EDWARD J III SNYDER – Surgery Physician, NPI 1083792873

EDWARD J III SNYDER is a healthcare provider. based in Decatur, Illinois. specializing in GENERAL SURGERY. They hold a License No. 53525 (KY). The NPI Number for EDWARD J III SNYDER is 1083792873

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD J III SNYDER
NPI
1083792873
Phone
(217) 464-2870
Address
1800 E Lake Shore Dr
Enumeration Date
1 November 2006
Last Update Date
8 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2173372000
Graduation Year
1981 (45 years ago)
PAC ID
6204994296
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20081020000548
Address ID
IL618012334UR1400XSTXX400

Contacts

Secure Messaging
esnyder52717@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness85
Years active:19State licenses:4Other namesUpdated within 12 months

1,422 GENERAL SURGERY in IL

Provider Addresses for EDWARD J III SNYDER

  • 1800 E Lake Shore Dr

    Decatur, IL 625213810

    Phone: (217) 464-2870

    Type: Location

  • 1532 Lone Oak Rd Ste 235

    Paducah, KY 420037941

    Phone: (270) 442-9463

    Fax: (270) 442-2241

    Type: Location

  • 316 S Stratford Ave Ste B

    Santa Maria, CA 934545908

    Phone: (805) 332-8446

    Fax: (805) 332-8173

    Type: Location

  • Vein Management Clinic, 950, North York Road, Fullersburg, Hinsdale, DuPage County, Illinois, 60521, United States

    104

    HINSDALE, IL 60521

    Phone: (708) 562-6822

    Type: Mailing

  • South Wolf Road, Westchester, Proviso Township, Cook County, Illinois, 60162, United States

    WESTCHESTER, IL 60154

    Phone: (708) 562-6822

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2024-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 11 Medicare enrollment records; no due dates published yet.

Enrollment records

11

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
I20081020000548IGeneral SurgeryILTBD
I20170116000319IGeneral SurgeryMOTBD
I20180727000793IGeneral SurgeryNVTBD
I20200306000471IGeneral SurgeryOKTBD
I20210315001470IGeneral SurgeryKYTBD
I20211123000483IGeneral SurgeryNCTBD
I20220314000352IGeneral SurgeryTNTBD
I20230523003354IGeneral SurgeryINTBD
I20230811001366IGeneral SurgeryGATBD
I20240131002239IGeneral SurgeryWYTBD
I20240802002413IGeneral SurgeryWATBD

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
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1818$0
99212Established patient office or other outpatient visit, 10-19 minutes1211$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 62521)

Loading plans...

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: 3678889789View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for EDWARD J III SNYDER?
The registry entry for EDWARD J III SNYDER shows NPI 1083792873.
Is EDWARD J III SNYDER currently accepting referrals based on NPI status?
Registry metadata lists EDWARD J III SNYDER as active.
What type of care does EDWARD J III SNYDER provide?
EDWARD J III SNYDER's profile centers on Surgery Physician. Clinical services aligned with this taxonomy classification.
Is EDWARD J III SNYDER tied to Decatur, Illinois?
If you are local to Decatur, Illinois, EDWARD J III SNYDER may be relevant to your search.
Why is information missing for EDWARD J III SNYDER?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

DR. JOHN M FURRY (MD)

Interventional Pain Medicine Physician
Saint Mary's Hospital, 1800, East Lake Shore Drive, Decatur, Macon County, Illinois, 62521, United States
NPI: 1245237304
Lake Court, Decatur, Adams County, Indiana, 46733, United States
NPI: 1427055433

JEFFREY A. GLEZER (MD)

Surgery Physician
1750, East Lake Shore Drive, Decatur, Macon County, Illinois, 62521, United States
NPI: 1184610263
East Lake Shore Drive, Mueller Park, Decatur, Macon County, Illinois, 62525, United States
NPI: 1760464481
East Lake Shore Drive, Decatur, Macon County, Illinois, 62521, United States
NPI: 1366424061

JOHN JOSEPH WHITE (MD)

Surgery Physician
East Lake Shore Drive, Mueller Park, Decatur, Macon County, Illinois, 62525, United States
NPI: 1184606527

MR. H.GALE ZACHEIS (M.D.)

Surgery Physician
302, West Hay Street, Decatur, Macon County, Illinois, 62526, United States
NPI: 1548246515

DONALD PAUL KAMM (MD)

Surgery Physician
109, Benton Drive, Decatur, Macon County, Illinois, 62526, United States
NPI: 1225005382
1730 E Lake Shore Dr
NPI: 1073580122