STEVEN H EDMONDSON (D.O.) – Family Medicine Physician, NPI 1992760805
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for STEVEN H EDMONDSON (D.O.)
107, Bridge Street, Saranac, Boston Township, Ionia County, Michigan, 48881, United States
PO BOX 7
SARANAC, MI 488815121
Phone: (616) 642-9408
Fax: (616) 642-6940
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: 2011-02-11
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20110211000811 | I | Family Practice | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48881)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MI | 17003 | Destruction of 2-14 skin growths | 16 | 11 |
| FAMILY MEDICINE | MI | 81002 | Urinalysis, manual test | 40 | 32 |
| FAMILY MEDICINE | MI | 85610 | Blood test, clotting time | 48 | 19 |
| FAMILY MEDICINE | MI | 90670 | Pneumococcal vaccine for injection into muscle | 73 | 73 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Orthopedic Surgery | MI | |
| Hand Surgery, Plastic And Reconstructive Surgery | MI | |
| Nurse Practitioner | MI | |
| G A S T R O E N T E R O L O G Y | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Nurse Practitioner | MI | |
| General Surgery | MI |
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