EDWARD D KOONCE (M.D.) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1720067283
Hospice and Palliative Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for EDWARD D KOONCE (M.D.)
Jackson-Madison County General Hospital, 620, Skyline Drive, Hicksville, Jackson, Madison County, Tennessee, 38301, United States
JACKSON, TN 383013923
Phone: (731) 541-5000
Type: Location
1804 HIGHWAY 45 BYP STE 100
JACKSON, TN 383054436
Phone: (731) 664-4220
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: 2008-10-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081021000301 | I | Hospice/Palliative Care | TN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | TN | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Vascular Surgery, General Surgery | MD | |
| Family Practice | TN | |
| Nurse Practitioner | TN | |
| Cardiovascular Disease (Cardiology) | DC | |
| Internal Medicine, Gastroenterology | TN | |
| Cardiovascular Disease (Cardiology) | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Pulmonary Disease, Internal Medicine, Critical Care (Intensivists), Critical Care (Intensivists) | AL |
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