DR. JEAN ANN EDSALL (MD) – Family Medicine Physician, NPI 1073591574

DR. JEAN ANN EDSALL (MD) is a healthcare provider. based in Eugene, Oregon. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. MD26102 (OR). The NPI Number for DR. JEAN ANN EDSALL (MD) is 1073591574

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEAN ANN EDSALL (MD)
NPI
1073591574
Phone
(541) 687-1668
Address
PO BOX 1648
Enumeration Date
4 January 2006
Last Update Date
30 March 2009

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Secondary Phone
5416871668
Graduation Year
1988 (38 years ago)
PAC ID
6406874494
Group Practice PAC ID
4486835477
Professional Enrollment ID
I20051108000831
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JEAN ANN EDSALL (MD)

  • Eugene Post Office, 520, Willamette Street, River Edge Public Plaza, Eugene, Lane County, Oregon, 97401, United States

    EUGENE, OR 974401648

    Phone: (541) 687-1668

    Fax: (541) 684-3061

    Type: Mailing

  • Pearl Street, College Hill, Eugene, Lane County, Oregon, 97401, United States

    EUGENE, OR 974018217

    Phone: (541) 687-1668

    Fax: (541) 684-3061

    Type: Location

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: 2005-11-08

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
I20051108000831IFamily PracticeORTBD

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 minutes2828$0
36415Insertion of needle into vein for collection of blood sample2525$0
80053Blood test, comprehensive group of blood chemicals1717$0
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1313$0
View full utilization report →

Insurance plans in this area (ZIP 97440)

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Provider's Procedures

DR. JEAN ANN EDSALL (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOR83036Hemoglobin A1C level3424
FAMILY MEDICINEOR90670Pneumococcal vaccine for injection into muscle3333

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: 4486835477View full group profile
NameSpecialtyState
Physician AssistantCA
-OR
Physician AssistantOR
Physician AssistantOR
-OR
Family PracticeNV
Physical Therapist In Private PracticeOR
Nurse PractitionerOR
-OR
-OR

Reviews

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Frequently asked questions

How do I look up DR. JEAN ANN EDSALL (MD) by NPI?
Use NPI 1073591574 when you need to reference DR. JEAN ANN EDSALL (MD) in forms, claims, or directories.
Is DR. JEAN ANN EDSALL (MD) currently active in the NPI registry?
CMS-published data lists DR. JEAN ANN EDSALL (MD) as an active registrant.
Can you summarize DR. JEAN ANN EDSALL (MD)'s specialty in plain language?
Clinically, the directory lists DR. JEAN ANN EDSALL (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JEAN ANN EDSALL (MD)?
The snapshot lists Eugene, Oregon for DR. JEAN ANN EDSALL (MD); download NPPES for the complete set.
How can I contact DR. JEAN ANN EDSALL (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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