MR. EDWIN LYSLE PRICE (RPAC) – Medical Physician Assistant, NPI 1124129911
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. EDWIN LYSLE PRICE (RPAC)
1725, Tiara Pines Drive, Tiara Pines, Derby, Sedgwick County, Kansas, 67037, United States
DERBY, KS 670373933
Phone: (316) 788-5369
Type: Mailing
606, North Mulberry Road, Derby, Sedgwick County, Kansas, 67037, United States
DERBY, KS 670373532
Phone: (316) 788-3787
Fax: (316) 788-6930
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $247.
Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Abbott Laboratories ($93).
Total Amount
$247
General + Research + Ownership
Payments
16
Total payment records
General Amount
$247
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $93 |
| ABBVIE INC. | $49 |
| GlaxoSmithKline, LLC. | $17 |
| Merck Sharp & Dohme LLC | $16 |
| Novo Nordisk Inc | $15 |
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: 2005-04-22
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 |
|---|---|---|---|---|
| I20050422000939 | I | Physician Assistant | KS | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 50 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 48 | 44 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 26 | 26 | $0 |
| 81003 | Automated urinalysis test | 17 | 16 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 67037)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| Family Practice | KS | |
| - | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | TN | |
| Family Practice | KS |
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