DR. MARK EDWARDS (MD) – General Practice Physician, NPI 1386645554

DR. MARK EDWARDS (MD) is a healthcare provider. based in Pace, Florida. specializing in General Practice Physician. They hold the professional credentials MD. They hold a License No. ME116022 (FL). The NPI Number for DR. MARK EDWARDS (MD) is 1386645554

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK EDWARDS (MD)
NPI
1386645554
Phone
(850) 304-0694
Address
4713 HIGHWAY 90
Enumeration Date
9 August 2005
Last Update Date
31 July 2015

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
8503040694
Graduation Year
1983 (43 years ago)
PAC ID
8123123551
Group Practice PAC ID
2769616762
Professional Enrollment ID
I20140319001209
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. MARK EDWARDS (MD)

  • 4713 HIGHWAY 90

    AFC UC

    PACE, FL 325711403

    Phone: (850) 304-0694

    Fax: (850) 304-0707

    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)

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: 2014-03-19

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
I20140319001209IGeneral PracticeFLTBD

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
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen107101$0
87804Detection test by immunoassay with direct visual observation for influenza virus10250$0
99214Established patient office or other outpatient visit, 30-39 minutes9178$0
99204New patient office or other outpatient visit, 45-59 minutes8282$0
87651Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique5858$0
View full utilization report →

Insurance plans in this area (ZIP 32571)

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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: 2769616762View full group profile
NameSpecialtyState
Physician AssistantFL
Emergency MedicineGA
Nurse PractitionerFL
Family PracticeGA
Nurse PractitionerAL
Internal MedicineFL
Physician AssistantGA
-KY
Nurse PractitionerFL
Nurse PractitionerAZ

Reviews

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Frequently asked questions

What is DR. MARK EDWARDS (MD)'s NPI number?
DR. MARK EDWARDS (MD)'s NPI is 1386645554 — the number used across U.S. healthcare to identify this provider.
Is DR. MARK EDWARDS (MD) still an active registrant?
DR. MARK EDWARDS (MD) carries an active NPI according to the public dataset.
What area of care is associated with DR. MARK EDWARDS (MD)?
DR. MARK EDWARDS (MD)'s record emphasizes General Practice Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MARK EDWARDS (MD)?
Directory geography for DR. MARK EDWARDS (MD) centers on Pace, Florida.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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