NPI registry status
Active
2026 NPPES data Surgery Physician NPI 1164424131 M.D.
Verify on CMS → Dana Edwards, M.D.
Surgery Physician in Manchester, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 36,199 in Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
345
Medicare Part D claims · 75 beneficiaries · Surgery Physician avg: 169
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.4/100
▲ 14 pts above national avg 83.1 · Exceptional
Industry payments
$229.54
12 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Dana Edwards, M.D. reported a CMS MIPS final score of 97.4/100 - above the 83.1 national average - and filed 345 Medicare Part D claims in 2023.
- 97.4/100
- MIPS score · +14 vs avg
- 345
- Part D claims, 2023
- 71%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Dana Edwards, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
97 Top 15% higher than 85% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Dana Edwards, M.D. sits
This provider among surgery physician peers
Across the 7,525 surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Dana Edwards, M.D. writes more Part D claims than 90% of them and scores higher on MIPS quality than 85% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one surgery physician peer from a representative sample of 60; the gold marker is Dana Edwards, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Dana Edwards, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Dana Edwards, M.D.?
High performer (top quartile)Primary specialty
Surgery Physician
Medicare Part D claims
345 104% vs specialty avg
MIPS final score
97.4/100 14.3 pts vs avg
Specialty distribution in Kentucky
How Surgery Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Dana Edwards, M.D.'s 2023 MIPS final score plotted against the Surgery Physician national average
- MIPS Final Score
- 97.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Surgery Physician) - 97.4/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Dana Edwards, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 204 TOWN BRANCH RD, Manchester, KY, 40962, with a listed phone of (606) 598-8766. NPI 1164424131 was issued on 08/10/2005.
Medicare Part D records for calendar year 2023 show 345 prescription claims written by this provider, covering 75 Medicare beneficiaries and totaling roughly $58K in drug spend, split 29% brand-name and 71% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.4/100 for the 2023 performance year (Quality 76.6), compared with the national average of 83.1.
Surgery Physician is a mid-sized specialty nationwide, with 36,199 enrolled providers across 56 states and an average of 169 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1164424131 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 08/10/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.4009
Final Score
Avg: 83.1
76.5564
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Dana Edwards, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$230
Largest payer
Salix Pharmaceuticals, a division of Bausch Health US, LLC
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Above average
Dana Edwards, M.D. - brand share 29.0%
Surgery Physician average
29% brand-name claims vs 71% generic, on 345 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
345
Total Claims
$58K
Total Drug Cost
75
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 373
- Total Day Supply
- 9,846
- Brand vs Generic
- 29% brand / 71% generic
- Brand Drug Cost
- $48K
- Generic Drug Cost
- $10K
- Antibiotic Claims
- 16
Patient Demographics
- Average Patient Age
- 65.2 years
- Avg HCC Risk Score
- 1.28
- Gender Split
- 49% female / 51% male
- Age Distribution
- <65: 35, 65-74: 26, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Dana Edwards, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Metoclopramide Hcl
Metoclopramide Hcl
49 claims
- Symproic
Symproic
44 claims
- Ondansetron Odt
Ondansetron Odt
32 claims
- Sucralfate
Sucralfate
29 claims
- Ondansetron Hcl
Ondansetron Hcl
23 claims
- Famotidine 17
Famotidine
17 claims
- Linzess 16
Linzess
16 claims
- Pantoprazole Sodium 15
Pantoprazole Sodium
15 claims
| Drug | Claims |
|---|---|
| Metoclopramide Hcl | 49 |
| Symproic Naldemedine Tosylate | 44 |
| Ondansetron Odt Ondansetron | 32 |
| Sucralfate | 29 |
| Ondansetron Hcl | 23 |
| Famotidine | 17 |
| Linzess Linaclotide | 16 |
| Pantoprazole Sodium | 15 |
| Trulance Plecanatide | 15 |
| Dicyclomine Hcl | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgery Physician Overview
How Dana Edwards, M.D. fits within the Surgery Physician landscape nationally.
36,199
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider
Dana Edwards, M.D.'s 345 claims are above the specialty average of 169.
Nearby Surgery Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Edwards.
Dr. Nick Abedi
MD
Lexington, KY
Dr. Patricia Abello
MD
Edgewood, KY
Dr. Walid Abou-Jaoude
M.D.
Lexington, KY
Dr. Nicolas Ajkay
M.D.
Louisville, KY
Dr. Ravi Alapati
MD
Owensboro, KY
Compare Surgery Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Kentucky medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Dana Edwards, M.D.'s specialty? ▼
Dana Edwards, M.D. specializes in Surgery Physician and practices in Manchester, Kentucky. Credentials: M.D..
How much does Dana Edwards, M.D. prescribe under Medicare Part D? ▼
In 2023, Dana Edwards, M.D. wrote 345 Medicare Part D claims totaling $58K in drug costs for 75 beneficiaries.
What is Dana Edwards, M.D.'s Medicare quality score? ▼
Dana Edwards, M.D. has a CMS MIPS Final Score of 97.4/100 (Quality: 76.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Dana Edwards, M.D. located? ▼
Dana Edwards, M.D. is located at 204 TOWN BRANCH RD, Manchester, KY, 40962. Phone: (606) 598-8766.
What is Dana Edwards, M.D.'s NPI number? ▼
Dana Edwards, M.D.'s National Provider Identifier (NPI) is 1164424131, issued on 08/10/2005.
Does Dana Edwards, M.D. prescribe more brand-name or generic drugs? ▼
Dana Edwards, M.D.'s prescribing is 29% brand-name and 71% generic drugs by claim count, with $48K in brand drug costs.
How many Surgery Physician providers are there in the US? ▼
There are 36,199 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does Dana Edwards, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Dana Edwards, M.D.'s most frequently prescribed drugs include Metoclopramide Hcl, Symproic, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Dana Edwards, M.D. accept Medicare? ▼
Dana Edwards, M.D. appears in CMS Medicare data with 345 Part D claims and 75 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Dana Edwards, M.D.'s credentials? ▼
Dana Edwards, M.D.'s NPI is 1164424131 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.