency Medicine with a practice address in Kettering, OH (3,004 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kettering

0% of these 147 clinicians have the CMS telehealth indicator.

70.1% of these 147 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit with high level of medical decision making
195 192 $1191.00 $167.46
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
140 134 $49.00 $7.65
99284 Emergency department visit with moderate level of medical decision making
76 76 $771.00 $116.07
99283 Emergency department visit with low level of medical decision making
16 16 $516.00 $65.97

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 33 138 $184.36 32
Ondansetron Odt Ondansetron 30 175 $466.33 30
Cephalexin Cephalexin 13 107 $100.36 12
Methocarbamol Methocarbamol 12 92 $42.58 12

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

License # reported to NPPES OH 35.090726

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2802122 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - EMERGENCY MEDICINE

Medicare Enrollment ID

I20080213000012

Enrollment State Jurisdiction

OH

PECOS Control ID

1850474925

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Emergency Medicine Specialists Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9377024024

Secondary Practice Locations

100 Kettering Way

Franklin, OH 450051155

Phone: 9374584700

8701 Old Troy Pike

Huber Heights, OH 454241066

Phone: 9375583338

3535 Pentagon Blvd

Beavercreek, OH 454311705

Phone: 9377024500

1141 N Monroe Dr

Xenia, OH 453851619

Phone: 9373522500

4000 Miamisburg Centerville Rd

Miamisburg, OH 453427615

Phone: 9373848791

6147 State Route 122

Middletown, OH 450055201

Phone: 5132613419

1997 Miamisburg Centerville Rd

Centerville, OH 454593811

Phone: 9374016228

450 Washington Jackson Rd

Eaton, OH 453208699

Phone: 9374568376

405 W Grand Ave

Dayton, OH 454057538

Phone: 9377233211

600 W Main St

Troy, OH 453732928

Phone: 9379807010

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Madeline Alexander

Physician Assistant

NPI 1124626718
Eva Allison , NP

Nurse Practitioner

NPI 1437135878

Nurse Practitioner

Bridgette Antolin , PA-C

Physician Assistant

NPI 1952184996

Physician Assistant (Certified)

Dr. Usman Asad , MD

Emergency Medicine

NPI 1467422337

Doctor of Medicine (M.D.)

Mackenzie Baker , PA

Physician Assistant

NPI 1104204221

Physician Assistant

Dr. Joel Barnett , MD

Internal Medicine - Critical Care Medicine

NPI 1972581429

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ“
Updated Business Mailing Address April 15, 2019

Registered at 3131 NEWMARK DR STE 220, MIAMISBURG, OH 453425400 (Tel: 9374388910)

โœ…
NPI Profile Active June 02, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 02, 2015

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373958166)

๐Ÿ“
Business Mailing Address (Initial Record) June 02, 2015

Registered at 8280 YANKEE ST, CENTERVILLE, OH 454581806 (Tel: 9374364658)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 02, 2015

Recorded as DEBRA EDWARDS, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2015

Emergency Medicine (license number reported to NPPES: OH 35.090726)

๐ŸŸข
Initial NPI Registration & Enumeration May 09, 2007

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1376757690
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2007
Last Update: July 17, 2019
Sole Proprietor: No

Other Emergency Medicine Providers in Kettering

All Emergency Medicine Providers in Kettering

Mailing Address

3131 Newmark Dr Ste 220

Miamisburg, OH 453425400

Phone: 9374388910

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.