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DR. EDWARD DENNIS SCANLAN MD
NPI 1861475196
Internal Medicine in Brandon, FL

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
426 W BRANDON BLVD, BRANDON, FL 33511(813) 681-4444(813) 661-8763 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edward Dennis Scanlan Md NPPES

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

DR. EDWARD DENNIS SCANLAN MD (NPI 1861475196) is an individual internal medicine provider in Brandon, Florida, licensed in Florida (ME0048898) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1861475196
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EDWARD DENNIS SCANLANCredential: MD
Location Address426 W BRANDON BLVDBrandon, FL 33511-5002
Mailing Address426 W Brandon BlvdBrandon, FL 33511-5002 · (813) 681-4444 · Fax (813) 661-8763
Phone(813) 681-4444
Fax(813) 661-8763
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateNovember 21, 2005
Last NPPES UpdateMarch 22, 2016
✔ NPI 1861475196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME0048898
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.
426 W BRANDON BLVD, Brandon, FL 33511
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Other Identifiers 5

Other1114182235FL · Group Npi
OtherGW208ZFL · Medicare Ptan #
Medicare PINP00040569FL
Other1861475196FL · Npi
Medicare UPIND20870

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. 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

Dr. Edward Dennis Scanlan 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 ID4981591989
PECOS Enrollment IDI20040303001014
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 3

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.
282 services160 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
165 services165 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
101 services76 patients

Hospital Affiliations CMS Care Compare 2

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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 suppliers29 claims90 services$5.73 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 2

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

SRINIVASAN SATHYA M.D.
Anesthesiology (Pain Medicine)
426 W BRANDON BLVD
BRANDON, FL 33511
Hillsborough County (813) 388-2948
MARK LEE CRAFT MD PA
Internal Medicine
426 W BRANDON BLVD
BRANDON, FL 33511
Hillsborough County (813) 681-4444

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 Scanlan's NPI number?

The NPI number for Edward Scanlan is 1861475196. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Edward Scanlan located?

Edward Scanlan practices at 426 W Brandon Blvd, Brandon, FL 33511. The listed phone number is (813) 681-4444.

What is Edward Scanlan's specialty?

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

Is Edward Scanlan enrolled in Medicare?

Yes. Edward Scanlan 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 Scanlan accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer list Edward Scanlan 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 Scanlan affiliated with any hospitals?

According to CMS data, Edward Scanlan is affiliated with St Josephs Hospital and Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Edward Scanlan was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.