NPPES file of Aug 9, 2026

Edward K. Scanlon, MD

Pulmonary Disease Physician · Orange City, FL

Edward K. Scanlon, MD is a pulmonary disease physician with a practice address in Orange City, Florida, and NPI 1699777128, issued on Aug 15, 2005. Check the license (Florida 0055632, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1699777128
Name
Edward K. Scanlon
Credential
MD
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License number
0055632 FL
Self-reported in NPPES; status is on the state search
Practice location
1075 Town Center Dr, Orange City, FL 32763
Phone
(386) 917-0333
Enumerated
Aug 15, 2005
Record last updated
Jan 28, 2008 (not updated in 18 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20080126000100); accepts Medicare assignment
Medical or professional school
University Of Missouri, Kansas City, School Of Medicine, 1984
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1075 Town Center Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Roberto Arango, APRNAcute Care Nurse Practitioner1346557360
  2. Arianne Bennett-Venner, MDPulmonary Disease Physician1205084175
  3. Kurt Bowman, MDPulmonary Disease Physician1578727343
  4. Kristal Carthan, MDPulmonary Disease Physician1265605836
  5. William CunninghamPhysician Assistant1962238394
  6. Michaelene Eakin, NP-CFamily Nurse Practitioner1518508399

Verify Edward K. Scanlon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license 0055632
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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53% more Medicare Part D claims than the average pulmonary disease physician in 2024

2,178 Medicare Part D claims for 374 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D.

  1. Edward Scanlon2,178
  2. Specialty average1,425

Most prescribed

  1. Albuterol Sulfate Hfa511 claims
  2. Montelukast Sodium325 claims
  3. Prednisone229 claims
  4. Trelegy Ellipta221 claims
  5. Spiriva Respimat83 claims
  6. Breo Ellipta79 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 96.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score95.0
  2. Costout of 100 · 30%77.5
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Pulmonary Practice Associates MD PAOrange City, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Edward K. Scanlon among 1,045 pulmonary disease physician records in Florida

Edward K. Scanlon, MD is one of 1,045 pulmonary disease physician records with a practice address in Florida. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 84% newer
  • In a Medicare fileYes · 87% of these records are
  • In the CMS Doctors and Clinicians fileYes · 76% of these records are
  • Graduated1984 · median 1999 among the 790 with a school on file
  • Record last updated2008 · 50% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pulmonary Disease Physician providers in Florida

There are 1,045 pulmonary disease physician records in Florida.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. Karuna Ahuja, MD FCCPOrange City, FL 327631497794648
  2. Arianne Bennett-Venner, MDOrange City, FL 327631205084175
  3. Kurt Bowman, MDOrange City, FL 327631578727343
  4. Kristal Carthan, MDOrange City, FL 327631265605836
  5. Sravanthi Ennala, M.D.Orange City, FL 327631679852883
  6. Ashraf Luqman, MDOrange City, FL 327631326153016
  7. Rabia Mazhar, MDOrange City, FL 327631912403817
  8. Paul Smith, MDOrange City, FL 327631568464006

Common questions

What is Edward K. Scanlon, MD's NPI number?

Edward K. Scanlon, MD's National Provider Identifier (NPI) is 1699777128, issued on Aug 15, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Edward K. Scanlon, MD located?

The NPPES record lists a practice address at 1075 Town Center Dr, Orange City, FL, 32763. Phone: (386) 917-0333. Providers update this record themselves, so call before visiting.

How can I verify Edward K. Scanlon, MD's license?

NPPES lists Florida license number 0055632, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Edward K. Scanlon, MD prescribe under Medicare Part D?

In 2024, Edward K. Scanlon, MD had 2,178 Medicare Part D claims for 374 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

What is Edward K. Scanlon, MD's MIPS final score?

The 2023 MIPS final score is 96.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.