SCOTT MICHAEL EDWARDS (PA) – Medical Physician Assistant, NPI 1548589930

SCOTT MICHAEL EDWARDS (PA) is a healthcare provider. based in Brooksville, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA 9105274 (FL). The NPI Number for SCOTT MICHAEL EDWARDS (PA) is 1548589930

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT MICHAEL EDWARDS (PA)
NPI
1548589930
Phone
(352) 596-1117
Address
12900 CORTEZ BLVD
Enumeration Date
25 May 2010
Last Update Date
24 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3525964401
Graduation Year
2009 (17 years ago)
PAC ID
9436338977
Group Practice PAC ID
3476506882
Professional Enrollment ID
I20110128000944
Address ID
FL346136385WE10133BLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for SCOTT MICHAEL EDWARDS (PA)

  • 12900 CORTEZ BLVD

    SUITE 205

    BROOKSVILLE, FL 346136828

    Phone: (352) 596-1117

    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 7 Open Payments records for all available years, with a total value of $335.

Total Amount is formed as General ($335) + Research ($0) + Ownership ($0) = $335.

Last reported payment date: 2024-06-10 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($131).

Total Amount

$335

General + Research + Ownership

Payments

7

Total payment records

General Amount

$335

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-01-28

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
I20110128000944IPhysician AssistantFLTBD

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
17003Destruction of precancer skin growth, 2-14 growths2,713311$0
99214Established patient office or other outpatient visit, 30-39 minutes879474$0
99213Established patient office or other outpatient visit, 20-29 minutes840438$0
17000Destruction of precancer skin growth, 1 growth652377$0
11102Biopsy of related skin growth, first growth470340$0
View full utilization report →

Insurance plans in this area (ZIP 34613)

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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: 3476506882View full group profile
NameSpecialtyState
D E R M A T O L O G YFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for SCOTT MICHAEL EDWARDS (PA)?
SCOTT MICHAEL EDWARDS (PA) — NPI 1548589930 — is the standard way to identify this listing.
Can I rely on SCOTT MICHAEL EDWARDS (PA) being an active provider?
As of the registry snapshot, SCOTT MICHAEL EDWARDS (PA) is marked active.
What healthcare role does SCOTT MICHAEL EDWARDS (PA) hold?
Scheduling teams often label SCOTT MICHAEL EDWARDS (PA) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does SCOTT MICHAEL EDWARDS (PA) list a practice location?
Patients near Brooksville, Florida may find SCOTT MICHAEL EDWARDS (PA) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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