Edward Lyle Cain, MD
Sports Medicine (Orthopaedic Surgery) Physician · Birmingham, AL
Edward Lyle Cain, MD is a sports medicine (orthopaedic surgery) physician with a practice address in Birmingham, Alabama, and NPI 1578538112, issued on Feb 17, 2006. Check the license (Alabama MD22442, as entered in NPPES) on the Alabama Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Edward Lyle Cain
- Credential
- MD
- Primary taxonomy
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- License number
- MD22442 AL
Self-reported in NPPES; status is on the state search - Practice location
- 805 Saint Vincents Dr, Birmingham, AL 35205
- Phone
- (205) 939-3699
- Enumerated
- Feb 17, 2006
- Record last updated
- May 6, 2025
- Fax
- (205) 484-2585
- Medicaid ID
- 189726 AL
- Medicare enrollment
- Enrolled (PECOS I20040505000581); accepts Medicare assignment
- Medical or professional school
- University Of Alabama School Of Medicine, 1994
- Entity
- Type 1 · individual
8 nearest sports medicine (orthopaedic surgery) physician records → All 59 in Alabama → Look up another NPI →
Also registered at 805 Saint Vincents Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kelli AndersonOccupational Therapist1295748945
- Emily Bell Casey, M.D.Internal Medicine Physician1831132083
- Melissa BentleyContractor1609168335
- Emily Bernstein Tidwell, CRNPFamily Nurse Practitioner1124311899
- Stephen Blair, MDPediatrics Physician1164434353
- Zachary Boylan, M.D.Family Medicine Physician1356670509
Verify Edward Lyle Cain in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersAlabama Board of Medical Examiners
Search for license MD22442Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.8 times the Medicare Part D claims of the average sports medicine (orthopaedic surgery) physician in 2024
1,107 Medicare Part D claims for 327 beneficiaries, against an average of 288 among the 2,562 providers of this specialty who prescribed in Part D. 323 claims were for opioids.
Most prescribed
- Oxycodone-Acetaminophen259 claims
- Ondansetron Hcl228 claims
- Cephalexin193 claims
- Methocarbamol79 claims
- Meloxicam54 claims
- Cefadroxil51 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): 100 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $3,203,779.83
55 payments; by number, the most common kind was food and beverage; the largest payer was Arthrex, Inc. The 2,400 providers of this specialty with any payment received $19,779.31 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 3 group practices
- Champion Sports Medicine Birmingham, LLCGardendale, AL
- Rehab Associates, LLCVestavia Hills, AL
- Stv Sports Medicine And Orthopedics LLCTrussville, AL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Edward Lyle Cain among 59 sports medicine (orthopaedic surgery) physician records in Alabama
Edward Lyle Cain, MD is one of 59 sports medicine (orthopaedic surgery) physician records with a practice address in Alabama. 90% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.
- NPI issued2006 · 7% of these records are older, 59% newer
- In a Medicare fileYes · 90% of these records are
- In the CMS Doctors and Clinicians fileYes · 86% of these records are
- Graduated1994 · median 2008 among the 51 with a school on file
- Record last updated2025 · 36% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XX0005X and a Alabama practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Sports Medicine (Orthopaedic Surgery) Physician providers in Alabama
There are 59 sports medicine (orthopaedic surgery) physician records in Alabama.
All 59 in Alabama → Every provider in Birmingham → Sports Medicine (Orthopaedic Surgery) Physician nationwide →
The 8 sports medicine (orthopaedic surgery) physician records with the nearest ZIP codes
- David Adkison, MDBirmingham, AL 352051396743779
- Collier Campbell, MDBirmingham, AL 352051366955270
- Reaves CrabtreeBirmingham, AL 352051790213460
- James Flanagan, M.D.Birmingham, AL 352051972576304
- Christopher Garrett, MDBirmingham, AL 352051730672122
- Richard Gean, MDBirmingham, AL 352051508326489
- Samuel Goldstein, M.D.Birmingham, AL 352051427020122
- Aaron Joiner, DOBirmingham, AL 352051841855038
Common questions
What is Edward Lyle Cain, MD's NPI number?
Edward Lyle Cain, MD's National Provider Identifier (NPI) is 1578538112, issued on Feb 17, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Edward Lyle Cain, MD located?
The NPPES record lists a practice address at 805 Saint Vincents Dr, Birmingham, AL, 35205. Phone: (205) 939-3699. Providers update this record themselves, so call before visiting.
How can I verify Edward Lyle Cain, MD's license?
NPPES lists Alabama license number MD22442, as entered by the provider. Search the Alabama Board of Medical Examiners at https://www.albme.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Edward Lyle Cain, MD prescribe under Medicare Part D?
In 2024, Edward Lyle Cain, MD had 1,107 Medicare Part D claims for 327 beneficiaries; the average among sports medicine (orthopaedic surgery) physician prescribers was 288. Part D covers Medicare prescriptions only.
What is Edward Lyle Cain, MD's MIPS final score?
The 2023 MIPS final score is 100 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.