DR. NEIL EDGERTON (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1063695773
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
391 PATHOLOGY in GA
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Provider Addresses for DR. NEIL EDGERTON (M.D.)
Rockdale Medical Center, 1412, Milstead Avenue Northeast, Conyers, Rockdale County, Georgia, 30012, United States
CONYERS, GA 300123877
Phone: (770) 918-3905
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 12 Open Payments records for all available years, with a total value of $1,272.
Total Amount is formed as General ($1,272) + Research ($0) + Ownership ($0) = $1,272.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Abbott Laboratories ($1,250).
Total Amount
$1,272
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,272
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $1,250 |
| Amgen Inc. | $22 |
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: 2011-06-14
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 |
|---|---|---|---|---|
| I20110614000020 | I | Pathology | GA | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 755 | 394 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 210 | 57 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 99 | 91 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 76 | 48 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 71 | 63 | $0 |
Insurance plans in this area (ZIP 30012)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | GA | 88342 | Tissue or cell analysis by immunologic technique | 42 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | GA | |
| P A T H O L O G Y | GA | |
| P A T H O L O G Y | GA | |
| P A T H O L O G Y | GA | |
| P A T H O L O G Y | GA | |
| P A T H O L O G Y | GA | |
| P A T H O L O G Y | GA |
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