EDWARD C III ELLIOTT – Orthopaedic Foot and Ankle Surgery Physician, NPI 1083957088

EDWARD C III ELLIOTT is a healthcare provider. based in Corvallis, Oregon. specializing in PODIATRY. They hold a License No. 016-005738 (IL). The NPI Number for EDWARD C III ELLIOTT is 1083957088

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD C III ELLIOTT
NPI
1083957088
Phone
Not provided
Address
PO BOX 1189
Enumeration Date
28 March 2013
Last Update Date
11 March 2026

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
5414517462
Graduation Year
2013 (13 years ago)
PAC ID
0345484606
Group Practice PAC ID
2769391523
Professional Enrollment ID
I20240903000747
Address ID
OR973554363LE525XXHWYX401

Contacts

Secure Messaging
eelliott303176@samhealth.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:13State licenses:2Other names

1,038 PODIATRY in IL

Provider Addresses for EDWARD C III ELLIOTT

  • PO BOX 1189

    CORVALLIS, OR 973391189

    Phone:

    Type: Mailing

  • 2 MEMORIAL DR STE 305

    DECATUR, IL 625263999

    Phone: (217) 876-4830

    Fax: (217) 876-8385

    Type: Location

  • 675 N 5th St

    Lebanon, OR 973552875

    Phone: (541) 451-6282

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $155.

Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Stryker Corporation ($46).

Total Amount

$155

General + Research + Ownership

Payments

7

Total payment records

General Amount

$155

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

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: 2024-09-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160928000262IPodiatryILTBD
I20240903000747IPodiatryORTBD

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
73630X-ray of foot, minimum of 3 views336232$0
99213Established patient office or other outpatient visit, 20-29 minutes276171$0
99212Established patient office or other outpatient visit, 10-19 minutes255114$0
73610X-ray of ankle, minimum of 3 views19687$0
99203New patient office or other outpatient visit, 30-44 minutes196196$0
View full utilization report →

Insurance plans in this area (ZIP 97339)

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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: 2769391523View full group profile
NameSpecialtyState
Physician AssistantOR
Nurse PractitionerOR
Physician AssistantOR
Nurse PractitionerOR
Physician AssistantOR
Hospitalist, Internal MedicineOR
-OR
Certified Registered Nurse Anesthetist (Crna)OR
Physician AssistantOR
Family PracticeOR

Reviews

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Frequently asked questions

Can I cross-check EDWARD C III ELLIOTT using NPI 1083957088?
NPI 1083957088 belongs to EDWARD C III ELLIOTT; compare other details if you need extra assurance.
Is EDWARD C III ELLIOTT shown as active in public data?
Registry records indicate EDWARD C III ELLIOTT maintains an active NPI.
How would a patient describe EDWARD C III ELLIOTT's focus?
For EDWARD C III ELLIOTT, the primary taxonomy reads as Orthopaedic Foot and Ankle Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for EDWARD C III ELLIOTT?
Travel planning: use Corvallis, Oregon as the reference point for EDWARD C III ELLIOTT, then confirm.
Does EDWARD C III ELLIOTT accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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