Lance Dustin Edmonds, M.D.
NPI 1124214374ActiveIndividual· Radiology, Diagnostic Radiology· Provo, UT
Radiology, Diagnostic Radiology (M.D.) in Provo, Utah, trained at Uniformed Services Uhs Fe Hebert School of Med (class of 2004). Medicare paid $210,381 for services to 2,067 patients in 2024. Hologic Sales and Service, LLC reported $23.08 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1124214374 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 21, 2007 |
| Last updated in NPPES | Mar 20, 2025 |
| Certified by provider | Mar 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 380515-1205 | UT |
| Radiology, Diagnostic Radiology | 2085R0202X | A108694 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 2,067 |
|---|---|
| Services billed | 27,398 across 192 procedure codes |
| Paid by Medicare | $210,381 |
Education and affiliations
| Medical school | Uniformed Services Uhs Fe Hebert School of Med |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Diagnostic Radiology |
Medical group
- Revere Health PCProvo, UT · 410 clinicians
Hospital affiliations
- Central Valley Medical Center - CahNephi, UT
- Holy Cross Hospital-Jordan ValleyWest Jordan, UT
- Intermountain Health Utah Valley HospitalProvo, UT
- Mountain View HospitalPayson, UT
- Timpanogos Regional HospitalOrem, UT
Industry payments (Open Payments)
- 2024$23.08 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Hologic Sales and Service, LLC | $23.08 | 1 |
What the 2024 payments were for
- Food and Beverage$23.08 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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