DR. MAURICE EDGAR YOUNG (M.D.) – General Practice Physician, NPI 1104980663

DR. MAURICE EDGAR YOUNG (M.D.) is a healthcare provider. based in Luke afb, Arizona. specializing in OBSTETRICS/GYNECOLOGY, GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. 0101237702 (VA). The NPI Number for DR. MAURICE EDGAR YOUNG (M.D.) is 1104980663

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAURICE EDGAR YOUNG (M.D.)
NPI
1104980663
Phone
(623) 856-7527
Address
7219 N LITCHFIELD RD
Enumeration Date
20 December 2006
Last Update Date
5 September 2025

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
6234742300
Graduation Year
2000 (26 years ago)
PAC ID
2961560834
Group Practice PAC ID
8022111749
Professional Enrollment ID
I20161109001230
Address ID
AZ853531622TO9897XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience94
Completeness85
Years active:19State licenses:4Digital endpointsOther names

788 OBSTETRICS/GYNECOLOGY in AZ

Provider Addresses for DR. MAURICE EDGAR YOUNG (M.D.)

  • 56th Medical Group, 7219, North Litchfield Road, Glendale, Maricopa County, Arizona, 85309, United States

    LUKE AFB, AZ 853091529

    Phone: (623) 856-7527

    Fax: (623) 856-3103

    Type: Mailing

  • 56TH AEROSPACE MEDICINE SQUADRON

    LUKE AFB, AZ 85309

    Phone: (623) 856-7527

    Fax: (623) 856-3103

    Type: Location

  • 8866 W HILTON AVE

    TOLLESON, AZ 853536969

    Phone: (480) 798-3225

    Type: Mailing

  • 5029 W NANCY LN

    LAVEEN, AZ 853394248

    Phone: (480) 798-3225

    Type: Mailing

  • 5130 W BASELINE RD STE 102

    LAVEEN, AZ 853392984

    Phone: (602) 237-7373

    Fax: (602) 237-7977

    Type: Location

  • 9897 W MCDOWELL RD STE 101

    TOLLESON, AZ 853531621

    Phone: (623) 474-2300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-11-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161109001230IGeneral PracticeAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3332$0
99203New patient office or other outpatient visit, 30-44 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 85309)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022111749View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. MAURICE EDGAR YOUNG (M.D.) across health systems?
The NPI 1104980663 uniquely identifies DR. MAURICE EDGAR YOUNG (M.D.) in U.S. healthcare data.
Does the public listing show DR. MAURICE EDGAR YOUNG (M.D.) as active?
DR. MAURICE EDGAR YOUNG (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. MAURICE EDGAR YOUNG (M.D.)?
NPPES ties DR. MAURICE EDGAR YOUNG (M.D.) to General Practice Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MAURICE EDGAR YOUNG (M.D.)?
DR. MAURICE EDGAR YOUNG (M.D.) is associated with Luke Afb, Arizona in the same public data insurers reference.
Why is information missing for DR. MAURICE EDGAR YOUNG (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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