DR. PETER H JR. EDWARDS (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1053321794
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. PETER H JR. EDWARDS (MD)
Sawmill Road, Upper Arlington, Franklin County, Ohio, 43220, United States
UPPER ARLINGTON, OH 432202246
Phone: (614) 827-8700
Fax: (614) 827-8701
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: 2005-02-10
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 |
|---|---|---|---|---|
| I20050210000517 | I | Sports Medicine | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 26 | $0 |
| 73564 | X-ray of knee, 4 or more views | 21 | 17 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 19 | 16 | $0 |
Insurance plans in this area (ZIP 43220)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | OH | 20610 | Aspiration and/or injection of large joint or joint capsule | 132 | 66 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | OH | |
| Sports Medicine, Orthopedic Surgery | OH | |
| Physical Therapist In Private Practice | OH | |
| Physician Assistant | OH | |
| Physical Therapist In Private Practice | OH | |
| Physician Assistant | OH | |
| - | OH | |
| - | OH | |
| Physical Therapist In Private Practice | OH | |
| - | OH |
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