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IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Edward A Pelton

MD

Family Medicine

NPI: 1255314654Chadron, Nebraska, 69337(308) 432-4441Male

About Edward A Pelton

Edward A Pelton, MD, is a male healthcare professional specializing in Family Medicine, registered under National Provider Identifier (NPI) number 1255314654. Edward A Pelton received his medical education at UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE, graduating in 1991.

Their primary practice is located at 825 CENTENNIAL DR, Chadron, Nebraska 69337. Patients can reach the office at (308) 432-4441. Edward A Pelton is affiliated with 6 hospitals in the area. Edward A Pelton is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.

Under the Merit-based Incentive Payment System (MIPS), Edward A Pelton achieved a quality score of 77.8 out of 100 for 2023, reflecting excellent clinical performance. As a prescriber, Edward A Pelton has 9,293 prescription claims processed, totaling $592,032 in drug costs.

The opioid prescribing rate is 4.1%. Edward A Pelton received $2,545 in Medicare payments in 2018 across 22 claims. Edward A Pelton has been NPI-registered since 2005.

Key Metrics

78

MIPS Quality Score

Merit-based Incentive Payment System score for 2023. Excellent performance.

Medicare Payments

$2,545.48

Year 2018

Payment Count

22

Year 2018

Rx Claims

9,293

$592,032.10

Opioid Rate

4.1%

Practice Locations

1

Affiliated Hospitals

6

Doctor Details

Identity & Credentials

NPI Number
1255314654
Entity Type
Individual
First Name
Edward
Last Name
Pelton
Credential
MD
Gender
Male
Medical School
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year
1991
Sole Proprietor
No
Status
active

Primary Practice Location

Address
825 CENTENNIAL DR
City
Chadron
State
Nebraska
ZIP
69337-9400
Country
United States
Phone
(308) 432-4441
Fax
(308) 432-2130

Specialty & Taxonomy

Primary Specialty
Family Medicine
Classification
Family Medicine
Taxonomy Code
207Q00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
825 CENTENNIAL DR
City
CHADRON
State
NE
ZIP
693379400

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes
Total Rx Claims
9,293
Total Rx Cost
$592,032.10
Opioid Prescriber Rate
4.1%

Frequently Asked Questions

What is Edward A Pelton's NPI number?
Edward A Pelton's National Provider Identifier (NPI) is 1255314654. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Edward A Pelton specialize in?
Edward A Pelton specializes in Family Medicine. They received their medical education at UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE (class of 1991).
Where is Edward A Pelton located?
Edward A Pelton practices at 825 CENTENNIAL DR, Chadron, Nebraska 69337. You can reach them by phone at (308) 432-4441.
Does Edward A Pelton accept Medicare?
Yes, Edward A Pelton is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Edward A Pelton offer telehealth or virtual visits?
Edward A Pelton does not currently offer telehealth services. In-person visits are required at their practice location.
What is Edward A Pelton's quality rating?
Edward A Pelton has a MIPS quality score of 77.8 out of 100 for 2023. This is an excellent score.
Can Edward A Pelton prescribe medications?
Yes, Edward A Pelton is an authorized prescriber. They have processed 9,293 prescription claims totaling $592,032.10.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Edward A Pelton is 1255314654.