2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1417089160 M.D.
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EDWIDGE RAOUL, M.D.

Pain Medicine (Physical Medicine & Rehabilitation) Physician in DAYTONA BEACH SHORES, Florida. 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
799
Medicare Part D claims · 144 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.5191/100
▲ 12 pts above national avg 83.1 · [object Object]
What the federal data reveals: EDWIDGE RAOUL, M.D. is a Pain Medicine (Physical Medicine & Rehabilitation) Physician ([object Object]) practicing in DAYTONA BEACH SHORES, Florida with a Medicare Part D prescribing footprint of 799 claims across 144 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 95.5191/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: EDWIDGE RAOUL, M.D. reported a CMS MIPS final score of 95.5191 out of 100, above the 83.1 national average, and filed 799 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)

EDWIDGE RAOUL, 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).

EDWIDGE RAOUL, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/09/2007

NPI 1417089160

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,626 US NPIs in this specialty

Medicare Part D claims

799 43% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

MIPS final score

95.5191/100 12.4191% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Florida providers

Florida providers

Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Florida

1. Pain Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Florida

Medicare quality performance — MIPS

EDWIDGE RAOUL, M.D.'s 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average

High performer (top quartile)
MIPS Final Score
95.5191/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 95.5191/100 vs national avg 83.1

0%100%National avg83%95.5%
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 95.5191/100 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).

EDWIDGE RAOUL, M.D. is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in DAYTONA BEACH SHORES, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1417089160. 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.

EDWIDGE RAOUL, M.D. appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding M.D. credentials at 3512 S ATLANTIC AVE, DAYTONA BEACH SHORES, FL, 32118, with a listed phone of (386) 767-9544. NPI 1417089160 was issued on 03/09/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RAOUL 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 799 prescription claims written by this provider, covering 144 Medicare beneficiaries and totaling roughly $71K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 7.3%. 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 95.5191/100 for the 2023 performance year (Quality 85), compared with the national average of 83.1.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,626 enrolled providers across 50 states and an average of 1,401 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

3512 S ATLANTIC AVE
DAYTONA BEACH SHORES, FL 32118

Provider Details

NPI 1417089160
Specialty Pain Medicine (Physical Medicine & Rehabilitation) Physician
Credentials M.D.
Gender Female
NPI Issued 03/09/2007

CMS Quality Score (MIPS)

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

95.5191
Final Score
Avg: 83.1
85
Quality

Reporting: Group practice

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to EDWIDGE RAOUL, M.D.. To verify EDWIDGE RAOUL, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

EDWIDGE RAOUL, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 799 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.

799
Total Claims
$71K
Total Drug Cost
144
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
825
Total Day Supply
21,302
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$62K
Generic Drug Cost
$9K
Opioid Claims
58 (7.3% rate)
Antibiotic Claims
21

Patient Demographics

Average Patient Age
76.3 years
Avg HCC Risk Score
2.69
Gender Split
48% female / 52% 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
Pantoprazole Sodium
40
Atorvastatin Calcium
37
Gabapentin
30
Amlodipine Besylate
25
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
23
Metoprolol Tartrate
21
Tamsulosin Hcl
21
Eliquis
Apixaban
19
Famotidine
19
Trazodone Hcl
19

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

Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview

How EDWIDGE RAOUL, M.D. fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,626
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider

EDWIDGE RAOUL, M.D.'s 799 claims are below the specialty average of 1,401.

Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Florida

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

Compare Pain Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDWIDGE RAOUL, M.D.'s specialty?
EDWIDGE RAOUL, M.D. specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in DAYTONA BEACH SHORES, Florida. Credentials: M.D..
How much does EDWIDGE RAOUL, M.D. prescribe under Medicare Part D?
In 2023, EDWIDGE RAOUL, M.D. wrote 799 Medicare Part D claims totaling $71K in drug costs for 144 beneficiaries.
What is EDWIDGE RAOUL, M.D.'s Medicare quality score?
EDWIDGE RAOUL, M.D. has a CMS MIPS Final Score of 95.5191/100 (Quality: 85). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDWIDGE RAOUL, M.D. located?
EDWIDGE RAOUL, M.D. is located at 3512 S ATLANTIC AVE, DAYTONA BEACH SHORES, FL, 32118. Phone: (386) 767-9544.
What is EDWIDGE RAOUL, M.D.'s NPI number?
EDWIDGE RAOUL, M.D.'s National Provider Identifier (NPI) is 1417089160, issued on 03/09/2007.
Does EDWIDGE RAOUL, M.D. prescribe more brand-name or generic drugs?
EDWIDGE RAOUL, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $62K in brand drug costs.
Does EDWIDGE RAOUL, M.D. prescribe opioids?
Yes, EDWIDGE RAOUL, M.D. had 58 opioid claims in 2023 with an opioid prescribing rate of 7.3%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,626 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does EDWIDGE RAOUL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, EDWIDGE RAOUL, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Atorvastatin Calcium, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDWIDGE RAOUL, M.D. accept Medicare?
EDWIDGE RAOUL, M.D. appears in CMS Medicare data with 799 Part D claims and 144 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDWIDGE RAOUL, M.D.'s credentials?
EDWIDGE RAOUL, M.D.'s NPI is 1417089160 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