TERENCE SHAUN EDGAR (MD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1679506091

TERENCE SHAUN EDGAR (MD) is a healthcare provider. based in Green bay, Wisconsin. specializing in NEUROLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 34917-20 (WI). The NPI Number for TERENCE SHAUN EDGAR (MD) is 1679506091

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
TERENCE SHAUN EDGAR (MD)
NPI
1679506091
Phone
(920) 496-4700
Address
PO BOX 19070
Enumeration Date
9 July 2006
Last Update Date
28 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204964700
Graduation Year
1984 (42 years ago)
PAC ID
0547202194
Group Practice PAC ID
5799694675
Professional Enrollment ID
I20050524001335
Address ID
WI543012253GR1821XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Digital endpointsOther names

509 NEUROLOGY in WI

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Provider Addresses for TERENCE SHAUN EDGAR (MD)

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States of America

    GREEN BAY, WI 543079070

    Phone: (920) 496-4700

    Type: Mailing

  • 1821, South Webster Avenue, Allouez, Brown County, Wisconsin, 54301, United States

    GREEN BAY, WI 543012253

    Phone: (920) 496-4700

    Type: Location

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 $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: CATALYST PHARMACEUTICALS, INC. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

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: 2005-05-24

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
I20050524001335INeurologyWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54307)

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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: 5799694675View full group profile
NameSpecialtyState
P O D I A T R YWI
-WI
-WI
Family Practice, Sports MedicineWI
-OH
Physical Therapist In Private PracticeWI
-WI
-WI
Internal Medicine, HospitalistWI
-WI

Reviews

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Frequently asked questions

What number should I use to identify TERENCE SHAUN EDGAR (MD) for billing?
Administrative and clinical systems typically use NPI 1679506091 for TERENCE SHAUN EDGAR (MD).
Quick check: is TERENCE SHAUN EDGAR (MD) active?
Public NPPES data shows TERENCE SHAUN EDGAR (MD) with an active NPI status right now.
How should patients interpret TERENCE SHAUN EDGAR (MD)'s specialty?
The extract shows Neurology with Special Qualifications in Child Neurology Physician for TERENCE SHAUN EDGAR (MD). Clinical services aligned with this taxonomy classification.
Can patients visit TERENCE SHAUN EDGAR (MD) in Green Bay, Wisconsin?
For routing, start with Green Bay, Wisconsin for TERENCE SHAUN EDGAR (MD), then verify phone and hours locally.
Why is information missing for TERENCE SHAUN EDGAR (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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