DR. EDWIN WENDELL GANNON III M.D.
NPI 1205362571
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since May 05, 2017PECOS EnrolledAccepts Medicare Assignment
83.66/100
CMS Quality Rating
UNIVERSITY OF TENNESSEE, 920 MADISON AVENUE SUITE 447, MEMPHIS, TN 38163(901) 448-5814 Get Directions Write a Review

NPPES record last updated: May 5, 2017. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Edwin Wendell Gannon Iii M.d. NPPES

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

DR. EDWIN WENDELL GANNON III M.D. (NPI 1205362571) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2017).

NPPES Registry Identity

NPI1205362571
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. EDWIN WENDELL GANNON IIICredential: M.D.
Location AddressUNIVERSITY OF TENNESSEE, 920 MADISON AVENUE SUITE 447Memphis, TN 38163-0001
Mailing AddressUniversity Of Tennessee, 920 Madison Avenue Suite 447Memphis, TN 38163-0001 · (901) 448-5814
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2017
Enumeration DateMay 5, 2017
✔ NPI 1205362571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
UNIVERSITY OF TENNESSEE, Memphis, TN 38163

Other Names 1

Other Name (5)Dr. Wyn Gannon M.d.

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. Edwin Wendell Gannon Iii 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 ID4183020365
PECOS Enrollment IDI20210914001631
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 19

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
292 services251 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
289 services262 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
273 services169 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.
241 services195 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
132 services81 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
116 services78 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

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.

83.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost45.56

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
UNIVERSITY OF TENNESSEE, 910 MADISON AVENUE SUITE 1031
MEMPHIS, TN 38163
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE, 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Obstetrics & Gynecology
UNIVERSITY OF TENNESSEE, 910 MADISON AVE SUITE 1031
MEMPHIS, TN 38163
Hospitalist
UNIVERSITY OF TENNESSEE, 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Emergency Medicine
UNIVERSITY OF TENNESSEE, 910 MADISON AVENUE SUITE 1031
MEMPHIS, TN 38163
Psychiatry & Neurology (Child & Adolescent Psychiatry)
UNIVERSITY OF TENNESSEE, 910 MADISON AVE. SUITE 1031
MEMPHIS, TN 38163
Surgery
UNIVERSITY OF TENNESSEE, 910 MADISON AVENUE SUITE 1031
MEMPHIS, TN 38163
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE, 910 MADISON AVE. SUITE 1031
MEMPHIS, TN 38163

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 Edwin Gannon's NPI number?

The NPI number for Edwin Gannon is 1205362571. It was assigned to this individual provider in the NPPES registry on May 5, 2017. The provider is also known as Dr. Wyn Gannon M.D..

Where is Edwin Gannon located?

Edwin Gannon practices at University Of Tennessee 920 Madison Avenue Suite 447, Memphis, TN 38163. The listed phone number is (901) 448-5814.

What is Edwin Gannon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Edwin Gannon enrolled in Medicare?

Yes. Edwin Gannon 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 Edwin Gannon accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 4 other insurers list Edwin Gannon 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 Edwin Gannon affiliated with any hospitals?

According to CMS data, Edwin Gannon is affiliated with Memorial Healthcare System, Inc and Erlanger Medical Center.

When was this NPI record last updated?

The NPPES record for Edwin Gannon was last updated on May 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.