2026 NPPES data Emergency Medicine Physician NPI 1255399309 M.D.
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Edward Armstrong, M.D.

Emergency Medicine Physician in Paris, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine 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
304
Medicare Part D claims · 208 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
55.1/100
▼ 28 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Edward Armstrong, M.D. reported a CMS MIPS final score of 55.1/100 - below the 83.1 national average - and filed 304 Medicare Part D claims in 2023.

55.1/100
MIPS score · -28 vs avg
304
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.

Edward Armstrong, 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

55 5th percentile higher than 5% 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%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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

Where Edward Armstrong, M.D. sits

This provider among emergency medicine physician peers

Across the 14,967 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Edward Armstrong, M.D. writes more Part D claims than 79% of them and scores higher on MIPS quality than 3% - placing this provider in the high-volume, lower-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 88Edward Armstrong, M.D.-Part D claim volume, percentile in specialty: 79 · MIPS quality, percentile: 3
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is Edward Armstrong, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Edward Armstrong, 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 Edward Armstrong, M.D.?

Below national average

NPI registry status

Active

Issued 05/01/2006

NPI 1255399309

Primary specialty

Emergency Medicine Physician

High-volume

64,463 US NPIs in this specialty

Medicare Part D claims

304 14% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

55.1/100 28 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Emergency Medicine Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Emergency Medicine Physician - 1%Emergency Medicine Physician1%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Edward Armstrong, M.D.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average

Below national average
MIPS Final Score
55.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) - 55.1/100 vs national avg 83.1

0%100%National avg83%55.1%
MIPS final score (Emergency Medicine Physician) - 55.1/100 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).

Edward Armstrong, M.D. appears in the CMS NPPES registry as an Emergency Medicine Physician provider holding M.D. credentials at 865 DESHONG DR, Paris, TX, 75460, with a listed phone of (888) 952-6772. NPI 1255399309 was issued on 05/01/2006.

Medicare Part D records for calendar year 2023 show 304 prescription claims written by this provider, covering 208 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 30.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 55.1/100 for the 2023 performance year (Quality 40, Cost 34), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 enrolled providers across 56 states and an average of 352 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

865 DESHONG DR
Paris, TX 75460

Provider Details

NPI 1255399309
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 05/01/2006

CMS Quality Score (MIPS)

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

55.1216
Final Score
Avg: 83.1
40
Quality
34.0377
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where Edward Armstrong, 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.

Acs Primary Care Physicians Southwest PA
Paris, TX

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

License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Edward Armstrong, M.D.. To verify Edward Armstrong, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas 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.

304
Total Claims
$3K
Total Drug Cost
208
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
336
Total Day Supply
3,380
Generic Drug Cost
$3K
Opioid Claims
92 (30.3% rate)
Antibiotic Claims
78

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
1.63
Gender Split
58% female / 42% male
Age Distribution
<65: 42, 65-74: 91, 75-84: 51, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

What Edward Armstrong, 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
Tramadol Hcl
52
Prednisone
40
Ondansetron Odt
Ondansetron
28
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
24
Acetaminophen-Codeine
Acetaminophen With Codeine
16
Cephalexin
16
Cefdinir
12
Clindamycin Hcl
12
Levofloxacin
12
Doxycycline Hyclate
11

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

Emergency Medicine Physician Overview

How Edward Armstrong, M.D. fits within the Emergency Medicine Physician landscape nationally.

64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

Edward Armstrong, M.D.'s 304 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Texas

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

Compare Emergency Medicine 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 Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Emergency Medicine 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.

Frequently Asked Questions

What is Edward Armstrong, M.D.'s specialty?
Edward Armstrong, M.D. specializes in Emergency Medicine Physician and practices in Paris, Texas. Credentials: M.D..
How much does Edward Armstrong, M.D. prescribe under Medicare Part D?
In 2023, Edward Armstrong, M.D. wrote 304 Medicare Part D claims totaling $3K in drug costs for 208 beneficiaries.
What is Edward Armstrong, M.D.'s Medicare quality score?
Edward Armstrong, M.D. has a CMS MIPS Final Score of 55.1/100 (Quality: 40, Cost: 34). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Edward Armstrong, M.D. located?
Edward Armstrong, M.D. is located at 865 DESHONG DR, Paris, TX, 75460. Phone: (888) 952-6772.
What is Edward Armstrong, M.D.'s NPI number?
Edward Armstrong, M.D.'s National Provider Identifier (NPI) is 1255399309, issued on 05/01/2006.
Does Edward Armstrong, M.D. prescribe opioids?
Yes, Edward Armstrong, M.D. had 92 opioid claims in 2023 with an opioid prescribing rate of 30.3%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Edward Armstrong, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Edward Armstrong, M.D.'s most frequently prescribed drugs include Tramadol Hcl, Prednisone, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Edward Armstrong, M.D. accept Medicare?
Edward Armstrong, M.D. appears in CMS Medicare data with 304 Part D claims and 208 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Edward Armstrong, M.D.'s credentials?
Edward Armstrong, M.D.'s NPI is 1255399309 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.