CHARLES V. JR. EDMOND (MD) – Otolaryngology Physician, NPI 1851327324
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
321 OTOLARYNGOLOGY in WA
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Provider Addresses for CHARLES V. JR. EDMOND (MD)
Puyallup Post Office, 204, 2nd Street Southwest, Puyallup, Pierce County, Washington, 98371, United States
PUYALLUP, WA 983710231
Phone: (253) 770-9000
Fax: (253) 770-9712
Type: Mailing
Ear Nose Throat & Allergy Associates, 104, 27th Avenue Southeast, Puyallup, Pierce County, Washington, 98374, United States
PUYALLUP, WA 983741145
Phone: (253) 770-9000
Fax: (253) 770-9712
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $1,534.
Total Amount is formed as General ($1,534) + Research ($0) + Ownership ($0) = $1,534.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($460).
Total Amount
$1,534
General + Research + Ownership
Payments
36
Total payment records
General Amount
$1,534
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $460 |
| Medtronic, Inc. | $278 |
| GENZYME CORPORATION | $195 |
| GlaxoSmithKline, LLC. | $137 |
| Neurent Medical Limited | $119 |
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: 2012-04-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120426000157 | I | Otolaryngology | WA | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,404 | 21 | $0 |
| 95117 | Professional service for multiple injections of allergen | 462 | 20 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 408 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 347 | 229 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 119 | 119 | $0 |
Insurance plans in this area (ZIP 98371)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | WA | 92567 | Eardrum testing using ear probe | 114 | 111 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Orthopedic Surgery, Hand Surgery | WA | |
| U R O L O G Y | WA | |
| Occupational Therapist In Private Practice | WA | |
| - | WA | |
| Orthopedic Surgery, Sports Medicine | WA | |
| Physician Assistant | WA | |
| - | WA | |
| Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery, Surgical Oncology | WA | |
| - | WA |
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