GREGORY THOMAS EDWARDS (PAC) – Physician Assistant, NPI 1215458690

GREGORY THOMAS EDWARDS (PAC) is a healthcare provider. based in Cincinnati, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 50.005085RX (OH). The NPI Number for GREGORY THOMAS EDWARDS (PAC) is 1215458690

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY THOMAS EDWARDS (PAC)
NPI
1215458690
Phone
Not provided
Address
4600 MONTGOMERY RD STE 400
Enumeration Date
6 July 2017
Last Update Date
16 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8335104357
Graduation Year
2016 (10 years ago)
PAC ID
7719259894
Group Practice PAC ID
9032426044
Professional Enrollment ID
I20170824001263
Address ID
OH452062348CI446XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for GREGORY THOMAS EDWARDS (PAC)

  • 4600 MONTGOMERY RD STE 400

    CINCINNATI, OH 452122600

    Phone:

    Type: Mailing

  • 5108 SANDY LN

    FAIRFIELD, OH 450142738

    Phone: (866) 934-7450

    Type: Location

  • BrightView, 446, Morgan Street, Gilbert-Sinton Historic District, Walnut Hills, Cincinnati, Hamilton County, Ohio, 45206, United States

    CINCINNATI, OH 452062348

    Phone: (513) 834-7063

    Fax: (513) 873-1567

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2023-08-09 • Largest payer in this snapshot: Indivior Inc. ($34).

Total Amount

$110

General + Research + Ownership

Payments

5

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-08-24

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
I20170824001263IPhysician AssistantOHTBD

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 minutes2311$0
View full utilization report →

Insurance plans in this area (ZIP 45212)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032426044View full group profile
NameSpecialtyState
-OH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Clinical Social WorkerOH
Nurse PractitionerVA
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Nurse PractitionerVA

Reviews

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Frequently asked questions

How do payers reference GREGORY THOMAS EDWARDS (PAC)?
For GREGORY THOMAS EDWARDS (PAC), use NPI 1215458690 as the unique 10-digit identifier.
Is GREGORY THOMAS EDWARDS (PAC) shown as active in public data?
Registry records indicate GREGORY THOMAS EDWARDS (PAC) maintains an active NPI.
What clinical focus is listed for GREGORY THOMAS EDWARDS (PAC)?
At a glance, GREGORY THOMAS EDWARDS (PAC) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with GREGORY THOMAS EDWARDS (PAC)?
Directory geography for GREGORY THOMAS EDWARDS (PAC) centers on Cincinnati, Ohio.
Can I trust this NPI listing for GREGORY THOMAS EDWARDS (PAC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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