EDWIN BLOUNT CARMACK (MD) – Hospitalist Physician, NPI 1174504302

EDWIN BLOUNT CARMACK (MD) is a healthcare provider. based in Wenatchee, Washington. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD00048684 (WA). The NPI Number for EDWIN BLOUNT CARMACK (MD) is 1174504302

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
EDWIN BLOUNT CARMACK (MD)
NPI
1174504302
Phone
(509) 663-8711
Address
820 N CHELAN AVE
Enumeration Date
5 November 2005
Last Update Date
12 November 2020

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5096622208
Graduation Year
2002 (24 years ago)
PAC ID
8921021262
Group Practice PAC ID
4880504596
Professional Enrollment ID
I20071017000370
Address ID
WA988013201WE1201XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,188 HOSPITALIST in WA

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Provider Addresses for EDWIN BLOUNT CARMACK (MD)

  • Wenatchee Valley Medical Center, 820, North Chelan Avenue, Wenatchee, Chelan County, Washington, 98801, United States

    WENATCHEE, WA 988012028

    Phone: (509) 663-8711

    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)

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: 2007-10-17

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
I20071017000370IHospitalistWATBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 98801)

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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: 4880504596View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineWA
Internal MedicineOR
-WA
Internal MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YMT
-WA
Emergency MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Diagnostic RadiologyOH
Physician AssistantWA

Reviews

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Frequently asked questions

What is the standard ID for EDWIN BLOUNT CARMACK (MD) in the U.S.?
In the U.S., EDWIN BLOUNT CARMACK (MD) is identified by NPI 1174504302.
Is EDWIN BLOUNT CARMACK (MD) currently accepting referrals based on NPI status?
Registry metadata lists EDWIN BLOUNT CARMACK (MD) as active.
What does the directory say EDWIN BLOUNT CARMACK (MD) does?
Insurance directories may phrase it differently, but here EDWIN BLOUNT CARMACK (MD) maps to Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Can patients visit EDWIN BLOUNT CARMACK (MD) in Wenatchee, Washington?
For routing, start with Wenatchee, Washington for EDWIN BLOUNT CARMACK (MD), then verify phone and hours locally.
Can I export EDWIN BLOUNT CARMACK (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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