MR. LARRY EDWARDS (MD) – Diagnostic Radiology Physician, NPI 1205801081

MR. LARRY EDWARDS (MD) is a healthcare provider. based in Midland, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. K5518 (TX). The NPI Number for MR. LARRY EDWARDS (MD) is 1205801081

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. LARRY EDWARDS (MD)
NPI
1205801081
Phone
(432) 570-1421
Address
PO BOX 5500
Enumeration Date
23 February 2006
Last Update Date
14 April 2008

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
8882640330
Graduation Year
1997 (29 years ago)
PAC ID
2062474851
Group Practice PAC ID
8628332061
Professional Enrollment ID
I20041103000606
Address ID
TX782553338SA18002VWXX300
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

3,303 DIAGNOSTIC RADIOLOGY in TX

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Provider Addresses for MR. LARRY EDWARDS (MD)

  • Midland Post Office, 525, Dominion Avenue, Downtown Midland, Midland, Simcoe County, Central Ontario, Ontario, L4R 0A0, Canada

    MIDLAND, TX 797045500

    Phone: (432) 570-1421

    Fax: (432) 570-1427

    Type: Mailing

  • 2200, West Illinois Avenue, Morelan, Midland, Midland County, Texas, 79701, United States

    MIDLAND, TX 797016407

    Phone: (432) 570-1421

    Fax: (432) 570-1427

    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: 2004-11-03

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
I20041103000606IDiagnostic RadiologyTXTBD

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.

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

Insurance plans in this area (ZIP 79704)

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Provider's Procedures

MR. LARRY EDWARDS (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTX73562X-ray of knee, 3 views2221

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: 8628332061View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyAZ
Diagnostic RadiologyTN
Diagnostic RadiologyTN
-CO
Diagnostic RadiologyFL
Diagnostic RadiologyOK
Diagnostic RadiologySC
Diagnostic RadiologyAL
Diagnostic RadiologyMO

Reviews

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Frequently asked questions

Can I cross-check MR. LARRY EDWARDS (MD) using NPI 1205801081?
NPI 1205801081 belongs to MR. LARRY EDWARDS (MD); compare other details if you need extra assurance.
Active or inactive — what applies to MR. LARRY EDWARDS (MD)?
You should see MR. LARRY EDWARDS (MD) as active in CMS-hosted NPPES data.
What area of care is associated with MR. LARRY EDWARDS (MD)?
MR. LARRY EDWARDS (MD)'s record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is MR. LARRY EDWARDS (MD) registered?
Use Midland, Texas as the headline location for MR. LARRY EDWARDS (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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