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EDGAR PRENTISS COLTHARP JR. PA-C
NPI 1104956515
Physician Assistant in Anchorage, AK

Active since March 06, 2007Opted out of Medicare · through Apr 1, 2028
3300 ARCTIC BLVD, # 101, ANCHORAGE, AK 99503(907) 561-3488(907) 562-3488 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgar Prentiss Coltharp Jr. Pa-c NPPES

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

EDGAR PRENTISS COLTHARP JR. PA-C (NPI 1104956515) is an individual physician assistant in Anchorage, Alaska, licensed in Alaska (729) and active in the NPI registry since March 2007. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104956515
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEDGAR PRENTISS COLTHARP JR.Credential: PA-C
Location Address3300 ARCTIC BLVD, # 101Anchorage, AK 99503-4523
Mailing Address12032 Copper Mountain DrEagle River, AK 99577-7304 · (907) 694-1173
Phone(907) 561-3488
Fax(907) 562-3488
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateMarch 7, 2023
✔ NPI 1104956515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AK · 729
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3300 ARCTIC BLVD, Anchorage, AK 99503
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Edgar Prentiss Coltharp Jr. Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2012 through April 1, 2028.

Opt-Out Effective DateApril 1, 2012
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99503 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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.

Other Providers at the Same Location NPPES 3

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

SALLY L. COBURN NP
Nurse Practitioner (Family)
3300 ARCTIC BLVD, STE 101
ANCHORAGE, AK 99503
Anchorage Municipality (907) 561-3488
HENRY ALLEN CHAPMAN PA-C
Physician Assistant
3300 ARCTIC BLVD, SUITE 101
ANCHORAGE, AK 99503
Anchorage Municipality (907) 561-3488
ACCLIMATE ABA AK LLC
Behavior Analyst
3300 ARCTIC BLVD
ANCHORAGE, AK 99503
Anchorage Municipality (845) 826-2903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgar Coltharp's NPI number?

The NPI number for Edgar Coltharp is 1104956515. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Edgar Coltharp located?

Edgar Coltharp practices at 3300 Arctic Blvd # 101, Anchorage, AK 99503. The listed phone number is (907) 561-3488.

What is Edgar Coltharp's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Edgar Coltharp enrolled in Medicare?

No. Edgar Coltharp has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Edgar Coltharp was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.