EDWARD K SCANLON MD
NPI 1699777128
Internal Medicine - Pulmonary Disease in Orange City, FL

Q: What is Edward Scanlon's NPI number?

The NPI number for Edward Scanlon is 1699777128. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Q: What is Edward Scanlon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Edward Scanlon was last updated on January 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment

96.24/100

CMS Quality Rating

1075 TOWN CENTER DR, ORANGE CITY, FL 32763(386) 917-0333 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Edward K Scanlon Md NPPES

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

EDWARD K SCANLON MD (NPI 1699777128) is an individual pulmonary disease provider in Orange City, Florida, licensed in Florida (0055632) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1984).

NPPES Registry Identity

NPI1699777128

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameEDWARD K SCANLONCredential: MD

Location Address1075 TOWN CENTER DROrange City, FL 32763-8360

Mailing Address1075 Town Center DrOrange City, FL 32763-8360 · (386) 917-0333

Phone(386) 917-0333

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1984

Enumeration DateAugust 15, 2005

Last NPPES UpdateJanuary 28, 2008

✔ NPI 1699777128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in FL · 0055632

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 0055632 (FL)

1075 TOWN CENTER DR, Orange City, FL 32763

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Other Identifiers 2

Medicare UPINE71313

Medicare ID-Type Unspecified09193Z

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed 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

Edward K Scanlon Md 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 ID3173605359

PECOS Enrollment IDI20080126000100

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 10

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.

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.

480 services298 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

87 services87 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

84 services83 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

83 services82 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

83 services82 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

70 services53 patients

Hospital Affiliations CMS Care Compare 4

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Adventhealth Deland

Acute Care Hospitals · Deland, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100045

Location701 W Plymouth AveDeland, FL 32720 · Volusia County

Emergency services

Adventhealth Fish Memorial

Acute Care Hospitals · Orange City, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100072

Location1055 Saxon BlvdOrange City, FL 32763 · Volusia County

Emergency services Birthing friendly

Central Florida Lake Monroe Hospital

Acute Care Hospitals · Sanford, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100161

Location1401 W Seminole BlvdSanford, FL 32771 · Seminole County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32763 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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.

96.24/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

Cost

77.49

Referred Medical Equipment & Supplies CMS DME claims 27

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

9 suppliers48 claims48 services$32.83 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers12 claims23 services$1.27 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

15 suppliers70 claims70 services$73.80 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

14 suppliers74 claims202 services$28.17 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

7 suppliers51 claims269 services$16.77 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

7 suppliers31 claims178 services$12.59 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

8 suppliers77 claims77 services$47.47 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

14 suppliers84 claims84 services$14.85 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

4 suppliers13 claims13 services$8.41 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

13 suppliers95 claims95 services$9.92 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

15 suppliers143 claims811 services$1.70 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

6 suppliers16 claims16 services$5.10 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

12 suppliers64 claims64 services$10.77 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

6 suppliers89 claims94 services$13.16 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers16 claims16 services$43.73 avg. paid by Medicare

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

DME-Other DME · category DE005N

3 suppliers32 claims32 services$910.74 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

4 suppliers33 claims33 services$67.81 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier18 claims18 services$11.87 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers22 claims22 services$3.95 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

8 suppliers82 claims84 services$28.69 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

12 suppliers249 claims256 services$64.27 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

7 suppliers91 claims94 services$29.05 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers24 claims1,410 services$4.43 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

9 suppliers52 claims12,491 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers22 claims2,370 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers24 claims1,440 services$0.82 avg. paid by Medicare

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

DME-Other DME · category DE000N

10 suppliers73 claims73 services$24.64 avg. paid by Medicare

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

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.

KATHERINE ALEXANDRA SMITH

Nurse Practitioner (Family)

1075 TOWN CENTER DR
ORANGE CITY, FL 32763

Volusia County (386) 917-0333

PULMONARY PRACTICE ASSOCIATES MD PA

Internal Medicine (Pulmonary Disease)

1075 TOWN CENTER DR
ORANGE CITY, FL 32763

Volusia County (386) 917-0333

BROOKE ALISON ROBERTS

Nurse Practitioner (Acute Care)

1075 TOWN CENTER DR
ORANGE CITY, FL 32763

Volusia County (386) 917-0333

ARIANNE DANIELLE BENNETT-VENNER MD

Internal Medicine (Pulmonary Disease)

1075 TOWN CENTER DR
ORANGE CITY, FL 32763

Volusia County (386) 917-0333

KRISTAL ALEXIS CARTHAN MD

Internal Medicine (Pulmonary Disease)

1075 TOWN CENTER DR
ORANGE CITY, FL 32763

Volusia County (386) 917-0333

MRS. SHAHANA MASOOD M.D

Internal Medicine (Sleep Medicine)

1075 TOWN CENTER DR
ORANGE CITY, FL 32763

Volusia County (386) 917-0333

DR. GABRIEL KWAME MAYERSON DNP

Nurse Practitioner (Acute Care)

1075 TOWN CENTER DR
ORANGE CITY, FL 32763

Volusia County (386) 917-0333

ASHRAF A LUQMAN MD

Internal Medicine (Pulmonary Disease)

1075 TOWN CENTER DR
ORANGE CITY, FL 32763

Volusia County (386) 917-0333

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 Edward Scanlon's NPI number?

The NPI number for Edward Scanlon is 1699777128. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Edward Scanlon located?

Edward Scanlon practices at 1075 Town Center Dr, Orange City, FL 32763. The listed phone number is (386) 917-0333.

What is Edward Scanlon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Edward Scanlon enrolled in Medicare?

Yes. Edward Scanlon 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 Edward Scanlon accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Edward Scanlon 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 Edward Scanlon affiliated with any hospitals?

According to CMS data, Edward Scanlon is affiliated with Adventhealth Orlando, Adventhealth Deland, Adventhealth Fish Memorial and Central Florida Lake Monroe Hospital.

When was this NPI record last updated?

The NPPES record for Edward Scanlon was last updated on January 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.