PETER B. EDDE (MD) – Family Medicine Physician, NPI 1265471940

PETER B. EDDE (MD) is a healthcare provider. based in Radnor, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD425127 (PA). The NPI Number for PETER B. EDDE (MD) is 1265471940

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
PETER B. EDDE (MD)
NPI
1265471940
Phone
(610) 902-5600
Address
145 KING OF PRUSSIA RD STE 205
Enumeration Date
6 June 2006
Last Update Date
27 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6109025600
Graduation Year
2000 (26 years ago)
PAC ID
0840255691
Group Practice PAC ID
2062326507
Professional Enrollment ID
I20041217000213
Address ID
PA190874557RA145XXRDXX500
Telehealth
Yes
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

6,103 FAMILY PRACTICE in PA

Provider Addresses for PETER B. EDDE (MD)

  • 145 KING OF PRUSSIA RD STE 205

    RADNOR, PA 190874557

    Phone: (610) 902-5600

    Fax: (610) 902-2304

    Type: Mailing

  • 210, Mall Boulevard, Lafayette Park, King of Prussia, Upper Merion Township, Montgomery County, Pennsylvania, 19406, United States

    STE 102

    KING OF PRUSSIA, PA 194063260

    Phone: (610) 265-0726

    Fax: (610) 265-3132

    Type: Mailing

  • 1999, West Hunting Park Avenue, Nicetown, Philadelphia, Philadelphia County, Pennsylvania, 19140, United States

    PHILADELPHIA, PA 191402828

    Phone: (215) 228-9300

    Fax: (215) 228-9913

    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: 2004-12-17

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
I20041217000213IFamily PracticePATBD

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 minutes414240$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit106106$0
99204New patient office or other outpatient visit, 45-59 minutes9191$0
99213Established patient office or other outpatient visit, 20-29 minutes4743$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit3737$0
View full utilization report →

Insurance plans in this area (ZIP 19087)

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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: 2062326507View full group profile
NameSpecialtyState
Family PracticePA
Internal MedicinePA
H O S P I T A L I S TPA
Family PracticePA
Internal MedicinePA
Internal MedicineMA
Family PracticePA
Family PracticePA
Hospitalist, Internal MedicinePA
Nurse PractitionerPA

Reviews

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Frequently asked questions

Can I cross-check PETER B. EDDE (MD) using NPI 1265471940?
NPI 1265471940 belongs to PETER B. EDDE (MD); compare other details if you need extra assurance.
Is PETER B. EDDE (MD) shown as active in public data?
Registry records indicate PETER B. EDDE (MD) maintains an active NPI.
What area of care is associated with PETER B. EDDE (MD)?
PETER B. EDDE (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is PETER B. EDDE (MD) registered?
Use Radnor, Pennsylvania as the headline location for PETER B. EDDE (MD) here.
When was this NPI issued?
Enumeration for PETER B. EDDE (MD) is noted as June 6, 2006 where the registry provides it.

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