EDMOND ELIAS PACK M.D.
NPI 1043284334
Obstetrics & Gynecology in Las Vegas, NV

Q: What is Edmond Pack's NPI number?

The NPI number for Edmond Pack is 1043284334. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Q: What is Edmond Pack's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Edmond Pack was last updated on November 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment

8285 W ARBY AVE STE 280, LAS VEGAS, NV 89113(702) 862-8862(702) 862-8774 Get Directions Write a Review

NPPES record last updated: November 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2020, Sep 10, 2019 (2 updates tracked since 2019).

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About Edmond Elias Pack M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDMOND ELIAS PACK M.D. (NPI 1043284334) is an individual obstetrics & gynecology provider in Las Vegas, Nevada, licensed in Nevada (9904) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Henderson, and is a graduate of New York Medical College (1997).

NPPES Registry Identity

NPI1043284334

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameEDMOND ELIAS PACKCredential: M.D.

Location Address8285 W ARBY AVE STE 280Las Vegas, NV 89113-2246

Mailing Address8906 Spanish Ridge Ave Ste 202Las Vegas, NV 89148-1319 · (702) 330-3102 · Fax (702) 912-4994

Phone(702) 862-8862

Fax(702) 862-8774

Sole ProprietorYes

Medical School CMSNew York Medical CollegeGraduated 1997

Enumeration DateFebruary 14, 2006

Last NPPES UpdateNovember 14, 20202 updates tracked since enumeration

NPPES CertifiedNovember 14, 2020

✔ NPI 1043284334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NV · 9904

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

8285 W ARBY AVE STE 280, Las Vegas, NV 89113

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Secondary Practice Location 1

Location 12580 Saint Rose Pkwy Ste 140Henderson, NV 89074-7792 · Phone (702) 862-8862 · Fax (702) 862-8774

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edmond Elias Pack M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284731779

PECOS Enrollment IDI20070517000336

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services19 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

24 services24 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Cervical Cancer Screening

Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…

21%1,091 patients

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

65%281 patients4/55-star benchmark: 85%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA ANNE SCHOENHAUS DO

Obstetrics & Gynecology