NPPES file of Aug 9, 2026

Edwin Gregory Theosmy, D.O.

Adult Reconstructive Orthopaedic Surgery Physician · Edison, NJ

Edwin Gregory Theosmy, D.O. is an adult reconstructive orthopaedic surgery physician with a practice address in Edison, New Jersey, and NPI 1720435605, issued on May 19, 2016. Check the license (New Jersey 25MB11413200, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1720435605
Name
Edwin Gregory Theosmy
Credential
D.O.
Primary taxonomy
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X
License number
25MB11413200 NJ
Self-reported in NPPES; status is on the state search
Practice location
205 May St Ste 202, Edison, NJ 08837
Phone
(908) 757-1520
Enumerated
May 19, 2016
Record last updated
Jul 28, 2022
Medicare enrollment
Enrolled (PECOS I20221111000527); accepts Medicare assignment
Medical or professional school
Rowan University School Of Osteopathic Medicine, 2016
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 205 May St Ste 202

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Mitchell Stroh, DOOrthopaedic Surgery Physician1457798316

Verify Edwin Gregory Theosmy in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
    Search for license 25MB11413200
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New Jersey license search

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26% fewer Medicare Part D claims than the average adult reconstructive orthopaedic surgery physician in 2024

430 Medicare Part D claims for 174 beneficiaries, against an average of 579 among the 1,112 providers of this specialty who prescribed in Part D. 42 claims were for opioids.

  1. Edwin Theosmy430
  2. Specialty average579

Most prescribed

  1. Diclofenac Sodium143 claims
  2. Meloxicam138 claims
  3. Naproxen24 claims
  4. Tramadol Hcl22 claims
  5. Amoxicillin16 claims
  6. Cefadroxil16 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): 75.8 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.

  1. Qualityout of 100 · 30% of the final score68.7
  2. Costout of 100 · 30%50.7
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $191.18

6 payments; by number, the most common kind was food and beverage; the largest payer was Stryker Corporation. The 1,060 providers of this specialty with any payment received $68,015.27 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Edwin Theosmy$191
  2. Specialty average$68,015

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Hackensack Meridian Health Medical Group - Specialty Care PCOld Bridge, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Edwin Gregory Theosmy among 41 adult reconstructive orthopaedic surgery physician records in New Jersey

Edwin Gregory Theosmy, D.O. is one of 41 adult reconstructive orthopaedic surgery physician records with a practice address in New Jersey. 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 2016, is newer than 76% of them.

  • NPI issued2016 · 76% of these records are older, 20% newer
  • In a Medicare fileYes · 90% of these records are
  • In the CMS Doctors and Clinicians fileYes · 83% of these records are
  • Graduated2016 · median 2008 among the 34 with a school on file
  • Record last updated2022 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0114X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Adult Reconstructive Orthopaedic Surgery Physician providers in New Jersey

There are 41 adult reconstructive orthopaedic surgery physician records in New Jersey.

The 8 adult reconstructive orthopaedic surgery physician records with the nearest ZIP codes

  1. Donald Polakoff, M.D.Monroe, NJ 088311407851355
  2. Mark Schottenfeld, MDEdison, NJ 088201538238233
  3. John Dundon, MDBridgewater, NJ 088071831325166
  4. Marc Malberg, MDSomerset, NJ 088731952412694
  5. Alfred Tria, MDSomerset, NJ 088731760593404
  6. Joseph Tauro, M.D.Toms River, NJ 087551477662567
  7. Lauryn Bianco, DOManasquan, NJ 087361326605221
  8. Atul Kamath, MDManasquan, NJ 087361891993572

Common questions

What is Edwin Gregory Theosmy, D.O.'s NPI number?

Edwin Gregory Theosmy, D.O.'s National Provider Identifier (NPI) is 1720435605, issued on May 19, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Edwin Gregory Theosmy, D.O. located?

The NPPES record lists a practice address at 205 May St Ste 202, Edison, NJ, 08837. Phone: (908) 757-1520. Providers update this record themselves, so call before visiting.

How can I verify Edwin Gregory Theosmy, D.O.'s license?

NPPES lists New Jersey license number 25MB11413200, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Edwin Gregory Theosmy, D.O. prescribe under Medicare Part D?

In 2024, Edwin Gregory Theosmy, D.O. had 430 Medicare Part D claims for 174 beneficiaries; the average among adult reconstructive orthopaedic surgery physician prescribers was 579. Part D covers Medicare prescriptions only.

What is Edwin Gregory Theosmy, D.O.'s MIPS final score?

The 2023 MIPS final score is 75.8 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.