DR. LANCE DUSTIN EDMONDS (M.D.) – Diagnostic Radiology Physician, NPI 1124214374
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,800 DIAGNOSTIC RADIOLOGY in CA
Provider Addresses for DR. LANCE DUSTIN EDMONDS (M.D.)
DAVID GRANT MEDICAL CENTER
101 BODIN CIR
TRAVIS AFB, CA 945351809
Phone: (707) 423-7215
Type: Mailing
101 BODIN CIR
MDTS/SGQX
TRAVIS AFB, CA 945351809
Phone: (707) 423-7182
Type: Location
3000 N Triumph Blvd Ste 100
Lehi, UT 840434999
Phone: (385) 345-3155
Fax: (385) 345-3163
Type: Location
555 W State Road 164
Salem, UT 846535732
Phone: (801) 812-4624
Fax: (801) 812-4699
Type: Location
2825 E Mall Dr
St George, UT 847901954
Phone: (435) 986-2238
Fax: (435) 986-2237
Type: Location
1175 E 50 S Ste 141
American Fork, UT 840032845
Phone: (801) 492-5996
Fax: (801) 492-5993
Type: Location
1055 N 500 W
ATTN CREDENTIALING
PROVO, UT 84604
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
1055 N 500 W STE 112
PROVO, UT 846043305
Phone: (801) 812-4624
Fax: (801) 812-4699
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2024-03-29 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $23 |
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: 2022-10-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221026000712 | I | Diagnostic Radiology | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 13,486 | 172 | $0 |
| A9585 | Injection, gadobutrol, 0.1 ml | 6,583 | 86 | $0 |
| 71046 | X-ray of chest, 2 views | 167 | 164 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 159 | 159 | $0 |
| 71045 | X-ray of chest, 1 view | 151 | 136 | $0 |
Insurance plans in this area (ZIP 94535)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CA | 71250 | CT scan chest | 16 | 16 |
| DIAGNOSTIC RADIOLOGY | CA | 74177 | CT scan of abdomen and pelvis with contrast | 104 | 103 |
| DIAGNOSTIC RADIOLOGY | CA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| Orthopedic Surgery | UT | |
| Nurse Practitioner | OR | |
| - | FL | |
| - | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| - | UT |
Reviews
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