DR. LANCE DUSTIN EDMONDS M.D.
NPI 1124214374
Radiology - Diagnostic Radiology in Provo, UT

Active since September 21, 2007PECOS EnrolledAccepts Medicare Assignment
1055 N 500 W STE 112, PROVO, UT 84604(801) 812-4624(801) 812-4699 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2025, Jul 5, 2022, May 16, 2019 (3 updates tracked since 2019).

About Dr. Lance Dustin Edmonds M.d. NPPES

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

DR. LANCE DUSTIN EDMONDS M.D. (NPI 1124214374) is an individual diagnostic radiology provider in Provo, Utah, licensed in Utah (380515-1205) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1124214374
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. LANCE DUSTIN EDMONDSCredential: M.D.
Location Address1055 N 500 W STE 112Provo, UT 84604-3305
Mailing Address1055 N 500 W, Attn CredentialingProvo, UT 84604 · (801) 354-8225 · Fax (801) 418-0941
Fax(801) 812-4699
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2004
Enumeration DateSeptember 21, 2007
Last NPPES UpdateMarch 20, 20253 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
NPI 1124214374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in UT · 380515-1205 Licensed in CA · A108694
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1055 N 500 W STE 112, Provo, UT 84604

Secondary Practice Locations 4

Location 13000 N Triumph Blvd Ste 100Lehi, UT 84043-4999 · Phone (385) 345-3155 · Fax (385) 345-3163
Location 2555 W State Road 164Salem, UT 84653-5732 · Phone (801) 812-4624 · Fax (801) 812-4699
Location 32825 E Mall DrSt George, UT 84790-1954 · Phone (435) 986-2238 · Fax (435) 986-2237
Location 41175 E 50 S Ste 141American Fork, UT 84003-2845 · Phone (801) 492-5996 · Fax (801) 492-5993

Accepted 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

Dr. Lance Dustin Edmonds 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 ID8729132048
PECOS Enrollment IDI20221026000712
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 66

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
12,288 services156 patients
Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
11,121 services74 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
208 services178 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
141 services140 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
136 services136 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
124 services122 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Payson, UT
4/5 CMS rating
OwnershipProprietary
CMS Certification Number460013
Location1000 East 100 NorthPayson, UT 84651 · Utah County
Emergency services Birthing friendly

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County
Emergency services Birthing friendly

Timpanogos Regional Hospital

Acute Care Hospitals · Orem, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460052
Location750 West 800 NorthOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Central Valley Medical Center - Cah

Critical Access Hospitals · Nephi, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461304
Location48 West 1500 NorthNephi, UT 84648 · Juab County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 6

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

Radiology (Diagnostic Radiology)
1055 N 500 W STE 112
PROVO, UT 84604
Physician Assistant
1055 N 500 W STE 112
PROVO, UT 84604
Radiology (Diagnostic Radiology)
1055 N 500 W STE 112
PROVO, UT 84604
Radiology (Vascular & Interventional Radiology)
1055 N 500 W STE 112
PROVO, UT 84604
Radiology (Diagnostic Radiology)
1055 N 500 W STE 112
PROVO, UT 84604
Radiology (Diagnostic Radiology)
1055 N 500 W STE 112
PROVO, UT 84604

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 Lance Edmonds's NPI number?

The NPI number for Lance Edmonds is 1124214374. It was assigned to this individual provider in the NPPES registry on September 21, 2007.

Where is Lance Edmonds located?

Lance Edmonds practices at 1055 N 500 W Ste 112, Provo, UT 84604. The listed phone number is (801) 812-4624.

What is Lance Edmonds's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Lance Edmonds enrolled in Medicare?

Yes. Lance Edmonds is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lance Edmonds accept?

Health plans from Molina Healthcare and Select Health list Lance Edmonds as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lance Edmonds affiliated with any hospitals?

According to CMS data, Lance Edmonds is affiliated with Utah Valley Hospital, Mountain View Hospital, Holy Cross Hospital-Jordan Valley, Timpanogos Regional Hospital and Central Valley Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Lance Edmonds was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.