MR. PAUL KEEFER EDWARDS (PA-C) – Physician Assistant, NPI 1114902558
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
Provider Addresses for MR. PAUL KEEFER EDWARDS (PA-C)
559 Vincent St
ATTN: 21 MDOS/SGOF - Family Practice
Peterson AFB, CO 809141540
Phone: (719) 556-5427
Fax: (866) 867-7926
Type: Location
2142, Diamond Creek Drive, Colorado Springs, El Paso County, Colorado, 80921, United States
COLORADO SPRINGS, CO 809212986
Phone: (850) 855-7617
Type: Mailing
UCHealth Radiology - Woodmen, 4190, East Woodmen Road, Colorado Springs, El Paso County, Colorado, 80920, United States
COLORADO SPRINGS, CO 809208075
Phone: (719) 632-4455
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $607.
Total Amount is formed as General ($607) + Research ($0) + Ownership ($0) = $607.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: ABBVIE INC. ($120).
Total Amount
$607
General + Research + Ownership
Payments
30
Total payment records
General Amount
$607
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $120 |
| Novo Nordisk Inc | $96 |
| AstraZeneca Pharmaceuticals LP | $50 |
| Alkermes, Inc. | $50 |
| Horizon Therapeutics plc | $45 |
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: 2015-02-25
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 |
|---|---|---|---|---|
| I20150225002341 | I | Physician Assistant | CO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 238 | 215 | $0 |
| 81002 | Urinalysis, manual test | 41 | 36 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 36 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 36 | 35 | $0 |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 29 | 29 | $0 |
Insurance plans in this area (ZIP 80914)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO | |
| - | CO | |
| Internal Medicine | CO | |
| - | CO | |
| Nurse Practitioner | CO | |
| Internal Medicine, Pediatric Medicine | CO | |
| Family Practice | TX |
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