Active NPI
Rickie Lloyd Edgar, M.D.
- Neurological Surgery Physician
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 4301100714
- Practice address
- 1150 E Sherman Blvd Ste 2400
Muskegon, MI 49444-1886 - Phone
- (231) 672-4243
- Fax
- (231) 727-4214
- NPI assigned
- May 12, 2007
- Last updated
- Oct 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | NONE | OH | |
| Neurological Surgery Physician | 207T00000X | ME145997 | FL | |
| Neurological Surgery Physician | 207T00000X | 4301100714 | MI | Primary |
Addresses
Primary practice location
1150 E Sherman Blvd Ste 2400
Muskegon, MI 49444-1886
Mailing address
1150 E Sherman Blvd Ste 2400
Muskegon, MI 49444-1886
Phone (231) 672-4243
Other practice location 1
1675 Leahy St Ste 401A
Muskegon, MI 49442-5547
Phone (231) 727-4243
Other practice location 2
89 W Copeland Dr
Orlando, FL 32806-2002
Phone (321) 841-7550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275748212 | Medicaid | MI | |
| MI1763058 | Other | MI | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1150 E Sherman Blvd
Suite 2400
Muskegon, MI 49444-1886
Phone (231) 672-4243
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-3027
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 85.47
- Improvement activities
- 40
- Cost
- 69.38
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 196 |
| Laminectomy or laminotomy (partial removal of spine bones) | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME145997 | FL | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Center | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Neurological Surgery | Current | Accepting new patients |
| Munson Medical Center | Current | Accepting new patients | |
| Mercy Health Partners - Physician Specialist | Current | Accepting new patients | |
| Munson Medical Center | Neurological Surgery | Current | Accepting new patients |
| West Shore Cardiology, PLC | Past | Accepting new patients | |
| Mercy Health Partners | Past | Accepting new patients |
Locations
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
89 W Copeland Dr
Orlando, FL 32806
Phone (407) 237-6333
2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031
1150 E Sherman Blvd
Ste 2400
Muskegon, MI 49444
Phone (231) 672-4243
1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027
1675 Leahy St
Ste 401A
Muskegon, MI 49442
Phone (231) 672-4243
1221 Sixth St
Traverse City, MI 49684
Phone (231) 392-0640
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
Interoperability endpoints
- redgar36297@direct.trinity-health.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Trinity Health Medical Group
- Internal Medicine Physician
- Muskegon, MI
- NPI 1922248772
-
dba Endocrinology and Metabolism
- Endocrinology, Diabetes & Metabolism Physician
- Traverse City, MI
- NPI 1083761860
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Neurological Surgery
-
- Psychiatric Hospital Unit
- Traverse City, MI
- NPI 1891586103
-
dba Munson Neurosurgery
- Neurological Surgery Physician
- Traverse City, MI
- NPI 1942685045
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
dba West Shore Cardiology
- Cardiovascular Disease Physician
- Muskegon, MI
- NPI 1073528642
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Ludington Hospital
- General Acute Care Hospital
- Ludington, MI
- NPI 1972589489
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1275748212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 E SHERMAN BLVD STE 2400",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441886",
"telephone_number": "231-672-4243",
"fax_number": "231-727-4214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 E SHERMAN BLVD STE 2400",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441886",
"telephone_number": "231-672-4243",
"fax_number": "231-727-4214"
}
],
"practiceLocations": [
{
"address_1": "1675 Leahy St Ste 401A",
"address_purpose": "LOCATION",
"city": "Muskegon",
"state": "MI",
"postal_code": "494425547",
"country_code": "US",
"telephone_number": "231-727-4243",
"fax_number": "231-727-4214",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "89 W Copeland Dr",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062002",
"country_code": "US",
"telephone_number": "321-841-7550",
"fax_number": "321-841-8185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDGAR",
"first_name": "RICKIE",
"middle_name": "LLOYD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-12",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OH",
"license": "NONE",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME145997",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MI",
"license": "4301100714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275748212",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "MI1763058",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.