DR. EDWARD DISTLER (D.O.) – Cardiovascular Disease Physician, NPI 1891180352

DR. EDWARD DISTLER (D.O.) is a healthcare provider. based in Phoenix, Arizona. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials D.O.. They hold a License No. 007087 (AZ). The NPI Number for DR. EDWARD DISTLER (D.O.) is 1891180352

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD DISTLER (D.O.)
NPI
1891180352
Phone
Not provided
Address
1111 E MCDOWELL RD
Enumeration Date
1 April 2015
Last Update Date
23 August 2022

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
2294338160
Graduation Year
2015 (11 years ago)
PAC ID
8224381421
Group Practice PAC ID
4082036843
Professional Enrollment ID
I20220707002997
Address ID
GA316022512VA2409XSTXX407
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

712 CARDIOVASCULAR DISEASE (CARDIOLOGY) in AZ

Provider Addresses for DR. EDWARD DISTLER (D.O.)

  • 1111 E MCDOWELL RD

    PHOENIX, AZ 850062612

    Phone:

    Type: Mailing

  • 1111 E McDowell Rd

    Phoenix, AZ 850062612

    Phone: (602) 839-3644

    Type: Location

  • 2409 N PATTERSON ST STE 310

    VALDOSTA, GA 316022512

    Phone: (229) 433-8160

    Fax: (220) 244-2707

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 155 Open Payments records for all available years, with a total value of $4,065.

Total Amount is formed as General ($4,065) + Research ($0) + Ownership ($0) = $4,065.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Medtronic, Inc. ($1,346).

Total Amount

$4,065

General + Research + Ownership

Payments

155

Total payment records

General Amount

$4,065

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20181105000709IInternal MedicineAZTBD
I20190903001306IInternal MedicineTXTBD
I20220707002997ICardiovascular Disease (Cardiology)GATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes322188$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function199194$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report177165$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes14483$0
93798Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services12911$0
View full utilization report →

Insurance plans in this area (ZIP 85006)

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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: 4082036843View full group profile
NameSpecialtyState
Nurse PractitionerGA
Family PracticeGA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseNY
Nurse PractitionerGA
Orthopedic SurgeryGA
N E U R O L O G YGA
General Surgery, Vascular SurgeryGA
Pulmonary Disease, Sleep MedicineWI
N E U R O S U R G E R YCA
Family PracticeGA

Reviews

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Frequently asked questions

What identifier follows DR. EDWARD DISTLER (D.O.) across health systems?
The NPI 1891180352 uniquely identifies DR. EDWARD DISTLER (D.O.) in U.S. healthcare data.
Quick check: is DR. EDWARD DISTLER (D.O.) active?
Public NPPES data shows DR. EDWARD DISTLER (D.O.) with an active NPI status right now.
Which specialty label fits DR. EDWARD DISTLER (D.O.)?
NPPES ties DR. EDWARD DISTLER (D.O.) to Cardiovascular Disease Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. EDWARD DISTLER (D.O.)?
DR. EDWARD DISTLER (D.O.) is associated with Phoenix, Arizona in the same public data insurers reference.
Who maintains DR. EDWARD DISTLER (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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