Dr. Timothy Edwards, MD
1429 N Mount Auburn Rd, Cape Girardeau, MO 63701 • +1-240-555-1430
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Cape Girardeau Percentiles
NPI #1356388557 • CBSA Regional • Gastroenterology
Within the Cape Girardeau, MO (CBSA local) Gastroenterology cohort, Dr. Timothy Edwards, MD with sub-specialty concentration in 28 Active CMS HCPCS Codes ranks at the 40th municipal percentile and 83.21th MO percentile (+0.33σ Z-score) based on 8,412 billed procedures for 442 patients.
Fee-schedule auditing of NPI 1356388557 highlights 3112 annual claims for 99214 (40th Cape Girardeau percentile; $42–$57 self-pay corridor) plus 2103 encounters under 45380 and 1767 under 43239.
Uninsured and high-deductible cash patients visiting Dr. Timothy Edwards in Cape Girardeau (63701) face an estimated $209.00 initial evaluation fee at 1429 N Mount Auburn Rd (in-person clinic visits only; 13-minute average reception wait; bedside manner 4.94/5 from 3 verified reports).
Credentialed as an MD specialist with 22 years post-graduation experience since completing medical school at an LCME/COCA institution (2004), Dr. Edwards coordinates 28 Active CMS HCPCS Codes workups from 1429 N Mount Auburn Rd (+1-240-555-1430).
Compared against Cape Girardeau, MO Gastroenterology peers
8,412 annual services across 442 beneficiaries
Standard deviations from MO Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 3,112 | 40th | $42 – $57 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 2,103 | 41th | $100 – $137 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 1,767 | 35th | $83 – $114 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 841 | 35th | $112 – $153 |
| 99204 | New Patient Digestive & Hepatology Consultation | 589 | 39th | $59 – $80 |
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Dr. Timothy Edwards, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Edwards National Provider Identifier | NPI #1356388557 (MD) | CMS NPPES Registry (63701) |
| Dr. Edwards Cape Girardeau CMS Volume Rank | 40.00th Pct (8,412 CMS svcs; Z +0.332σ) | CMS Medicare Part B (MO Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Cape Girardeau, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.94/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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