MR. MICHAEL P EDERER DO NPI 1588760268

NPI Information

  • NPI: 1588760268
  • Provider Name: MR. MICHAEL P EDERER, DO
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1001 COLLEGE BLVD W STE H
    NICEVILLE, FL
    ZIP 32578
  • Phone: (850) 279-4417

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NPI Details

MR. Michael P Ederer, DO is a pain medicine anesthesiology in Niceville, FL with 42 years of experience. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. MR. Michael P Ederer, DO NPI is 1588760268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year:1984

The provider's business location address is:

1001 COLLEGE BLVD W STE H
NICEVILLE, FL
ZIP 32578-049
Phone: (850) 279-4417
Fax: (850) 279-4212

The NPI 1588760268 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face (HCPCS:64615)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of upper or middle spine facet joint using imaging guidance, second level (HCPCS:64491)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)

The enumeration date for this NPI number is 9/16/2006 and was last updated on 7/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineOS9533FLORIDANo
2207LP2900XAnesthesiologyPain MedicinePM 126, DO 136ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PO1328054OTHERALABAMARAILROAD MEDICARE
2511-23910OTHERALABAMABLUE CROSS
316148UMEDICARE UPINFLORIDA
41648ZMEDICARE PINFLORIDA
5273858900MEDICAIDFLORIDA
6A13617MEDICARE UPINFLORIDA
7K8216MEDICARE PINFLORIDA
8P00271270OTHERFLORIDARAILROAD MEDICARE
916148OTHERFLORIDABLUE CROSS BLUE SHIELD
10102I053774MEDICARE OSCAR/CERTIFICATIONALABAMA
11511-61498OTHERALABAMABC
12102I053774MEDICARE PINALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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