RICHARD D EDGERLY MD
NPI 1336157833
Family Medicine in Union Gap, WA
About Richard D Edgerly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD D EDGERLY MD (NPI 1336157833) is an individual family medicine provider in Union Gap, Washington, licensed in Washington (MD00034059) and active in the NPI registry since August 2006. He has opted out of Medicare through March 14, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Richard D Edgerly Md 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 March 14, 2017 through March 14, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
UNION GAP, WA 98903
UNION GAP, WA 98903
UNION GAP, WA 98903
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 Richard Edgerly's NPI number?
The NPI number for Richard Edgerly is 1336157833. It was assigned to this individual provider in the NPPES registry on August 3, 2006.
Where is Richard Edgerly located?
Richard Edgerly practices at 1420 Ahtanum Ridge Dr, Union Gap, WA 98903. The listed phone number is (509) 454-7700.
What is Richard Edgerly's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Richard Edgerly enrolled in Medicare?
No. Richard Edgerly has opted out of Medicare through March 14, 2027. 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 Richard Edgerly was last updated on November 9, 2016. 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.
# Richard D Edgerly, MD · NPI 1336157833
Family Medicine physician in Union Gap, Washington. Individual provider, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1336157833 (Entity type: Individual)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD00034059 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1420 AHTANUM RIDGE DR, Union Gap, WA 98903-1839
- **Phone:** (509) 454-7700 · **Fax:** (509) 454-7710
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 14, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** November 9, 2016
- **Other identifiers:** Medicare PIN G8800118; Medicare UPIN G64703; Medicaid 8220840 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1336157833) · Data from the CMS NPPES public registry.