DR. WENDELL ALAN EDGIN (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1619977493
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
145 ORAL SURGERY in TX
Provider Addresses for DR. WENDELL ALAN EDGIN (DDS)
4499 MEDICAL DR
SUITE 190
SAN ANTONIO, TX 782293735
Phone: (210) 614-3916
Fax: (210) 614-3918
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $294.
Total Amount is formed as General ($294) + Research ($0) + Ownership ($0) = $294.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Geistlich Pharma, North America, Inc. ($294).
Total Amount
$294
General + Research + Ownership
Payments
1
Total payment records
General Amount
$294
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Geistlich Pharma, North America, Inc. | $294 |
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: 2023-09-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070406000203 | I | Maxillofacial Surgery | TX | TBD |
| I20230914003849 | I | Oral Surgery | TX | 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 78229)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| - | TX | |
| Internal Medicine, Hospitalist | TX | |
| - | TX | |
| - | TX | |
| Internal Medicine, Hematology/Oncology | TX | |
| - | TX | |
| Hematology/Oncology, Medical Oncology | TX | |
| - | TX |
Reviews
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