DR. DANA PHILLIP EDWARDS (M.D.) – Surgery Physician, NPI 1164424131

DR. DANA PHILLIP EDWARDS (M.D.) is a healthcare provider. based in Manchester, Kentucky. specializing in Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 34747 (KY). The NPI Number for DR. DANA PHILLIP EDWARDS (M.D.) is 1164424131

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANA PHILLIP EDWARDS (M.D.)
NPI
1164424131
Phone
(606) 598-8766
Address
204 TOWN BRANCH RD
Enumeration Date
10 August 2005
Deactivation Date
23 March 2006
Reactivation Date
28 March 2006
Last Update Date
26 April 2022

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
6065988766
Graduation Year
1986 (40 years ago)
PAC ID
2769434851
Group Practice PAC ID
9436333465
Professional Enrollment ID
I20050217000032
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DANA PHILLIP EDWARDS (M.D.)

  • 204, Town Branch Road, Manchester, Clay County, Kentucky, 40962, United States

    MANCHESTER, KY 409621322

    Phone: (606) 598-8766

    Fax: (606) 598-1903

    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 19 Open Payments records for all available years, with a total value of $385.

Total Amount is formed as General ($385) + Research ($0) + Ownership ($0) = $385.

Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($129).

Total Amount

$385

General + Research + Ownership

Payments

19

Total payment records

General Amount

$385

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-08

Latest reported date

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: 2005-02-17

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
I20050217000032IGeneral SurgeryKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6533$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 40962)

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Reviews

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Frequently asked questions

How do I look up DR. DANA PHILLIP EDWARDS (M.D.) by NPI?
Use NPI 1164424131 when you need to reference DR. DANA PHILLIP EDWARDS (M.D.) in forms, claims, or directories.
Is DR. DANA PHILLIP EDWARDS (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. DANA PHILLIP EDWARDS (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. DANA PHILLIP EDWARDS (M.D.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. DANA PHILLIP EDWARDS (M.D.)'s primary listing?
We display Manchester, Kentucky because that is what the record indicates for DR. DANA PHILLIP EDWARDS (M.D.).
How can I contact DR. DANA PHILLIP EDWARDS (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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