Active NPI 1932130440 Individual Practitioner Male Practitioner

Dr. Edwin Joseph Upton , MD

Pediatrics • Dayton, TX

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Upton, MD is a registered healthcare professional specializing in Pediatrics in Dayton, TX. Practice services are available at 107 BRYAN ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, injection, dexamethasone sodium phosphate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

107 Bryan St

Dayton, TX 775352661

Telephone 9362584600

Fax 9362584603

Associated Practice Facility / Clinic

🏢 E Joseph Upton, Md Pa Facility NPI 1306027016

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Dayton, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 22.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Dayton, TX (5841 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

29.6% 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	92	42	$135.00	$86.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	41	$145.00	$122.58
36415 Insertion of needle into vein for collection of blood sample	77	42	$10.00	$8.65
J1100 Injection, dexamethasone sodium phosphate, 1 mg	26	12	$20.00	$0.11
G0008 Administration of influenza virus vaccine	15	15	$35.00	$31.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	13	$25.00	$13.58
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$33.67	$21.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	85	35	$133.53	$86.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	41	$145.00	$122.66
36415 Insertion of needle into vein for collection of blood sample	57	40	$10.00	$8.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	12	$25.00	$13.57
G0008 Administration of influenza virus vaccine	15	15	$34.67	$29.50
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$30.00	$21.90
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	12	11	$50.00	$40.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	112	45	$108.69	$87.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	39	$140.67	$120.97
36415 Insertion of needle into vein for collection of blood sample	51	33	$10.00	$2.96
G0008 Administration of influenza virus vaccine	19	19	$30.00	$28.44
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	19	$30.00	$21.06
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	16	13	$50.00	$40.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	114	46	$98.03	$87.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	34	$129.65	$122.29
36415 Insertion of needle into vein for collection of blood sample	47	31	$10.00	$3.00
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$30.00	$20.53
G0008 Administration of influenza virus vaccine	16	16	$30.00	$16.47
81002 Urinalysis, manual test	12	11	$25.00	$3.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	89	47	$78.00	$73.01
36415 Insertion of needle into vein for collection of blood sample	83	48	$10.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	45	$110.32	$103.91
G0008 Administration of influenza virus vaccine	25	24	$30.00	$16.19
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	25	24	$30.00	$19.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	125	61	$78.00	$71.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	49	$110.00	$104.12
36415 Insertion of needle into vein for collection of blood sample	62	44	$10.00	$2.94
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$30.00	$18.65
G0008 Administration of influenza virus vaccine	16	16	$30.00	$15.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	121	53	$78.00	$66.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	54	$110.00	$97.04
36415 Insertion of needle into vein for collection of blood sample	82	46	$10.00	$2.94
G0008 Administration of influenza virus vaccine	23	23	$30.00	$19.51
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$30.00	$17.48
81002 Urinalysis, manual test	12	11	$25.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	116	52	$78.00	$65.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	54	$110.00	$94.93
36415 Insertion of needle into vein for collection of blood sample	83	47	$10.00	$2.91
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	22	22	$30.00	$11.80
G0008 Administration of influenza virus vaccine	22	22	$30.00	$23.91
81002 Urinalysis, manual test	13	12	$25.00	$3.43

Medical Specialties & State Licenses

CMS Verified: 2025-01-10

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX H2859

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License TX H2859

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

139422318 (TX)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Lasondra Howard , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1467991844

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Erika Cox , FNP-C

Nurse Practitioner - Family

NPI 1952991499

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address January 10, 2025

Registered at 107 BRYAN ST, DAYTON, TX 775352661 (Tel: 9362584600)

👤

Provider Name / Credentials Updated January 10, 2025

Recorded as EDWIN UPTON, MD

✅

NPI Profile Active May 20, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 20, 2008

Registered at 107 BRYAN ST, DAYTON, TX 775352661 (Tel: 9362584600)

📍

Updated Business Mailing Address May 20, 2008

Registered at PO BOX 65, DAYTON, TX 775350002 (Tel: 9362584600)

👤

Provider Name / Credentials Updated May 20, 2008

Recorded as E UPTON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2008

Internal Medicine (License #H2859 in TX)

🟢

Initial NPI Registration & Enumeration July 05, 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: 1932130440

Entity Type:

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

Enumeration Date: July 05, 2006

Last Update: January 10, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

107 Bryan St

Dayton, TX 775352661

Phone: 9362584600

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.