2026 NPPES data Dermatology Physician NPI 1225059637 M.D.
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EDITH WINTER, M.D.

Dermatology Physician in RALEIGH, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 853 beneficiaries · Dermatology Physician avg: 729
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.0871/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$609.87
26 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

EDITH WINTER, M.D. reported a CMS MIPS final score of 75.0871/100 — below the 83.1 national average — and filed 2,371 Medicare Part D claims in 2023.

75.0871/100
MIPS score · -8 vs avg
2K
Part D claims, 2023
88%
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.

EDITH WINTER, 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

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

EDITH WINTER, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 EDITH WINTER, M.D.?

Below national average

NPI registry status

Active

Issued 07/21/2006

NPI 1225059637

Primary specialty

Dermatology Physician

Mid-sized

14,610 US NPIs in this specialty

Medicare Part D claims

2,371 225% vs specialty avg

2023 prescription claims

Specialty avg: 729

MIPS final score

75.0871/100 8.012899999999988% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Carolina

How Dermatology Physician compares to other specialties among North Carolina providers

North Carolina providers

Dermatology Physician share within North Carolina

1. Dermatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Dermatology Physician share within North Carolina

Medicare quality performance — MIPS

EDITH WINTER, M.D.'s 2023 MIPS final score plotted against the Dermatology Physician national average

Below national average
MIPS Final Score
75.0871/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Dermatology Physician) — 75.0871/100 vs national avg 83.1

0%100%National avg83%75.1%
MIPS final score (Dermatology Physician) — 75.0871/100 vs national avg 83.1

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).

EDITH WINTER, M.D. appears in the CMS NPPES registry as a Dermatology Physician provider holding M.D. credentials at 309 W MILLBROOK RD, RALEIGH, NC, 27609, with a listed phone of (919) 788-9070. NPI 1225059637 was issued on 07/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WINTER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,371 prescription claims written by this provider, covering 853 Medicare beneficiaries and totaling roughly $213K in drug spend, split 12% brand-name and 88% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75.0871/100 for the 2023 performance year (Quality 100, Cost 16.957), compared with the national average of 83.1.

Dermatology Physician is a mid-sized specialty nationwide, with 14,610 enrolled providers across 53 states and an average of 729 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

309 W MILLBROOK RD
RALEIGH, NC 27609

Provider Details

NPI 1225059637
Specialty Dermatology Physician
Credentials M.D.
Gender Female
NPI Issued 07/21/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75.0871
Final Score
Avg: 83.1
100
Quality
16.957
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where EDITH WINTER, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

WACCAMAW DERMATOLOGY LLC
PAWLEYS ISLAND, SC

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 EDITH WINTER, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$610

Largest payer

SUN PHARMACEUTICAL INDUSTRIES INC.

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 · Typical

EDITH WINTER, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 2,371 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.

2,371
Total Claims
$213K
Total Drug Cost
853
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,576
Total Day Supply
67,635
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$156K
Generic Drug Cost
$57K
Antibiotic Claims
89

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
0.87
Gender Split
58% female / 42% male
Age Distribution
<65: 31, 65-74: 396, 75-84: 360, 85+: 66

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What EDITH WINTER, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Ammonium Lactate
585
Metronidazole
399
Ketoconazole
243
Triamcinolone Acetonide
160
Doxycycline Hyclate
157
Hydroxyzine Hcl
139
Hydrocortisone
87
Desonide
85
Clobetasol Propionate
63
Mupirocin
63

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Dermatology Physician Overview

How EDITH WINTER, M.D. fits within the Dermatology Physician landscape nationally.

14,610
Dermatology Physician Providers in US
53
States with Dermatology Physician
729
Avg Claims per Provider

EDITH WINTER, M.D.'s 2,371 claims are above the specialty average of 729.

Nearby Dermatology Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as WINTER.

Compare Dermatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDITH WINTER, M.D.'s specialty?
EDITH WINTER, M.D. specializes in Dermatology Physician and practices in RALEIGH, North Carolina. Credentials: M.D..
How much does EDITH WINTER, M.D. prescribe under Medicare Part D?
In 2023, EDITH WINTER, M.D. wrote 2,371 Medicare Part D claims totaling $213K in drug costs for 853 beneficiaries.
What is EDITH WINTER, M.D.'s Medicare quality score?
EDITH WINTER, M.D. has a CMS MIPS Final Score of 75.0871/100 (Quality: 100, Cost: 16.957). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDITH WINTER, M.D. located?
EDITH WINTER, M.D. is located at 309 W MILLBROOK RD, RALEIGH, NC, 27609. Phone: (919) 788-9070.
What is EDITH WINTER, M.D.'s NPI number?
EDITH WINTER, M.D.'s National Provider Identifier (NPI) is 1225059637, issued on 07/21/2006.
Does EDITH WINTER, M.D. prescribe more brand-name or generic drugs?
EDITH WINTER, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $156K in brand drug costs.
How many Dermatology Physician providers are there in the US?
There are 14,610 Dermatology Physician providers across 53 states in the US. The average Dermatology Physician provider writes 729 Medicare Part D claims per year.
What drugs does EDITH WINTER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, EDITH WINTER, M.D.'s most frequently prescribed drugs include Ammonium Lactate, Metronidazole, Ketoconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDITH WINTER, M.D. accept Medicare?
EDITH WINTER, M.D. appears in CMS Medicare data with 2,371 Part D claims and 853 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDITH WINTER, M.D.'s credentials?
EDITH WINTER, M.D.'s NPI is 1225059637 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

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