DANIEL EUGENE EDMONDSON (MD) – Family Medicine Physician, NPI 1457813636

DANIEL EUGENE EDMONDSON (MD) is a healthcare provider. based in Fort collins, Colorado. specializing in FAMILY PRACTICE, GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. DR.0065522 (CO). The NPI Number for DANIEL EUGENE EDMONDSON (MD) is 1457813636

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL EUGENE EDMONDSON (MD)
NPI
1457813636
Phone
(970) 495-8800
Address
1025 PENNOCK PL
Enumeration Date
5 April 2019
Last Update Date
13 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9704957410
Graduation Year
2019 (7 years ago)
PAC ID
9931433398
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20230810002571
Address ID
CO805255304FO1106XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

Provider Addresses for DANIEL EUGENE EDMONDSON (MD)

  • 1025 PENNOCK PL

    FORT COLLINS, CO 805243257

    Phone: (970) 495-8800

    Fax: (970) 495-8891

    Type: Location

  • 1000 W 8TH AVE

    YUMA, CO 807592641

    Phone: (970) 848-5405

    Type: Location

  • 1000 W 8th Ave

    Yuma, CO 807592641

    Phone: (970) 848-5405

    Type: Location

  • 1106 E PROSPECT RD STE 100

    FORT COLLINS, CO 805255304

    Phone: (970) 297-6110

    Fax: (970) 495-7425

    Type: Mailing

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: 2023-08-10

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
I20230810002571IFamily PracticeCOTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1414$0
99238Hospital discharge day management, 30 minutes or less1413$0
View full utilization report →

Insurance plans in this area (ZIP 80524)

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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: 9638208549View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DANIEL EUGENE EDMONDSON (MD)'s NPI?
Yes. DANIEL EUGENE EDMONDSON (MD) is listed with NPI 1457813636 in the public NPI dataset.
Can I rely on DANIEL EUGENE EDMONDSON (MD) being an active provider?
As of the registry snapshot, DANIEL EUGENE EDMONDSON (MD) is marked active.
What is DANIEL EUGENE EDMONDSON (MD) best known for clinically?
Directory data describes DANIEL EUGENE EDMONDSON (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DANIEL EUGENE EDMONDSON (MD) based?
DANIEL EUGENE EDMONDSON (MD) is tied to Fort Collins, Colorado in the data we show; additional addresses may exist on the full record.
Why does DANIEL EUGENE EDMONDSON (MD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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