COREY EDWARDS (MD) – Emergency Medicine Physician, NPI 1093277386

COREY EDWARDS (MD) is a healthcare provider. based in Portland, Oregon. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 65746 (AZ). The NPI Number for COREY EDWARDS (MD) is 1093277386

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
COREY EDWARDS (MD)
NPI
1093277386
Phone
(503) 494-8211
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
4 April 2019
Last Update Date
12 May 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
9549395000
Graduation Year
2019 (7 years ago)
PAC ID
7517295587
Group Practice PAC ID
6901707272
Professional Enrollment ID
I20220701000147
Address ID
AZ850062612PH1111XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,179 EMERGENCY MEDICINE in AZ

Provider Addresses for COREY EDWARDS (MD)

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972393098

    Phone: (503) 494-8211

    Type: Mailing

  • 1111 E McDowell Rd

    Phoenix, AZ 850062612

    Phone: (602) 839-2000

    Type: Location

  • 1111 E MCDOWELL RD

    PHOENIX, AZ 850062612

    Phone:

    Type: Mailing

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: 2022-07-01

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
I20220701000147IEmergency MedicineAZTBD

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
99285Emergency department visit with high level of medical decision making139137$0
99284Emergency department visit with moderate level of medical decision making3130$0
99291Critical care, first 30-74 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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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: 6901707272View full group profile
NameSpecialtyState
Emergency MedicineAZ
Emergency MedicineAZ
-AZ
Emergency MedicineAZ
Emergency MedicineTX
-AZ
Emergency MedicineSC
Emergency MedicineGA
Emergency MedicineAZ
Emergency MedicineOH

Reviews

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Frequently asked questions

What number should I use to identify COREY EDWARDS (MD) for billing?
Administrative and clinical systems typically use NPI 1093277386 for COREY EDWARDS (MD).
Is COREY EDWARDS (MD)'s NPI status active today?
Active status means COREY EDWARDS (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits COREY EDWARDS (MD)?
NPPES ties COREY EDWARDS (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to COREY EDWARDS (MD)?
COREY EDWARDS (MD) is associated with Portland, Oregon in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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