DR. PAUL C. EDWARDS (DDS) – Oral and Maxillofacial Pathology Dentistry, NPI 1356334072

DR. PAUL C. EDWARDS (DDS) is a healthcare provider. based in Indianapolis, Indiana. specializing in ORAL SURGERY. They hold the professional credentials DDS. They hold a License No. 106 (NE). The NPI Number for DR. PAUL C. EDWARDS (DDS) is 1356334072

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL C. EDWARDS (DDS)
NPI
1356334072
Phone
(317) 274-5628
Address
1121 W MICHIGAN STREET
Enumeration Date
29 August 2005
Last Update Date
31 October 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3172747433
Graduation Year
1992 (34 years ago)
PAC ID
5092896621
Group Practice PAC ID
6002806957
Professional Enrollment ID
I20131119001255
Address ID
IN462025211IN1121XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:20State licenses:3Digital endpointsOther names

42 ORAL SURGERY in IN

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Provider Addresses for DR. PAUL C. EDWARDS (DDS)

  • Indiana University School of Dentistry, 1121, West Michigan Street, Indianapolis, Marion, Indiana, 46202, United States

    INDIANAPOLIS, IN 462025186

    Phone: (317) 274-5628

    Fax: (317) 274-2603

    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: 2013-11-19

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
I20131119001255IOral SurgeryINTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity7973$0
88312Special stained specimen slides to identify organisms including interpretation and report1513$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 46202)

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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: 6002806957View full group profile
NameSpecialtyState
Dentist, Oral Surgery, Maxillofacial SurgeryIN
Qualified AudiologistIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
-IN
O P T O M E T R YIN
O P T O M E T R YIN
Maxillofacial Surgery, Dentist, Oral Surgery, AnesthesiologyNC

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. PAUL C. EDWARDS (DDS)?
DR. PAUL C. EDWARDS (DDS) — NPI 1356334072 — is the standard way to identify this listing.
Does the file indicate DR. PAUL C. EDWARDS (DDS) is practicing under active NPI?
Directory data currently reports DR. PAUL C. EDWARDS (DDS) as active.
What is DR. PAUL C. EDWARDS (DDS)'s specialty?
The listing groups DR. PAUL C. EDWARDS (DDS) with Oral and Maxillofacial Pathology Dentistry. Clinical services aligned with this taxonomy classification.
Where is DR. PAUL C. EDWARDS (DDS) based?
DR. PAUL C. EDWARDS (DDS) is tied to Indianapolis, Indiana in the data we show; additional addresses may exist on the full record.
Is the information about DR. PAUL C. EDWARDS (DDS) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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