DR. SUPAKUNYA EDMONSON (D.O.) – Neurology Physician, NPI 1366420853
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
704 NEUROLOGY in VA
Provider Addresses for DR. SUPAKUNYA EDMONSON (D.O.)
Pompey Street, Brigadoon, Virginia Beach, Virginia, 23464, United States
VIRGINIA BEACH, VA 234646514
Phone:
Type: Mailing
USS ENTERPRISE
MEDICAL DEPT
NORFOLK, VA 235510001
Phone: (757) 444-8632
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $840.
Total Amount is formed as General ($840) + Research ($0) + Ownership ($0) = $840.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: UCB, Inc. ($314).
Total Amount
$840
General + Research + Ownership
Payments
25
Total payment records
General Amount
$840
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $314 |
| SK Life Science, Inc. | $135 |
| InSightec,Inc | $78 |
| ABBVIE INC. | $66 |
| Biogen, Inc. | $49 |
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: 2024-06-20
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 |
|---|---|---|---|---|
| I20150817000031 | I | Neurology | VA | TBD |
| I20240620000129 | I | Neurology | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0426 | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth | 238 | 234 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 102 | 87 | $0 |
| G0425 | Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth | 58 | 58 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 28 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 26 | 24 | $0 |
Insurance plans in this area (ZIP 23464)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine, Internal Medicine | IL | |
| Emergency Medicine | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| N E U R O L O G Y | AR | |
| Internal Medicine | MO |
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