Active NPI 1124214374 Individual Practitioner Male Practitioner

Dr. Lance Dustin Edmonds , MD

Radiology - Diagnostic Radiology • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lance Edmonds, MD is a certified Radiology - Diagnostic Radiology practicing in Provo, UT. With approximately 22 years of clinical experience since graduating from Uniformed Services Uhs Fe Hebert School Of Med in 2004, Dr. Edmonds delivers high-quality medical care to the local community at 1055 N 500 W STE 112.

Dr. Edmonds is affiliated with Revere Health Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, injection, gadoterate meglumine, 0.1 ml, x-ray of chest, 1 view. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1055 N 500 W Ste 112

Provo, UT 846043305

Telephone 8018124624

Fax 8018124699

Associated Practice Facility / Clinic

🏢 No Roll Up Timpanogos Llc Facility NPI 1831153840

Medicare Profile & Education

Medical School

Uniformed Services Uhs Fe Hebert School Of Med

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Provo, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs -3.8 yrs vs City Avg

City Avg: 25.8 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

49 Specialists

Practicing in Provo, UT (341 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edmonds (22 Years) 22 Yrs

Provo Specialty Average (25.8 Years) 25.8 Yrs

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
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	12,288	156	$1.00	$0.13
A9575 Injection, gadoterate meglumine, 0.1 ml	11,121	74	$0.95	$0.12
71045 X-ray of chest, 1 view	208	178	$26.07	$8.05
72148 MRI scan of lower spinal canal	141	140	$1020.04	$179.19
77080 Dxa bone density measurement of hip, pelvis, spine	136	136	$223.00	$36.20
71046 X-ray of chest, 2 views	124	122	$90.24	$28.41
73221 Mri scan of arm joint without contrast	109	106	$915.00	$188.81
70450 Ct scan head or brain without contrast	92	87	$121.00	$37.56
73721 Mri scan of leg joint without contrast	90	84	$919.00	$185.03
74177 Ct scan of abdomen and pelvis with contrast	81	80	$903.89	$286.36
77063 Screening digital tomography of both breasts	54	54	$85.22	$26.99
77067 Screening mammography	54	54	$109.00	$34.37
71260 Ct scan of chest with contrast	50	49	$607.00	$119.85
74177 Ct scan of abdomen and pelvis with contrast	45	43	$258.18	$81.70
72141 MRI scan of upper spinal canal	45	45	$911.33	$161.75
72100 X-ray of lower and sacral spine, 2-3 views	41	39	$106.76	$34.01
73562 X-ray of knee, 3 views	39	31	$115.18	$36.60
82565 Blood creatinine level	39	39	$11.00	$5.02
76770 Complete ultrasound scan behind abdominal cavity	39	39	$318.00	$100.30
71250 Ct scan of chest without contrast	38	37	$515.00	$125.48
72100 X-ray of lower and sacral spine, 2-3 views	37	28	$33.00	$10.30
76705 Limited ultrasound scan of abdomen	37	37	$255.11	$79.90
73700 Ct scan of leg without contrast	35	33	$458.00	$122.98
72125 Ct scan of upper spine without contrast	34	33	$141.91	$44.02
74183 Mri scan of abdomen before and after contrast	30	30	$1865.00	$324.42
71275 Ct scan of blood vessels of chest with contrast	30	30	$258.03	$82.28
74176 Ct scan of abdomen and pelvis without contrast	28	28	$554.11	$172.97
72146 Mri scan of middle spinal canal	26	26	$1031.69	$150.66
77063 Screening digital tomography of both breasts	26	26	$155.12	$48.88
73700 Ct scan of leg without contrast	26	25	$141.88	$44.78
77067 Screening mammography	26	26	$374.77	$118.76
74176 Ct scan of abdomen and pelvis without contrast	26	26	$247.08	$78.69
76536 Ultrasound of head and neck	25	25	$322.08	$102.81
74018 X-ray of abdomen, 1 view	23	23	$88.83	$28.13
72131 CT scan of lower spine	23	23	$141.91	$43.70
70496 Ct scan of blood vessels of head with contrast	22	22	$248.09	$78.38
70498 Ct scan of blood vessels of neck with contrast	22	22	$248.09	$75.30
70553 Mri scan of brain before and after contrast	22	21	$1878.00	$305.69
71250 Ct scan of chest without contrast	22	22	$154.00	$47.85
72110 X-ray of lower and sacral spine, minimum of 4 views	22	22	$151.45	$48.31
70551 Mri scan of brain without contrast	21	21	$221.00	$66.63
73502 X-ray of hip, 2-3 views	20	20	$117.80	$37.45
70450 Ct scan head or brain without contrast	20	20	$387.00	$86.64
73030 X-ray of shoulder, minimum of 2 views	18	17	$98.61	$30.91
36415 Insertion of needle into vein for collection of blood sample	18	18	$15.72	$8.65
93880 Ultrasound of both sides of head and neck blood flow	18	18	$429.83	$176.41
73110 X-ray of wrist, minimum of 3 views	17	16	$109.82	$34.53
74178 Ct scan of abdomen and pelvis before and after contrast	17	17	$1021.00	$325.58
71260 Ct scan of chest with contrast	17	17	$166.00	$50.39
76700 Ultrasound of abdomen	16	16	$341.00	$106.23
73130 X-ray of hand, minimum of 3 views	16	11	$93.25	$29.11
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	16	16	$258.13	$99.39
70551 Mri scan of brain without contrast	15	15	$948.00	$188.14
71275 Ct scan of blood vessels of chest with contrast	15	15	$993.00	$240.43
73564 X-ray of knee, 4 or more views	14	13	$34.00	$10.63
73718 Mri scan of leg without contrast	14	14	$925.00	$213.42
72195 Mri scan of pelvis without contrast	13	13	$939.00	$218.67
73560 X-ray of knee, 1-2 views	13	11	$25.00	$7.67
76000 Imaging guidance for procedure, 60 minutes or less	13	13	$45.00	$14.14
71046 X-ray of chest, 2 views	12	12	$32.00	$9.94
73200 Ct scan of arm without contrast	12	12	$484.33	$139.26
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	12	12	$59.00	$27.08
73218 Mri scan of arm without contrast	12	12	$932.00	$279.84
73030 X-ray of shoulder, minimum of 2 views	11	11	$28.00	$8.68
72128 CT scan of middle spine	11	11	$142.00	$43.36
72040 X-ray of upper spine, 2-3 views	11	11	$116.00	$37.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	13,486	172	$1.00	$0.15
A9585 Injection, gadobutrol, 0.1 ml	6,583	86	$2.00	$0.32
77080 Dxa bone density measurement of hip, pelvis, spine	159	159	$223.00	$36.34
71046 X-ray of chest, 2 views	154	151	$92.86	$30.41
71045 X-ray of chest, 1 view	151	136	$27.00	$8.57
72148 MRI scan of lower spinal canal	124	123	$974.88	$183.62
73221 Mri scan of arm joint without contrast	97	97	$940.42	$201.09
73721 Mri scan of leg joint without contrast	96	94	$955.70	$198.93
74177 Ct scan of abdomen and pelvis with contrast	83	82	$919.87	$300.36
70450 Ct scan head or brain without contrast	67	66	$121.00	$38.29
77067 Screening mammography	63	63	$109.00	$35.82
77063 Screening digital tomography of both breasts	63	63	$87.00	$28.49
71260 Ct scan of chest with contrast	63	62	$606.75	$125.34
82565 Blood creatinine level	61	60	$11.00	$5.02
71250 Ct scan of chest without contrast	53	51	$515.00	$123.34
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	53	16	$2.00	$0.48
73562 X-ray of knee, 3 views	51	38	$118.94	$38.78
77067 Screening mammography	48	48	$373.00	$122.97
77063 Screening digital tomography of both breasts	48	48	$156.00	$51.15
72141 MRI scan of upper spinal canal	46	45	$927.00	$175.28
76705 Limited ultrasound scan of abdomen	42	41	$257.00	$83.03
73130 X-ray of hand, minimum of 3 views	40	25	$108.92	$35.10
74177 Ct scan of abdomen and pelvis with contrast	38	37	$260.00	$82.49
72110 X-ray of lower and sacral spine, minimum of 4 views	37	37	$149.00	$49.05
72100 X-ray of lower and sacral spine, 2-3 views	35	35	$117.00	$38.01
74018 X-ray of abdomen, 1 view	34	33	$88.00	$28.60
76770 Complete ultrasound scan behind abdominal cavity	33	33	$318.00	$102.35
36415 Insertion of needle into vein for collection of blood sample	33	32	$15.00	$8.40
73502 X-ray of hip, 2-3 views	32	32	$132.94	$41.80
70553 Mri scan of brain before and after contrast	31	31	$1878.00	$304.86
73700 Ct scan of leg without contrast	31	30	$498.45	$129.58
71275 Ct scan of blood vessels of chest with contrast	29	29	$259.00	$84.02
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	29	29	$279.79	$109.60
72125 Ct scan of upper spine without contrast	27	27	$141.00	$45.34
72100 X-ray of lower and sacral spine, 2-3 views	27	24	$33.00	$10.60
74176 Ct scan of abdomen and pelvis without contrast	26	24	$555.00	$182.75
J1040 Injection, methylprednisolone acetate, 80 mg	26	26	$18.00	$12.01
73030 X-ray of shoulder, minimum of 2 views	23	21	$96.09	$31.25
72146 Mri scan of middle spinal canal	23	23	$992.00	$141.28
73110 X-ray of wrist, minimum of 3 views	21	19	$123.57	$39.71
74183 Mri scan of abdomen before and after contrast	21	21	$1865.00	$327.76
76536 Ultrasound of head and neck	21	20	$324.00	$106.64
73630 X-ray of foot, minimum of 3 views	20	19	$94.50	$30.44
72170 X-ray of pelvis, 1-2 views	20	19	$82.00	$26.61
72131 CT scan of lower spine	19	19	$515.00	$123.43
70450 Ct scan head or brain without contrast	18	18	$385.44	$99.80
76700 Ultrasound of abdomen	18	18	$341.00	$112.29
77002 Fluoroscopic guidance for needle placement	17	16	$322.88	$106.35
73718 Mri scan of leg without contrast	17	17	$925.00	$223.19
72040 X-ray of upper spine, 2-3 views	17	16	$111.12	$36.32
71275 Ct scan of blood vessels of chest with contrast	16	16	$993.00	$252.49
70496 Ct scan of blood vessels of head with contrast	16	16	$250.00	$81.16
70498 Ct scan of blood vessels of neck with contrast	16	16	$250.00	$78.07
72158 Mri scan of lower spinal canal before and after contrast	16	16	$1776.31	$292.78
73200 Ct scan of arm without contrast	16	16	$525.19	$141.72
74178 Ct scan of abdomen and pelvis before and after contrast	15	15	$1075.93	$343.87
71101 X-ray of ribs on side of body, minimum of 3 views	15	15	$124.00	$40.20
72131 CT scan of lower spine	15	14	$141.00	$45.23
70551 Mri scan of brain without contrast	13	13	$948.00	$182.97
70551 Mri scan of brain without contrast	13	13	$221.00	$67.46
73502 X-ray of hip, 2-3 views	13	12	$33.00	$10.59
72195 Mri scan of pelvis without contrast	13	13	$939.00	$226.09
73610 X-ray of ankle, minimum of 3 views	13	13	$108.00	$33.71
71046 X-ray of chest, 2 views	13	13	$32.00	$9.72
93880 Ultrasound of both sides of head and neck blood flow	13	13	$429.00	$176.42
20610 Aspiration and/or injection of fluid from large joint	12	11	$156.00	$59.85
74176 Ct scan of abdomen and pelvis without contrast	12	12	$249.00	$81.83
73700 Ct scan of leg without contrast	12	12	$148.92	$46.74
76830 Ultrasound pelvis through vagina	12	12	$350.00	$108.90
73560 X-ray of knee, 1-2 views	11	11	$25.00	$7.93
62323 Injection of substance into lower spine canal using imaging guidance	11	11	$538.00	$247.60
71250 Ct scan of chest without contrast	11	11	$154.00	$49.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	41	41	$35.00	$9.32
74177 Ct scan of abdomen and pelvis with contrast	35	34	$323.00	$91.91
74176 Ct scan of abdomen and pelvis without contrast	28	28	$327.00	$87.56
73502 X-ray of hip, 2-3 views	16	14	$60.00	$11.48
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	14	$92.00	$22.25
73030 X-ray of shoulder, minimum of 2 views	13	12	$37.00	$9.65
73610 X-ray of ankle, minimum of 3 views	12	12	$39.00	$8.95
71275 Ct scan of blood vessels of chest with contrast	11	11	$440.00	$90.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,145	21	$1.00	$0.12
71045 X-ray of chest, 1 view	55	52	$32.00	$9.43
74177 Ct scan of abdomen and pelvis with contrast	33	33	$315.00	$93.37
71046 X-ray of chest, 2 views	17	17	$36.00	$11.26
74176 Ct scan of abdomen and pelvis without contrast	16	16	$327.00	$89.27
73502 X-ray of hip, 2-3 views	16	16	$59.00	$11.66
74177 Ct scan of abdomen and pelvis with contrast	14	14	$1128.93	$294.06
73030 X-ray of shoulder, minimum of 2 views	14	13	$106.00	$33.42
73630 X-ray of foot, minimum of 3 views	13	12	$33.00	$8.68
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$84.00	$22.56
73630 X-ray of foot, minimum of 3 views	11	11	$115.73	$33.65
73502 X-ray of hip, 2-3 views	11	11	$202.64	$47.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	32	32	$31.00	$9.60
71046 X-ray of chest, 2 views	27	27	$35.00	$11.47
74176 Ct scan of abdomen and pelvis without contrast	25	25	$317.00	$89.01
74177 Ct scan of abdomen and pelvis with contrast	21	21	$306.00	$96.04
73502 X-ray of hip, 2-3 views	11	11	$57.00	$11.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,560	34	$0.26	$0.12
71045 X-ray of chest, 1 view	66	66	$37.59	$9.50
74176 Ct scan of abdomen and pelvis without contrast	48	47	$311.35	$89.58
71046 X-ray of chest, 2 views	40	40	$41.78	$11.32
74177 Ct scan of abdomen and pelvis with contrast	40	40	$302.24	$94.39
71260 Ct scan of chest with contrast	22	22	$208.16	$63.40
74177 Ct scan of abdomen and pelvis with contrast	16	16	$1198.56	$301.53
73560 X-ray of knee, 1-2 views	16	12	$32.46	$8.82
73030 X-ray of shoulder, minimum of 2 views	15	13	$112.00	$30.94
73630 X-ray of foot, minimum of 3 views	14	11	$116.00	$30.74
73562 X-ray of knee, 3 views	14	13	$138.00	$38.08
74176 Ct scan of abdomen and pelvis without contrast	13	13	$782.46	$201.98
70450 Ct scan head or brain without contrast	13	13	$173.00	$43.75
73502 X-ray of hip, 2-3 views	13	13	$201.00	$44.04
73502 X-ray of hip, 2-3 views	12	12	$55.00	$11.65
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$1425.09	$341.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
70450 Ct scan head or brain without contrast	192	192	$153.96	$44.34
74177 Ct scan of abdomen and pelvis with contrast	118	117	$324.14	$94.20
74176 Ct scan of abdomen and pelvis without contrast	81	80	$314.41	$91.50
72125 Ct scan of upper spine without contrast	50	50	$214.56	$56.78
71275 Ct scan of blood vessels of chest with contrast	39	39	$343.36	$93.95
71010 X-ray of chest, 1 view, front	37	37	$32.78	$9.54
71260 Ct scan of chest with contrast	34	34	$219.71	$64.08
71250 Ct scan of chest without contrast	28	28	$197.14	$52.42
76705 Limited ultrasound scan of abdomen	18	18	$112.00	$31.85
72131 CT scan of lower spine	14	14	$194.71	$49.88
71020 X-ray of chest, 2 views, front and side	11	11	$37.45	$11.40
73700 Ct scan of leg without contrast	11	11	$196.18	$52.86
70486 CT scan of face	11	11	$195.36	$43.71

Medical Specialties & State Licenses

CMS Verified: 2025-03-20

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License UT 380515-1205

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Radiology - Diagnostic Radiology

NUCC Taxonomy Code: 2085R0202X

State License CA A108694

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Hospital & Practice Group Affiliations

Revere Health Pc

1055 N 500, Provo, UT 846043305

Phone: 8018124624

Secondary Practice Locations

3000 N Triumph Blvd Ste 100

Lehi, UT 840434999

Phone: 3853453155

555 W State Road 164

Salem, UT 846535732

Phone: 8018124624

2825 E Mall Dr

St George, UT 847901954

Phone: 4359862238

1175 E 50 S Ste 141

American Fork, UT 840032845

Phone: 8014925996

Practice Associates & Co-Workers

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

17 Associated Practitioners

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Dr. Ralph Reed , MD

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Doctor of Medicine (M.D.)

Shyrlan Beck , PA-C

Physician Assistant

NPI 1144622440

Physician Assistant (Certified)

Dr. Dalton Wright , MD

Radiology - Diagnostic Radiology

NPI 1174569131

Doctor of Medicine (M.D.)

Dr. Jason Allen , DO

Radiology - Diagnostic Radiology

NPI 1184845539

Doctor of Osteopathic Medicine (D.O.)

Dr. Gregory Smith , MD

Radiology - Diagnostic Radiology

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location March 20, 2025

Registered at 1055 N 500 W STE 112, PROVO, UT 846043305 (Tel: 8018124624)

📍

Updated Business Mailing Address March 20, 2025

Registered at 1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604 (Tel: 8013548225)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2025

Radiology (License #A108694 in CA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2022

Radiology (License #380515-1205 in UT)

📍

Updated Business Mailing Address May 16, 2019

Registered at DAVID GRANT MEDICAL CENTER, 101 BODIN CIR, TRAVIS AFB, CA 945351809 (Tel: 7074237215)

✅

NPI Profile Active July 29, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 29, 2015

Registered at 101 BODIN CIR, MDTS/SGQX, TRAVIS AFB, CA 945351809 (Tel: 7074237182)

📍

Updated Business Mailing Address July 29, 2015

Registered at 10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 958272539 (Tel: 8004700071)

👤

Provider Name / Credentials Updated July 29, 2015

Recorded as LANCE EDMONDS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2015

Radiology (License #A108694 in CA)

🟢

Initial NPI Registration & Enumeration September 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1124214374

Entity Type:

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

Enumeration Date: September 21, 2007

Last Update: March 20, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1055 N 500 W, Attn Credentialing

Provo, UT 84604

Phone: 8013548225

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

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