PlainDoctor

2026 NPPES data Undersea and Hyperbaric Medicine (Emergency Medicine) Physician NPI 1144212259 M.D.
Verify on CMS →

James Edlund, M.D.

Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Fort Wayne, Indiana.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 204 in Undersea and Hyperbaric Medicine (Emergency Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
69
Medicare Part D claims · 47 beneficiaries · Undersea and Hyperbaric Medicine (Emergency Medicine) Physician avg: 405
MIPS score
81.2/100
▼ 2 pts below national avg 83.5 · Above neutral
Industry payments
$466.53
18 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

James Edlund, M.D. reported a CMS MIPS final score of 81.2/100 - below the 83.5 national average - and filed 69 Medicare Part D claims in 2024.

81.2/100
MIPS score · -2 vs avg
69
Part D claims, 2024
Likely
board-certified (heuristic)
≥32nd
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about James Edlund, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1144212259), first enumerated 08/16/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 69 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 81.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $466.53 in reported industry payments (18 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1144212259 · Undersea and Hyperbaric Medicine (Emergency Medicine) Physician

NPI-10 · ENUM-LEGACY · TAX-TRACE · MIPS-INLINE · RX-TRACE · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1144212259
  • ENUM-LEGACY 2005
  • TAX-TRACE 204
  • MIPS-INLINE 81.2/100
  • RX-TRACE 69
  • BOOK-THIN 1 in Indiana
  • PHOTO-FINISH Maria Aguinaga · ±0.2

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

James Edlund, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

81 ≥ 32nd percentile 32% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where James Edlund, M.D. sits

This provider among undersea and hyperbaric medicine (emergency medicine) physician peers

Across the 41 undersea and hyperbaric medicine (emergency medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Edlund, M.D. writes more Part D claims than 32% of them and scores higher on MIPS quality than 20% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 38James Edlund, M.D., Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 20
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one undersea and hyperbaric medicine (emergency medicine) physician peer from a representative sample of 40; the gold marker is James Edlund, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

James Edlund, 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).

What does the federal data show about James Edlund, M.D.?

Near national average

NPI registry status

Active

Issued 08/16/2005

NPI 1144212259

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) Physician

Rare

204 US NPIs in this specialty

Medicare Part D claims

69 83% vs specialty avg

2024 prescription claims

Specialty avg: 405

MIPS final score

81.2/100 2.3 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Indiana

How Undersea and Hyperbaric Medicine (Emergency Medicine) Physician compares to other specialties among Indiana providers

Indiana providers
Behavior Technician14.3%Student in an Organized Heal…4.8%Pharmacist4.3%Clinical Social Worker4.2%Family Nurse Practitioner4.2%Mental Health Counselor4.1%Undersea and Hyperbaric Medi…0%
Largest specialties in Indiana (% of in-state providers)

Medicare quality performance, MIPS

James Edlund, M.D.'s 2023 MIPS final score plotted against the Undersea and Hyperbaric Medicine (Emergency Medicine) Physician national average

Near national average
MIPS Final Score
81.2/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%81.2%
MIPS final score (Undersea and Hyperbaric Medicine (Emergency Medicine) Physician) - 81.2/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

11104 PARKVIEW CIRCLE DR STE 320
Fort Wayne, IN 46845
(260) 266-5300

Provider Details

NPI 1144212259
Specialty Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 08/16/2005

CMS Quality Score (MIPS)

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

81.234
Final Score
Measured-score avg: 83.5
68.9532
Quality
68.4936
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where James Edlund, 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.

Parkview Health System Inc
Fort Wayne, IN

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 James Edlund, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$467

Largest payer

Smith+Nephew, Inc.

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

69
Total Claims
$7K
Total Drug Cost
47
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
83
Total Day Supply
1,626
Generic Drug Cost
$2K
Antibiotic Claims
31

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
3.45
Gender Split
70% female / 30% male
More Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in IN → All providers in Indiana → Compare specialties →

Undersea and Hyperbaric Medicine (Emergency Medicine) Physician Overview

How James Edlund, M.D. fits within the Undersea and Hyperbaric Medicine (Emergency Medicine) Physician landscape nationally.

204
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician Providers in US
41
States with Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
405
Avg Claims per Provider

James Edlund, M.D.'s 69 claims are below the specialty average of 405.

Nationwide Undersea and Hyperbaric Medicine (Emergency Medicine) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Edlund, both outside Indiana so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (81.2 here).

Maria Aguinaga 81.4 TX Alejandro Hernandez Hernandez 81.4 TX Harry Whelan 80.5 WI Marc Mancinelli 79.6 PA

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Stephen Heinz Aurora, CO Paul Thombs Denver, CO Gary Mailman Austin, TX James Holm Seattle, WA

Frequently Asked Questions

What is James Edlund, M.D.'s specialty? ▼
James Edlund, M.D. specializes in Undersea and Hyperbaric Medicine (Emergency Medicine) Physician and practices in Fort Wayne, Indiana. Credentials: M.D..
How much does James Edlund, M.D. prescribe under Medicare Part D? ▼
In 2024, James Edlund, M.D. wrote 69 Medicare Part D claims totaling $7K in drug costs for 47 beneficiaries.
What is James Edlund, M.D.'s Medicare quality score? ▼
James Edlund, M.D. has a CMS MIPS Final Score of 81.2/100 (Quality: 69, Cost: 68.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Edlund, M.D. located? ▼
James Edlund, M.D. is located at 11104 PARKVIEW CIRCLE DR STE 320, Fort Wayne, IN, 46845. Phone: (260) 266-5300.
What is James Edlund, M.D.'s NPI number? ▼
James Edlund, M.D.'s National Provider Identifier (NPI) is 1144212259, issued on 08/16/2005.
How many Undersea and Hyperbaric Medicine (Emergency Medicine) Physician providers are there in the US? ▼
There are 204 Undersea and Hyperbaric Medicine (Emergency Medicine) Physician providers across 41 states in the US. The average Undersea and Hyperbaric Medicine (Emergency Medicine) Physician provider writes 405 Medicare Part D claims per year.
Does James Edlund, M.D. accept Medicare? ▼
James Edlund, M.D. appears in CMS Medicare data with 69 Part D claims and 47 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Edlund, M.D.'s credentials? ▼
James Edlund, M.D.'s NPI is 1144212259 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.