LAWRENCE E EDE (DO) – Family Medicine Physician, NPI 1275063521

LAWRENCE E EDE (DO) is a healthcare provider. based in Conroe, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. R8730 (TX). The NPI Number for LAWRENCE E EDE (DO) is 1275063521

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
LAWRENCE E EDE (DO)
NPI
1275063521
Phone
(936) 539-4004
Address
605 S Conroe Medical Dr
Enumeration Date
19 June 2017
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
8322193833
Graduation Year
2017 (9 years ago)
PAC ID
6800043217
Group Practice PAC ID
0042662462
Professional Enrollment ID
I20200519000197
Address ID
TX770279510HO1535XSXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for LAWRENCE E EDE (DO)

  • 605 S Conroe Medical Dr

    Conroe, TX 773044722

    Phone: (936) 539-4004

    Fax: (936) 539-3635

    Type: Location

  • 605, South Conroe Medical Drive, Conroe, Montgomery County, Texas, 77304, United States

    CONROE, TX 773044722

    Phone: (936) 539-4004

    Type: Location

  • 227 STATE HIGHWAY 75 N STE 130

    HUNTSVILLE, TX 773203171

    Phone: (936) 539-4004

    Fax: (936) 291-0746

    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: 2020-05-19

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
I20200519000197IFamily PracticeTXTBD

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
99285Emergency department visit with high level of medical decision making1919$0
99284Emergency department visit with moderate level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 77304)

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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: 0042662462View full group profile
NameSpecialtyState
Emergency MedicineTX
Family PracticeTX
Internal Medicine, Emergency MedicineAZ
Family Practice, Emergency Medicine, Internal Medicine, Obstetrics/GynecologyNM
Emergency Medicine, Family PracticeTX
Emergency MedicineTX
Emergency Medicine, General Practice, Ophthalmology, Pain ManagementTX
Emergency MedicinePA
Family PracticeTX
Emergency MedicineCA

Reviews

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Frequently asked questions

What federal number belongs to LAWRENCE E EDE (DO)?
The federal identifier for LAWRENCE E EDE (DO) is NPI 1275063521.
Is LAWRENCE E EDE (DO)'s NPI currently valid?
The extract we use shows LAWRENCE E EDE (DO) as active.
What kind of provider is LAWRENCE E EDE (DO)?
The page reflects Family Medicine Physician for LAWRENCE E EDE (DO). Clinical services aligned with this taxonomy classification.
What location shows for LAWRENCE E EDE (DO)?
We surface Conroe, Texas for LAWRENCE E EDE (DO) based on available NPPES addresses.
What if Conroe, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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