2026 NPPES data Family Medicine Physician NPI 1215992896 MD
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Edward Lewis, MD

Family Medicine Physician in Richmond, Virginia. 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
1K
Medicare Part D claims · 632 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
62.1/100
▼ 21 pts below national avg 83.1 · [object Object]

What the federal data shows

Edward Lewis, MD reported a CMS MIPS final score of 62.1/100 — below the 83.1 national average — and filed 1,038 Medicare Part D claims in 2023.

62.1/100
MIPS score · -21 vs avg
1K
Part D claims, 2023
92%
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.

Edward Lewis, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

62 6th percentile higher than 6% 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)

Edward Lewis, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 Lewis, MD?

Below national average

NPI registry status

Active

Issued 04/18/2006

NPI 1215992896

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

1,038 70% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

62.1/100 21 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Virginia

How Family Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Family Medicine Physician share within Virginia

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Virginia

Medicare quality performance — MIPS

Edward Lewis, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
62.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 62.1/100 vs national avg 83.1

0%100%National avg83%62.1%
MIPS final score (Family Medicine Physician) — 62.1/100 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).

Edward Lewis, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 12 N THOMPSON ST, Richmond, VA, 23221, with a listed phone of (804) 359-1337. NPI 1215992896 was issued on 04/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Lewis 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 1,038 prescription claims written by this provider, covering 632 Medicare beneficiaries and totaling roughly $30K in drug spend, split 8% brand-name and 92% 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 62.1/100 for the 2023 performance year (Quality 72.4, Cost 84.7), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

12 N THOMPSON ST
Richmond, VA 23221

Provider Details

NPI 1215992896
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 04/18/2006

CMS Quality Score (MIPS)

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

62.1316
Final Score
Avg: 83.1
72.4397
Quality
84.6656
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Edward Lewis, MD 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.

Patient First Richmond Medical Group PLLC
Richmond, VA
Professional Therapies OF Roanoke, Inc.
Richmond, VA

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

Brand vs generic prescribing mix · Generic-heavy

Edward Lewis, MD — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 1,038 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.

1,038
Total Claims
$30K
Total Drug Cost
632
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,389
Total Day Supply
26,204
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$17K
Generic Drug Cost
$12K
Antibiotic Claims
397

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
0.88
Gender Split
65% female / 35% male
Age Distribution
<65: 51, 65-74: 359, 75-84: 186, 85+: 36

Top Prescribed Drugs (Medicare Part D)

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

What Edward Lewis, MD 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
Doxycycline Hyclate
189
Methylprednisolone
75
Diclofenac Sodium
66
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
41
Albuterol Sulfate Hfa
Albuterol Sulfate
37
Azithromycin
35
Cefuroxime
Cefuroxime Axetil
35
Amlodipine Besylate
34
Cyclobenzaprine Hcl
31
Paxlovid (Eua)
Nirmatrelvir/Ritonavir
24

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

Family Medicine Physician Overview

How Edward Lewis, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Edward Lewis, MD's 1,038 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Virginia

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

Compare Family 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 Virginia medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family 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 Lewis, MD's specialty?
Edward Lewis, MD specializes in Family Medicine Physician and practices in Richmond, Virginia. Credentials: MD.
How much does Edward Lewis, MD prescribe under Medicare Part D?
In 2023, Edward Lewis, MD wrote 1,038 Medicare Part D claims totaling $30K in drug costs for 632 beneficiaries.
What is Edward Lewis, MD's Medicare quality score?
Edward Lewis, MD has a CMS MIPS Final Score of 62.1/100 (Quality: 72.4, Cost: 84.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Edward Lewis, MD located?
Edward Lewis, MD is located at 12 N THOMPSON ST, Richmond, VA, 23221. Phone: (804) 359-1337.
What is Edward Lewis, MD's NPI number?
Edward Lewis, MD's National Provider Identifier (NPI) is 1215992896, issued on 04/18/2006.
Does Edward Lewis, MD prescribe more brand-name or generic drugs?
Edward Lewis, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $17K in brand drug costs.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Edward Lewis, MD prescribe most often?
Based on 2023 Medicare Part D data, Edward Lewis, MD's most frequently prescribed drugs include Doxycycline Hyclate, Methylprednisolone, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Edward Lewis, MD accept Medicare?
Edward Lewis, MD appears in CMS Medicare data with 1,038 Part D claims and 632 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Edward Lewis, MD's credentials?
Edward Lewis, MD's NPI is 1215992896 with credentials MD. 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