DR. DAVID A EDMONDSON (DO) – Allergy Physician, NPI 1124079033

DR. DAVID A EDMONDSON (DO) is a healthcare provider. based in Wausau, Wisconsin. specializing in ALLERGY/IMMUNOLOGY, INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 45109 (WI). The NPI Number for DR. DAVID A EDMONDSON (DO) is 1124079033

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID A EDMONDSON (DO)
NPI
1124079033
Phone
(715) 847-2021
Address
512 S 28TH AVE
Enumeration Date
15 May 2006
Last Update Date
13 April 2020

Doctor Profile

Medical School Name
COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Secondary Phone
7158472021
Graduation Year
2001 (25 years ago)
PAC ID
2769495860
Group Practice PAC ID
2062429608
Professional Enrollment ID
I20060712000318
Address ID
WI544014147WA512XXAVEX400
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

96 ALLERGY/IMMUNOLOGY in WI

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Provider Addresses for DR. DAVID A EDMONDSON (DO)

  • ENT & Allergy Associates, S.C., 512, South 28th Avenue, Wausau, Marathon County, Wisconsin, 54401, United States

    WAUSAU, WI 544014147

    Phone: (715) 847-2021

    Fax: (715) 847-2325

    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 98 Open Payments records for all available years, with a total value of $98,060.

Total Amount is formed as General ($98,060) + Research ($0) + Ownership ($0) = $98,060.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($79,707).

Total Amount

$98,060

General + Research + Ownership

Payments

98

Total payment records

General Amount

$98,060

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-07-12

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
I20060712000318IAllergy/ImmunologyWITBD

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
95004Test for allergy using allergenic extract2,36562$0
95024Test for allergy using allergenic extract injected into skin44744$0
95117Professional service for multiple injections of allergen16427$0
95165Professional service for preparation and provision of 1 or more antigens15513$0
99214Established patient office or other outpatient visit, 30-39 minutes11386$0
View full utilization report →

Insurance plans in this area (ZIP 54401)

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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: 2062429608View full group profile
NameSpecialtyState
Physician AssistantMN
Physician AssistantWI
O T O L A R Y N G O L O G YMS
O T O L A R Y N G O L O G YWI
O T O L A R Y N G O L O G YWI
O T O L A R Y N G O L O G YWI
Physician AssistantWI
Qualified AudiologistWI
O T O L A R Y N G O L O G YWI
O T O L A R Y N G O L O G YWI

Reviews

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Frequently asked questions

Does DR. DAVID A EDMONDSON (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. DAVID A EDMONDSON (DO) uses 1124079033.
Can I rely on DR. DAVID A EDMONDSON (DO) being an active provider?
As of the registry snapshot, DR. DAVID A EDMONDSON (DO) is marked active.
What is DR. DAVID A EDMONDSON (DO) best known for clinically?
Directory data describes DR. DAVID A EDMONDSON (DO) with Allergy Physician. Clinical services aligned with this taxonomy classification.
What area does DR. DAVID A EDMONDSON (DO) serve?
DR. DAVID A EDMONDSON (DO)'s listing highlights Wausau, Wisconsin; more addresses can appear in NPPES.
Why does DR. DAVID A EDMONDSON (DO) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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