Deactivated NPI 1164424131 Deactivated / Inactive NPI Male Practitioner

Dr. Dana Phillip Edwards , MD

Surgery • Manchester, KY

⚠️

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. Dana Edwards has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 10, 2005

NPI Deactivation Date March 23, 2006

Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Dana Edwards, MD was a registered Surgery practicing in Manchester, KY. Throughout an active medical career spanning 1 years, Dr. Edwards provided care at the practice location at 204 TOWN BRANCH RD until profile deactivation on 2006-03-23.

Historical Medicare Part B clinical services included established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

204 Town Branch Rd

Manchester, KY 409621322

Telephone 6065988766

Fax 6065981903

Associated Practice Facility / Clinic

🏢 Edwards Clinic, Psc Facility NPI 1154635407

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Manchester, KY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 29.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Manchester, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.4% 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
99213 Established patient office or other outpatient visit, typically 15 minutes	16	11	$144.80	$83.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	33	$139.52	$83.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$260.00	$123.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	151	74	$135.00	$85.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	33	$259.00	$128.01
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	26	$945.50	$78.26
45380 Biopsy of large bowel using an endoscope	25	25	$1267.00	$154.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$179.00	$105.06
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$54.00	$12.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	14	$139.00	$67.86
43246 Insertion of stomach tube using a flexible endoscope	16	15	$1200.00	$178.91
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$138.00	$67.67
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1668.23	$218.66
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	12	11	$850.00	$81.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	188	74	$134.59	$85.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	34	$260.00	$129.88
93000 Routine ekg using at least 12 leads including interpretation and report	35	33	$54.00	$13.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$179.00	$105.94
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$944.00	$90.06
45380 Biopsy of large bowel using an endoscope	24	24	$1267.00	$187.05
43246 Insertion of stomach tube using a flexible endoscope	21	18	$1200.00	$174.01
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$138.00	$66.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	249	130	$131.32	$69.42
93000 Routine ekg using at least 12 leads including interpretation and report	59	59	$54.00	$15.82
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	56	55	$944.00	$92.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	47	$260.00	$131.04
45380 Biopsy of large bowel using an endoscope	39	39	$1267.00	$194.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$179.00	$99.75
43246 Insertion of stomach tube using a flexible endoscope	20	17	$1200.00	$197.10
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$138.00	$71.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	14	$139.00	$69.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$130.53	$36.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	331	183	$131.15	$69.32
93000 Routine ekg using at least 12 leads including interpretation and report	124	121	$54.00	$15.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$179.00	$101.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	87	79	$260.00	$131.33
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	70	69	$944.00	$96.42
45380 Biopsy of large bowel using an endoscope	62	61	$1267.00	$185.87
99202 New patient office or other outpatient visit, typically 20 minutes	42	42	$138.00	$71.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	19	$139.00	$69.85
43246 Insertion of stomach tube using a flexible endoscope	17	15	$1200.00	$197.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$125.76	$41.65
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1663.00	$250.92
43450 Dilation of esophagus	12	11	$369.00	$38.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	457	231	$113.51	$68.10
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	96	94	$944.00	$95.41
93000 Routine ekg using at least 12 leads including interpretation and report	90	88	$54.00	$15.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$179.69	$100.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	85	73	$260.00	$131.32
45380 Biopsy of large bowel using an endoscope	70	70	$1267.00	$191.82
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$138.00	$69.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	23	$139.00	$69.91
43246 Insertion of stomach tube using a flexible endoscope	41	28	$1200.00	$197.28
43247 Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	18	$1150.00	$63.15
99218 Hospital observation care typically 30 minutes	18	18	$184.00	$96.18
36415 Insertion of needle into vein for collection of blood sample	17	17	$16.00	$2.94
43450 Dilation of esophagus	16	16	$369.00	$38.86
47562 Removal of gallbladder using an endoscope	12	12	$3602.00	$632.79
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$1127.00	$181.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	479	234	$104.67	$67.86
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	119	116	$944.00	$92.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$179.00	$99.91
93000 Routine ekg using at least 12 leads including interpretation and report	104	103	$54.00	$15.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	91	81	$259.90	$130.75
45380 Biopsy of large bowel using an endoscope	90	89	$1267.00	$183.94
36415 Insertion of needle into vein for collection of blood sample	87	82	$16.00	$2.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	48	$151.00	$99.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	35	$139.00	$69.00
43246 Insertion of stomach tube using a flexible endoscope	49	30	$1200.00	$194.28
43247 Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	23	$1150.00	$69.54
99221 Initial hospital inpatient care per day, typically 30 minutes	27	25	$193.00	$96.79
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$2935.00	$327.71
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$1663.00	$250.02
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	14	14	$850.00	$118.16
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$1127.00	$180.68
47562 Removal of gallbladder using an endoscope	14	14	$3602.00	$619.67
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$138.00	$69.41

Medical Specialties & State Licenses

CMS Verified: 2022-04-26

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 34747

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64347479 (KY)

Commercial Insurance / Payer ID Npi

1164424131 (KY)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Erica Bright

Case Manager/Care Coordinator

NPI 1144750951

Eva Edwards , APRN, FNP-BC, RFNA, CNO

Nurse Practitioner - Family

NPI 1396964102

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified), RFNA, CNO

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location December 31, 2014

Registered at 204 TOWN BRANCH RD, MANCHESTER, KY 409621322 (Tel: 6065988766)

📍

Updated Business Mailing Address December 31, 2014

Registered at 204 TOWN BRANCH RD, MANCHESTER, KY 409621322 (Tel: 6065988766)

👤

Provider Name / Credentials Updated December 31, 2014

Recorded as DANA EDWARDS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2014

Surgery (License #34747 in KY)

🔄

NPI Profile Reactivated March 28, 2006

Record officially reactivated for active practice on March 28, 2006

⚠️

NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

🟢

Initial NPI Registration & Enumeration August 10, 2005

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: 1164424131

Entity Type:

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

Enumeration Date: August 10, 2005

Last Update: April 26, 2022

Deactivation Date: March 23, 2006

Sole Proprietor: No

Update or Correct Profile

Mailing Address

204 Town Branch Rd

Manchester, KY 409621322

Phone: 6065988766

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.