Deactivated NPI 1770525719 Deactivated / Inactive NPI Male Practitioner

Dr. Edward O Medina , MD

Surgery • Denver, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edward Medina has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 12, 2006

NPI Deactivation Date August 07, 2025

Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Edward Medina, MD was a registered Surgery practicing in Denver, CO. Throughout an active medical career spanning 19 years, Dr. Medina provided care at the practice location at 1960 OGDEN ST STE 550 until profile deactivation on 2025-08-07.

Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia (5 years or older). Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1960 Ogden St Ste 550

Denver, CO 802181022

Telephone 3033182600

Fax 3033182604

Associated Practice Facility / Clinic

🏢 Intermountain Medical Group Denver, Llc Facility NPI 1962016352

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Denver, CO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.5 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

115 Specialists

Practicing in Denver, CO (635 Statewide)

Telehealth Adoption Rate

9.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$247.75	$112.50
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$199.25	$94.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	12	$125.00	$58.98
49505 Repair of groin hernia (5 years or older)	13	13	$1167.75	$509.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$256.25	$114.82
99213 Established patient office or other outpatient visit, typically 15 minutes	21	16	$207.00	$92.72
49505 Repair of groin hernia (5 years or older)	12	12	$1371.66	$559.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$256.25	$113.08
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$207.00	$93.22
49505 Repair of groin hernia (5 years or older)	16	16	$1295.45	$527.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$256.60	$116.36
99213 Established patient office or other outpatient visit, typically 15 minutes	27	18	$209.94	$94.82
49505 Repair of groin hernia (5 years or older)	18	18	$1353.49	$540.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$246.00	$111.48
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$171.25	$77.64
49505 Repair of groin hernia (5 years or older)	13	13	$1705.50	$636.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$247.25	$110.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$375.50	$166.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$248.25	$110.42
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$169.50	$75.38
49505 Repair of groin hernia (5 years or older)	12	12	$1425.67	$567.19
49568 Placement of mesh to repair incisional or abdominal hernia	11	11	$630.00	$280.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$247.00	$108.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$246.25	$104.05
49505 Repair of groin hernia (5 years or older)	17	17	$1324.93	$538.49
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$166.75	$73.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$246.25	$108.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	20	$99.25	$43.93
49505 Repair of groin hernia (5 years or older)	16	16	$1252.45	$555.14

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CO 43760

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Charles Frankum , MD

Surgery

NPI 1184671927

Doctor of Medicine (M.D.)

Dr. John Moore , MD

Surgery

NPI 1578626305

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

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NPI Profile Deactivated August 07, 2025

Record deactivated on August 07, 2025

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NPI Profile Active July 21, 2011

NPI status registered as active in NPPES database

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Updated Practice Location July 21, 2011

Registered at 1960 OGDEN ST STE 550, DENVER, CO 802181022 (Tel: 3033182600)

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Updated Business Mailing Address July 21, 2011

Registered at 2420 W 26TH AVE STE 400D, DENVER, CO 802115357 (Tel: 3034674162)

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Provider Name / Credentials Updated July 21, 2011

Recorded as EDWARD MEDINA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2011

Surgery (License #43760 in CO)

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Initial NPI Registration & Enumeration June 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770525719

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 12, 2006

Last Update: July 21, 2011

Deactivation Date: August 07, 2025

Update or Correct Profile

Mailing Address

2420 W 26th Ave Ste 400d

Denver, CO 802115357

Phone: 3034674162

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.