Claire Edwards, MD
NPI 1134364599 · Surgery Physician · Leeesburg, VA
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Claire Edwards, MD is a Surgery Physician provider in Leeesburg, VA (NPI 1134364599).
Provider details
- NPI number
- 1134364599
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- P20789 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
350 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 184 | $93 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 35 | $114 |
| Limited Ultrasound Scan of 1 Breast76642 | 26 | $94 |
| Partial Removal of Breast19301 | 23 | $597 |
| Placement of Locating Device in Breast Using Ultrasound Guidance, First Growth19285 | 21 | $42 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Acetaminophen With Codeinebrand: Acetaminophen-Codeine | 28 | 26 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$80 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1625 N George Mason Dr Ste 315Arlington, VA 22205-3690Phone: (703) 717-4217Fax: (703) 717-4218
Registry dates
- Enumerated
- 2008-12-12
- Last updated
- 2022-11-29
- Certified
- 2022-11-29
Frequently asked questions
- What is Claire Edwards's NPI number?
- Claire Edwards's National Provider Identifier (NPI) is 1134364599, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Claire Edwards's specialty?
- Claire Edwards is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Claire Edwards located?
- Claire Edwards's practice location on file with NPPES is 19500 Sandridge Way, Suite 450, Leeesburg, VA 20176-3694.
- What is Claire Edwards's phone number?
- The practice phone number listed in the NPPES registry for Claire Edwards is (703) 724-9474.
- Does Claire Edwards accept Medicare?
- Claire Edwards is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Claire Edwards's NPI active?
- Yes — Claire Edwards's NPI (1134364599) is active in the NPPES registry as of the last update on 2022-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.