EDMOND ELIAS PACK (M.D.) – Obstetrics & Gynecology Physician, NPI 1043284334
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
339 OBSTETRICS/GYNECOLOGY in NV
Provider Addresses for EDMOND ELIAS PACK (M.D.)
2580 Saint Rose Pkwy Ste 140
Henderson, NV 890747792
Phone: (702) 862-8862
Fax: (702) 862-8774
Type: Location
Maier Gutierrez Injury & Car Accident Lawyers Las Vegas, 8816, Spanish Ridge Avenue, Las Vegas, Clark County, Nevada, 89148, United States
STE. 202
LAS VEGAS, NV 891481304
Phone: (702) 577-1622
Fax: (702) 912-4994
Type: Mailing
140, Saint Rose Parkway, Enterprise, Clark County, Nevada, 89183, United States
HENDERSON, NV 890747792
Phone: (702) 862-8862
Fax: (702) 862-8774
Type: Location
8906 SPANISH RIDGE AVE STE 202
LAS VEGAS, NV 891481319
Phone: (702) 330-3102
Fax: (702) 912-4994
Type: Mailing
8285 W ARBY AVE STE 280
LAS VEGAS, NV 891132246
Phone: (702) 862-8862
Fax: (702) 862-8774
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $598.
Total Amount is formed as General ($598) + Research ($0) + Ownership ($0) = $598.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Astellas Pharma US Inc ($163).
Total Amount
$598
General + Research + Ownership
Payments
32
Total payment records
General Amount
$598
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $163 |
| MAYNE PHARMA COMMERCIAL LLC | $65 |
| ABBVIE INC. | $58 |
| Medtronic, Inc. | $40 |
| Organon LLC | $39 |
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: 2007-05-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070517000336 | I | Obstetrics/Gynecology | NV | 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 |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 20 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 89074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| - | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| Physician Assistant | NV | |
| - | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| Nurse Practitioner | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NV | |
| Nurse Practitioner | NV |
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