EDGAR MAEYENS (MD) – MOHS-Micrographic Surgery Physician, NPI 1871574947

EDGAR MAEYENS (MD) is a healthcare provider. based in Coos bay, Oregon. specializing in MOHS-Micrographic Surgery Physician. They hold the professional credentials MD. They hold a License No. MD08528 (OR). The NPI Number for EDGAR MAEYENS (MD) is 1871574947

Main info

Male
Sole Proprietor
57 Years Of Experience
Accepts Medicare Assignment
Name
EDGAR MAEYENS (MD)
NPI
1871574947
Phone
(541) 267-7543
Address
375 PARK AVE
Enumeration Date
7 November 2005
Last Update Date
5 December 2017

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
8665993376
Graduation Year
1969 (57 years ago)
PAC ID
0143112847
Group Practice PAC ID
5890863492
Professional Enrollment ID
I20100920000580
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 EDGAR MAEYENS (MD)

  • 375, Park Avenue, Coos Bay, Coos County, Oregon, 97420, United States

    SUITE 5

    COOS BAY, OR 974202242

    Phone: (541) 267-7543

    Fax: (541) 267-2076

    Type: Location

  • 1793, 13th Street Southeast, Salem, Marion County, Oregon, 97302, United States

    SALEM, OR 973022541

    Phone: (503) 362-8385

    Fax: (503) 362-8435

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97420)

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Provider's Procedures

EDGAR MAEYENS (MD) performs procedures in MOHS-Micrographic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYOR11101Biopsy of each additional growth of skin and/or tissue2015
DERMATOLOGYOR14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips1111
DERMATOLOGYOR17003Destruction of 2-14 skin growths2147428

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: 5890863492View full group profile
NameSpecialtyState
D E R M A T O L O G YWA
D E R M A T O L O G YOR
D E R M A T O L O G YWA
Physician AssistantWA
D E R M A T O L O G YWA
Nurse PractitionerWA
D E R M A T O L O G YWA
-WA
Nurse PractitionerWA
-OR

Reviews

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Frequently asked questions

What is the 10-digit NPI for EDGAR MAEYENS (MD)?
EDGAR MAEYENS (MD) — NPI 1871574947 — is the standard way to identify this listing.
Can I rely on EDGAR MAEYENS (MD) being an active provider?
As of the registry snapshot, EDGAR MAEYENS (MD) is marked active.
What taxonomy line describes EDGAR MAEYENS (MD)?
For research purposes, treat EDGAR MAEYENS (MD) as MOHS-Micrographic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for EDGAR MAEYENS (MD)?
EDGAR MAEYENS (MD)'s geographic hint is Coos Bay, Oregon in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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