2026 NPPES data Vascular Surgery Physician NPI 1548593270 M.D.
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EDWARD MCGILLICUDDY, M.D.

Vascular Surgery Physician in AUGUSTA, Maine. 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
245
Medicare Part D claims · 94 beneficiaries · Vascular Surgery Physician avg: 205
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.9526/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$150.66
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: EDWARD MCGILLICUDDY, M.D. is a Vascular Surgery Physician ([object Object]) practicing in AUGUSTA, Maine with a Medicare Part D prescribing footprint of 245 claims across 94 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 83.9526/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $150.66 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: EDWARD MCGILLICUDDY, M.D. reported a CMS MIPS final score of 83.9526 out of 100, above the 83.1 national average, and filed 245 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

EDWARD MCGILLICUDDY, 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).

EDWARD MCGILLICUDDY, M.D. at a glance

Near national average

NPI registry status

Active

Issued 09/14/2009

NPI 1548593270

Primary specialty

Vascular Surgery Physician

Niche

4,215 US NPIs in this specialty

Medicare Part D claims

245 20% vs specialty avg

2023 prescription claims

Specialty avg: 205

MIPS final score

83.9526/100 0.8526000000000096% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Maine

How Vascular Surgery Physician compares to other specialties among Maine providers

Maine providers

Vascular Surgery Physician share within Maine

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

Medicare quality performance — MIPS

EDWARD MCGILLICUDDY, M.D.'s 2023 MIPS final score plotted against the Vascular Surgery Physician national average

Near national average
MIPS Final Score
83.9526/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Vascular Surgery Physician) — 83.9526/100 vs national avg 83.1

0%100%National avg83%84%
MIPS final score (Vascular Surgery Physician) — 83.9526/100 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 MCGILLICUDDY, M.D. is a Vascular Surgery Physician provider practicing in AUGUSTA, Maine, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1548593270. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

EDWARD MCGILLICUDDY, M.D. appears in the CMS NPPES registry as a Vascular Surgery Physician provider holding M.D. credentials at 35 MEDICAL CENTER PKWY, AUGUSTA, ME, 04330, with a listed phone of (207) 621-4680. NPI 1548593270 was issued on 09/14/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCGILLICUDDY 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 245 prescription claims written by this provider, covering 94 Medicare beneficiaries and totaling roughly $21K 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 83.9526/100 for the 2023 performance year (Quality 60.6933, Cost 70.8152), compared with the national average of 83.1.

Vascular Surgery Physician is a narrow specialty nationwide, with 4,215 enrolled providers across 53 states and an average of 205 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

35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330

Provider Details

NPI 1548593270
Specialty Vascular Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 09/14/2009

CMS Quality Score (MIPS)

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

83.9526
Final Score
Avg: 83.1
60.6933
Quality
70.8152
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where EDWARD MCGILLICUDDY, 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.

MAINEGENERAL MEDICAL CENTER
AUGUSTA, ME

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 EDWARD MCGILLICUDDY, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$151

Largest payer

Endologix LLC

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

EDWARD MCGILLICUDDY, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 245 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.

245
Total Claims
$21K
Total Drug Cost
94
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
477
Total Day Supply
13,658
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$16K
Generic Drug Cost
$5K
Antibiotic Claims
13

Patient Demographics

Average Patient Age
69.5 years
Avg HCC Risk Score
1.88
Gender Split
33% female / 67% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Clopidogrel
Clopidogrel Bisulfate
73
Gabapentin
58
Duloxetine Hcl
18
Xarelto
Rivaroxaban
17
Hydrochlorothiazide
13

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

Vascular Surgery Physician Overview

How EDWARD MCGILLICUDDY, M.D. fits within the Vascular Surgery Physician landscape nationally.

4,215
Vascular Surgery Physician Providers in US
53
States with Vascular Surgery Physician
205
Avg Claims per Provider

EDWARD MCGILLICUDDY, M.D.'s 245 claims are above the specialty average of 205.

Nearby Vascular Surgery Physician Providers in Maine

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

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

Frequently Asked Questions

What is EDWARD MCGILLICUDDY, M.D.'s specialty?
EDWARD MCGILLICUDDY, M.D. specializes in Vascular Surgery Physician and practices in AUGUSTA, Maine. Credentials: M.D..
How much does EDWARD MCGILLICUDDY, M.D. prescribe under Medicare Part D?
In 2023, EDWARD MCGILLICUDDY, M.D. wrote 245 Medicare Part D claims totaling $21K in drug costs for 94 beneficiaries.
What is EDWARD MCGILLICUDDY, M.D.'s Medicare quality score?
EDWARD MCGILLICUDDY, M.D. has a CMS MIPS Final Score of 83.9526/100 (Quality: 60.6933, Cost: 70.8152). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDWARD MCGILLICUDDY, M.D. located?
EDWARD MCGILLICUDDY, M.D. is located at 35 MEDICAL CENTER PKWY, AUGUSTA, ME, 04330. Phone: (207) 621-4680.
What is EDWARD MCGILLICUDDY, M.D.'s NPI number?
EDWARD MCGILLICUDDY, M.D.'s National Provider Identifier (NPI) is 1548593270, issued on 09/14/2009.
Does EDWARD MCGILLICUDDY, M.D. prescribe more brand-name or generic drugs?
EDWARD MCGILLICUDDY, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $16K in brand drug costs.
How many Vascular Surgery Physician providers are there in the US?
There are 4,215 Vascular Surgery Physician providers across 53 states in the US. The average Vascular Surgery Physician provider writes 205 Medicare Part D claims per year.
What drugs does EDWARD MCGILLICUDDY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, EDWARD MCGILLICUDDY, M.D.'s most frequently prescribed drugs include Clopidogrel, Gabapentin, Duloxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDWARD MCGILLICUDDY, M.D. accept Medicare?
EDWARD MCGILLICUDDY, M.D. appears in CMS Medicare data with 245 Part D claims and 94 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDWARD MCGILLICUDDY, M.D.'s credentials?
EDWARD MCGILLICUDDY, M.D.'s NPI is 1548593270 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