EDWIN BENEDICT FLANAGAN (D.O.) – Gastroenterology Physician, NPI 1043239866
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for EDWIN BENEDICT FLANAGAN (D.O.)
Stuart, Martin County, Florida, United States
STUART, FL 349950417
Phone: (772) 223-5665
Fax: (772) 223-5646
Type: Mailing
1651, Southeast Tiffany Avenue, Port St. Lucie, St. Lucie County, Florida, 34952, United States
PORT ST LUCIE, FL 349527564
Phone: (772) 398-1800
Fax: (772) 398-1815
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $193.
Total Amount is formed as General ($193) + Research ($0) + Ownership ($0) = $193.
Last reported payment date: 2023-06-08 • Largest payer in this snapshot: ABBVIE INC. ($174).
Total Amount
$193
General + Research + Ownership
Payments
4
Total payment records
General Amount
$193
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $174 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $19 |
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: 2010-11-22
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 |
|---|---|---|---|---|
| I20101122000376 | I | Gastroenterology | FL | 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 | 60 | 58 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 51 | 51 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 47 | 46 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 46 | 28 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 45 | 45 | $0 |
Insurance plans in this area (ZIP 34995)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| Family Practice | FL | |
| - | OH | |
| U R O L O G Y | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL |
Reviews
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