2026 NPPES data Neurological Surgery Physician NPI 1568692887 MD
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John Edwards, MD

Neurological Surgery Physician in Lehi, Utah. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 8,100 in Neurological Surgery 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
20
Medicare Part D claims · 11 beneficiaries · Neurological Surgery Physician avg: 181
MIPS score
71.4/100
▼ 12 pts below national avg 83.1 · Mid-tier
Industry payments
$330.83
5 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

John Edwards, MD reported a CMS MIPS final score of 71.4/100 - below the 83.1 national average - and filed 20 Medicare Part D claims in 2023.

71.4/100
MIPS score · -12 vs avg
20
Part D claims, 2023
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.

John Edwards, MD's MIPS score vs every scored U.S. clinician

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

71 9th percentile higher than 9% 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%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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

Where John Edwards, MD sits

This provider among neurological surgery physician peers

Across the 1,737 neurological surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Edwards, MD writes more Part D claims than 13% of them and scores higher on MIPS quality than 12% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 8John Edwards, MD-Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 12
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one neurological surgery physician peer from a representative sample of 60; the gold marker is John Edwards, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

John Edwards, 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 John Edwards, MD?

Below national average

NPI registry status

Active

Issued 07/21/2009

NPI 1568692887

Primary specialty

Neurological Surgery Physician

Mid-sized

8,100 US NPIs in this specialty

Medicare Part D claims

20 89% vs specialty avg

2023 prescription claims

Specialty avg: 181

MIPS final score

71.4/100 11.7 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Utah

How Neurological Surgery Physician compares to other specialties among Utah providers

Utah providers

Largest specialties in Utah (% of in-state providers)

Behavior Technician - 12.4%Behavior Technician12.4%Clinical Social Worker - 6.3%Clinical Social Worker6.3%Community Health Worker - 6.1%Community Health Worker6.1%Case Manager/Care Coordinator - 5.9%Case Manager/Care Coordinator5.9%Counselor - 4.9%Counselor4.9%Student in an Organized Health Care Education/Training Program - 4.3%Student in an Organized Health Care Education/Training Program4.3%Neurological Surgery Physician - 0.1%Neurological Surgery Physician0.1%
Largest specialties in Utah (% of in-state providers)

Medicare quality performance, MIPS

John Edwards, MD's 2023 MIPS final score plotted against the Neurological Surgery Physician national average

Below national average
MIPS Final Score
71.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurological Surgery Physician) - 71.4/100 vs national avg 83.1

0%100%National avg83%71.4%
MIPS final score (Neurological Surgery Physician) - 71.4/100 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).

John Edwards, MD appears in the CMS NPPES registry as a Neurological Surgery Physician provider holding MD credentials at 3000 N TRIUMPH BLVD STE 240, Lehi, UT, 84043, with a listed phone of (385) 345-3560. NPI 1568692887 was issued on 07/21/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Edwards 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 20 prescription claims written by this provider, covering 11 Medicare beneficiaries and totaling roughly $2K in drug spend. 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 71.4/100 for the 2023 performance year (Quality 64.6, Cost 40), compared with the national average of 83.1.

Neurological Surgery Physician is a mid-sized specialty nationwide, with 8,100 enrolled providers across 53 states and an average of 181 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

3000 N TRIUMPH BLVD STE 240
Lehi, UT 84043

Provider Details

NPI 1568692887
Specialty Neurological Surgery Physician
Credentials MD
Gender Male
NPI Issued 07/21/2009

CMS Quality Score (MIPS)

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

71.388
Final Score
Avg: 83.1
64.6179
Quality
40.0088
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where John Edwards, 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.

Ihc Health Services Inc
Provo, UT
Summit Brain And Spine PC
Lehi, UT

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 John Edwards, MD. Source: openpaymentsdata.cms.gov.

Total received

$331

Largest payer

Alphatec Spine, 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 2023.

20
Total Claims
$2K
Total Drug Cost
11
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
20
Total Day Supply
218
Generic Drug Cost
$148

Patient Demographics

Average Patient Age
65.1 years
Avg HCC Risk Score
0.61

Neurological Surgery Physician Overview

How John Edwards, MD fits within the Neurological Surgery Physician landscape nationally.

8,100
Neurological Surgery Physician Providers in US
53
States with Neurological Surgery Physician
181
Avg Claims per Provider

John Edwards, MD's 20 claims are below the specialty average of 181.

Nearby Neurological Surgery Physician Providers in Utah

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

Compare Neurological Surgery 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 Utah medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Neurological Surgery 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 John Edwards, MD's specialty?
John Edwards, MD specializes in Neurological Surgery Physician and practices in Lehi, Utah. Credentials: MD.
How much does John Edwards, MD prescribe under Medicare Part D?
In 2023, John Edwards, MD wrote 20 Medicare Part D claims totaling $2K in drug costs for 11 beneficiaries.
What is John Edwards, MD's Medicare quality score?
John Edwards, MD has a CMS MIPS Final Score of 71.4/100 (Quality: 64.6, Cost: 40). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Edwards, MD located?
John Edwards, MD is located at 3000 N TRIUMPH BLVD STE 240, Lehi, UT, 84043. Phone: (385) 345-3560.
What is John Edwards, MD's NPI number?
John Edwards, MD's National Provider Identifier (NPI) is 1568692887, issued on 07/21/2009.
How many Neurological Surgery Physician providers are there in the US?
There are 8,100 Neurological Surgery Physician providers across 53 states in the US. The average Neurological Surgery Physician provider writes 181 Medicare Part D claims per year.
Does John Edwards, MD accept Medicare?
John Edwards, MD appears in CMS Medicare data with 20 Part D claims and 11 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Edwards, MD's credentials?
John Edwards, MD's NPI is 1568692887 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

Compiled from official public sources by the PlainDoctor editorial team.