LUKE W EDELMAYER (M.D.) – Otolaryngology Physician, NPI 1659723567

LUKE W EDELMAYER (M.D.) is a healthcare provider. based in Kissimmee, Florida. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 14195356-1205 (UT). The NPI Number for LUKE W EDELMAYER (M.D.) is 1659723567

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
LUKE W EDELMAYER (M.D.)
NPI
1659723567
Phone
Not provided
Address
410 CELEBRATION PL
Enumeration Date
5 July 2016
Last Update Date
10 January 2025

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
8014753482
Graduation Year
2016 (10 years ago)
PAC ID
2668768896
Group Practice PAC ID
1658781422
Professional Enrollment ID
I20250110001671
Address ID
UT844034303OG4650XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

732 OTOLARYNGOLOGY in FL

Provider Addresses for LUKE W EDELMAYER (M.D.)

  • 410 CELEBRATION PL

    KISSIMMEE, FL 347475433

    Phone:

    Type: Mailing

  • 4650 HARRISON BLVD

    OGDEN, UT 844034303

    Phone: (801) 475-3075

    Fax: (801) 475-3076

    Type: Location

  • 557, Martínez, Villa Manantial, Tandil, Partido de Tandil, Buenos Aires, B7000, Argentina

    MARTINEZ, GA 309074108

    Phone:

    Type: Mailing

  • Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States

    AUGUSTA, GA 309120004

    Phone: (706) 721-0211

    Type: Location

  • PO BOX 5546

    DENVER, CO 802175546

    Phone: (801) 475-3500

    Fax: (801) 475-3414

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $522.

Total Amount is formed as General ($522) + Research ($0) + Ownership ($0) = $522.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: GENZYME CORPORATION ($351).

Total Amount

$522

General + Research + Ownership

Payments

22

Total payment records

General Amount

$522

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2025-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220426003014IGeneral PracticeSCTBD
I20250110001671IOtolaryngologyUTTBD

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
69210Removal of impacted ear wax194168$0
99213Established patient office or other outpatient visit, 20-29 minutes187143$0
99203New patient office or other outpatient visit, 30-44 minutes181181$0
99214Established patient office or other outpatient visit, 30-39 minutes8676$0
99204New patient office or other outpatient visit, 45-59 minutes8585$0
View full utilization report →

Insurance plans in this area (ZIP 34747)

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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: 1658781422View full group profile
NameSpecialtyState
Physician AssistantUT
P O D I A T R YCO
D E R M A T O L O G YCO
Physician AssistantUT
Nurse PractitionerUT
Qualified Speech Language PathologistCO
N E U R O L O G YCO
Family Practice, Sports MedicineCO
Neurology, Sleep MedicineCO
Nurse PractitionerUT

Reviews

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Frequently asked questions

What NPI should I save for LUKE W EDELMAYER (M.D.)?
Save NPI 1659723567 if you need a stable reference for LUKE W EDELMAYER (M.D.).
Is LUKE W EDELMAYER (M.D.)'s NPI currently valid?
The extract we use shows LUKE W EDELMAYER (M.D.) as active.
Can you summarize LUKE W EDELMAYER (M.D.)'s specialty in plain language?
Clinically, the directory lists LUKE W EDELMAYER (M.D.) with Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What location shows for LUKE W EDELMAYER (M.D.)?
We surface Kissimmee, Florida for LUKE W EDELMAYER (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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