DR. EDGARDO LORENZO (MD) – Psychiatry Physician, NPI 1073555744

DR. EDGARDO LORENZO (MD) is a healthcare provider. based in Avon, Connecticut. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 028274 (CT). The NPI Number for DR. EDGARDO LORENZO (MD) is 1073555744

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDGARDO LORENZO (MD)
NPI
1073555744
Phone
(860) 674-2691
Address
21 WATERVILLE RD
Enumeration Date
10 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8602248192
Graduation Year
1981 (45 years ago)
PAC ID
2769474279
Group Practice PAC ID
3375431968
Professional Enrollment ID
I20040402000133
Address ID
CT060514204NE233XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

851 PSYCHIATRY in CT

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Provider Addresses for DR. EDGARDO LORENZO (MD)

  • 21, Waterville Road, Alsop Corner, Avon, Hartford County, Connecticut, 06001, United States

    AVON, CT 060012097

    Phone: (860) 674-2691

    Fax: (860) 679-7744

    Mailing address matches the actual address.

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 $676.

Total Amount is formed as General ($676) + Research ($0) + Ownership ($0) = $676.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($231).

Total Amount

$676

General + Research + Ownership

Payments

30

Total payment records

General Amount

$676

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

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: 2004-04-02

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
I20040402000133IPsychiatryCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06001)

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Provider's Procedures

DR. EDGARDO LORENZO (MD) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYCT90792Psychiatric diagnostic evaluation with medical services1515

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: 3375431968View full group profile
NameSpecialtyState
Mental Health CounselorCT
Marriage And Family TherapistCT
Nurse PractitionerCT
-CT
Nurse PractitionerCT
Marriage And Family TherapistCT
Psychiatry, Addiction MedicineCT
Mental Health CounselorCT
Mental Health CounselorCT
-CT

Reviews

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Frequently asked questions

How do I look up DR. EDGARDO LORENZO (MD) by NPI?
Use NPI 1073555744 when you need to reference DR. EDGARDO LORENZO (MD) in forms, claims, or directories.
Is DR. EDGARDO LORENZO (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. EDGARDO LORENZO (MD)'s specialty in plain language?
Clinically, the directory lists DR. EDGARDO LORENZO (MD) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. EDGARDO LORENZO (MD)?
The page summarizes Avon, Connecticut for DR. EDGARDO LORENZO (MD); expand the address list for detail.
How can I contact DR. EDGARDO LORENZO (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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