Individual provider Active NPI

Rickie Lloyd Edgar, M.D.

  • Neurological Surgery Physician
  • Muskegon, MI
National Provider Identifier
1275748212
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301100714 Issued in MI
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1275748212MedicaidMI
MI1763058OtherMIMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120725000172 MI Practitioner - Neurosurgery 3173789872 Reassigns benefits to 2 organizations
I20200814000867 FL Practitioner - Neurosurgery 3173789872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Partners - Physician SpecialistGroup PAC ID 2163572991, 66 clinicians

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 100Reported as group
Quality
85.47
Improvement activities
40
Cost
69.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion196
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

LicenseStateTypeSpecialty
ME145997FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2020 Accepting new patients
Orlando Health Medical Group Inc Neurological Surgery CurrentSince Oct 1, 2020 Accepting new patients
Munson Medical Center CurrentSince May 1, 2020 Accepting new patients
Mercy Health Partners - Physician Specialist CurrentSince Jul 1, 2012 Accepting new patients
Munson Medical Center Neurological Surgery CurrentSince May 1, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.