EDWIN SANTOS M.D.
NPI 1689652281
Internal Medicine in Campton, KY

Q: What is Edwin Santos's NPI number?

The NPI number for Edwin Santos is 1689652281. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Q: What is Edwin Santos's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Edwin Santos was last updated on March 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment

31 MAIN ST, CAMPTON MEDICAL ARTS, SUITE I, CAMPTON, KY 41301(606) 668-9076(606) 668-7488 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 14, 2023, Feb 17, 2016 (2 updates tracked since 2016).

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About Edwin Santos M.d. NPPES

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

EDWIN SANTOS M.D. (NPI 1689652281) is an individual internal medicine provider in Campton, Kentucky, licensed in Kentucky (32898) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Clark Regional Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1689652281

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameEDWIN SANTOSCredential: M.D.

Location Address31 MAIN ST, CAMPTON MEDICAL ARTS, SUITE ICampton, KY 41301-9750

Mailing AddressPo Box 99Campton, KY 41301-0099 · (606) 668-9076 · Fax (606) 668-7488

Phone(606) 668-9076

Fax(606) 668-7488

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateJanuary 4, 2006

Last NPPES UpdateMarch 14, 20232 updates tracked since enumeration

NPPES CertifiedMarch 14, 2023

✔ NPI 1689652281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · 32898

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedSpecialistTaxonomy 174400000X · License 32898 (KY)

31 MAIN ST, Campton, KY 41301

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Other Identifiers 1

Medicaid64328982KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Edwin Santos 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 ID1153316898

PECOS Enrollment IDI20040423000599

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 2

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

61 services21 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

40 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY

3/5 CMS rating

OwnershipProprietary

CMS Certification Number180092

Location175 Hospital DriveWinchester, KY 40391 · Clark County

Emergency services Birthing friendly

Morgan County Arh Hospital

Critical Access Hospitals · West Liberty, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181307

Location476 Liberty RoadWest Liberty, KY 41472 · Morgan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41301 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

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

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers96 claims237 services$5.36 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

4 suppliers21 claims21 services$2.51 avg. paid by Medicare

Spring-powered device for lancet, each A4258

DME-Other DME · category DE000N

4 suppliers11 claims11 services$1.64 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers60 claims85 services$0.96 avg. paid by Medicare

Irrigation syringe, bulb or piston, each A4322

DME-Medical/Surgical Supplies · category DA000N

1 supplier19 claims132 services$2.60 avg. paid by Medicare

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

5 suppliers17 claims34 services$52.91 avg. paid by Medicare

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

DME-Orthotic Devices · category DF000N

4 suppliers16 claims96 services$20.84 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers20 claims66 services$2.45 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers21 claims231 services$7.40 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

2 suppliers28 claims4,054 services$0.34 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers51 claims54 services$20.46 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$918.67 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers21 claims21 services$8.54 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers85 claims88 services$111.05 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers23 claims23 services$36.52 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers42 claims8,483 services$0.03 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier13 claims13 services$29.77 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers41 claims41 services$24.76 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 4

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

AMBULATORY CARE SERVICES PLLC

Clinic/Center (Rural Health)

31 MAIN ST, CAMPTON MEDICAL ARTS, SUITE I
CAMPTON, KY 41301

Wolfe County (606) 668-9076

MCKAYLYN CHEYANN MAYS PA-C

Physician Assistant (Medical)

31 MAIN ST
CAMPTON, KY 41301

Wolfe County (606) 668-9076

KAYLA DAWN MANN

Nurse Practitioner (Family)

31 MAIN ST
CAMPTON, KY 41301

Wolfe County (606) 668-9076

SHEILA JONES ARNP

Nurse Practitioner (Primary Care)

31 MAIN ST
CAMPTON, KY 41301

Wolfe County (606) 668-9076

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 Santos's NPI number?

The NPI number for Edwin Santos is 1689652281. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Edwin Santos located?

Edwin Santos practices at 31 Main St Campton Medical Arts, Suite I, Campton, KY 41301. The listed phone number is (606) 668-9076.

What is Edwin Santos's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edwin Santos enrolled in Medicare?

Yes. Edwin Santos 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 Santos accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Edwin Santos 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 Santos affiliated with any hospitals?

According to CMS data, Edwin Santos is affiliated with Clark Regional Medical Center and Morgan County Arh Hospital.

When was this NPI record last updated?

The NPPES record for Edwin Santos was last updated on March 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.