2026 NPPES data Orthopaedic Surgery Physician NPI 1194725077 M.D.
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EDMUND RAYCRAFT, M.D.

Orthopaedic Surgery Physician in DECATUR, Illinois. 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
576
Medicare Part D claims · 278 beneficiaries · Orthopaedic Surgery Physician avg: 324
MIPS score
67.1858/100
▼ 16 pts below national avg 83.1 · [object Object]
Industry payments
$64.39
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

EDMUND RAYCRAFT, M.D. reported a CMS MIPS final score of 67.1858/100 — below the 83.1 national average — and filed 576 Medicare Part D claims in 2023.

67.1858/100
MIPS score · -16 vs avg
576
Part D claims, 2023
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.

EDMUND RAYCRAFT, 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

67 7th percentile higher than 7% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 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)

EDMUND RAYCRAFT, 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 EDMUND RAYCRAFT, M.D.?

Below national average

NPI registry status

Active

Issued 07/21/2005

NPI 1194725077

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

576 78% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

67.1858/100 15.914199999999994% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Illinois

How Orthopaedic Surgery Physician compares to other specialties among Illinois providers

Illinois providers

Orthopaedic Surgery Physician share within Illinois

1. Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery Physician share within Illinois

Medicare quality performance — MIPS

EDMUND RAYCRAFT, M.D.'s 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
67.1858/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) — 67.1858/100 vs national avg 83.1

0%100%National avg83%67.2%
MIPS final score (Orthopaedic Surgery Physician) — 67.1858/100 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).

EDMUND RAYCRAFT, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding M.D. credentials at 304 W HAY ST, DECATUR, IL, 62526, with a listed phone of (217) 872-8200. NPI 1194725077 was issued on 07/21/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RAYCRAFT 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 576 prescription claims written by this provider, covering 278 Medicare beneficiaries and totaling roughly $7K in drug spend, with an opioid prescribing rate of 34.2%. 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 67.1858/100 for the 2023 performance year (Quality 63.8613, Cost 56.8734), compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

304 W HAY ST
DECATUR, IL 62526

Provider Details

NPI 1194725077
Specialty Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 07/21/2005

CMS Quality Score (MIPS)

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

67.1858
Final Score
Avg: 83.1
63.8613
Quality
56.8734
Cost

Reporting: Group practice

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 EDMUND RAYCRAFT, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$64

Largest payer

Stryker Corporation

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.

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to EDMUND RAYCRAFT, M.D.. To verify EDMUND RAYCRAFT, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

576
Total Claims
$7K
Total Drug Cost
278
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
584
Total Day Supply
5,882
Generic Drug Cost
$7K
Opioid Claims
197 (34.2% rate)
Antibiotic Claims
178

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
0.95
Gender Split
66% female / 34% male
Age Distribution
<65: 15, 65-74: 147, 75-84: 100, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

What EDMUND RAYCRAFT, 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
Amoxicillin
140
Mupirocin
125
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
113
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
77
Famotidine
27
Celecoxib
26
Clindamycin Hcl
19
Azithromycin
14

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

Orthopaedic Surgery Physician Overview

How EDMUND RAYCRAFT, M.D. fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

EDMUND RAYCRAFT, M.D.'s 576 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as RAYCRAFT.

Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDMUND RAYCRAFT, M.D.'s specialty?
EDMUND RAYCRAFT, M.D. specializes in Orthopaedic Surgery Physician and practices in DECATUR, Illinois. Credentials: M.D..
How much does EDMUND RAYCRAFT, M.D. prescribe under Medicare Part D?
In 2023, EDMUND RAYCRAFT, M.D. wrote 576 Medicare Part D claims totaling $7K in drug costs for 278 beneficiaries.
What is EDMUND RAYCRAFT, M.D.'s Medicare quality score?
EDMUND RAYCRAFT, M.D. has a CMS MIPS Final Score of 67.1858/100 (Quality: 63.8613, Cost: 56.8734). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDMUND RAYCRAFT, M.D. located?
EDMUND RAYCRAFT, M.D. is located at 304 W HAY ST, DECATUR, IL, 62526. Phone: (217) 872-8200.
What is EDMUND RAYCRAFT, M.D.'s NPI number?
EDMUND RAYCRAFT, M.D.'s National Provider Identifier (NPI) is 1194725077, issued on 07/21/2005.
Does EDMUND RAYCRAFT, M.D. prescribe opioids?
Yes, EDMUND RAYCRAFT, M.D. had 197 opioid claims in 2023 with an opioid prescribing rate of 34.2%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does EDMUND RAYCRAFT, M.D. prescribe most often?
Based on 2023 Medicare Part D data, EDMUND RAYCRAFT, M.D.'s most frequently prescribed drugs include Amoxicillin, Mupirocin, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDMUND RAYCRAFT, M.D. accept Medicare?
EDMUND RAYCRAFT, M.D. appears in CMS Medicare data with 576 Part D claims and 278 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDMUND RAYCRAFT, M.D.'s credentials?
EDMUND RAYCRAFT, M.D.'s NPI is 1194725077 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