CHRISTOPHER WRAY EDWARDSON (MD) – Family Medicine Physician, NPI 1689667560

CHRISTOPHER WRAY EDWARDSON (MD) is a healthcare provider. based in Dallas, Oregon. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD13699 (OR). The NPI Number for CHRISTOPHER WRAY EDWARDSON (MD) is 1689667560

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER WRAY EDWARDSON (MD)
NPI
1689667560
Phone
(503) 623-2345
Address
641 SE MILLER AVE
Enumeration Date
26 August 2005
Last Update Date
10 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9716126100
Graduation Year
1982 (44 years ago)
PAC ID
1456256791
Group Practice PAC ID
8325941446
Professional Enrollment ID
I20060419000045
Address ID
OR973382865DA531XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,081 FAMILY PRACTICE in OR

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Provider Addresses for CHRISTOPHER WRAY EDWARDSON (MD)

  • 641, Southeast Miller Avenue, Dallas, Polk County, Oregon, 97338, United States

    DALLAS, OR 973382634

    Phone: (503) 623-2345

    Fax: (503) 623-6071

    Type: Mailing

  • PO BOX 1517

    PENDLETON, OR 978010410

    Phone: (877) 708-1119

    Fax: (541) 278-8349

    Type: Mailing

  • 531 SE CLAY ST

    DALLAS, OR 973382865

    Phone: (971) 612-6100

    Fax: (971) 612-6101

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-08-23 • Largest payer in this snapshot: Novo Nordisk Inc ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$21
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: 2006-04-19

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
I20060419000045IFamily 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
99214Established patient office or other outpatient visit, 30-39 minutes16385$0
99213Established patient office or other outpatient visit, 20-29 minutes5338$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3737$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use1616$0
G0009Administration of pneumococcal vaccine1515$0
View full utilization report →

Insurance plans in this area (ZIP 97338)

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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: 8325941446View full group profile
NameSpecialtyState
Family PracticeOR
Nurse PractitionerOR
A L L E R G Y/ I M M U N O L O G YOR
-OR
Family PracticeOR
-OR
-OR
Physician AssistantOR
Family PracticeOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

What identifier follows CHRISTOPHER WRAY EDWARDSON (MD) across health systems?
The NPI 1689667560 uniquely identifies CHRISTOPHER WRAY EDWARDSON (MD) in U.S. healthcare data.
Is CHRISTOPHER WRAY EDWARDSON (MD) currently accepting referrals based on NPI status?
Registry metadata lists CHRISTOPHER WRAY EDWARDSON (MD) as active.
What type of care does CHRISTOPHER WRAY EDWARDSON (MD) provide?
CHRISTOPHER WRAY EDWARDSON (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to CHRISTOPHER WRAY EDWARDSON (MD)?
The directory associates CHRISTOPHER WRAY EDWARDSON (MD) with Dallas, Oregon. Check all listed addresses for suites or satellite offices.
Why is information missing for CHRISTOPHER WRAY EDWARDSON (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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