2026 NPPES data Surgery Physician NPI 1366736159 M.D.
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JOSHUA EDGERTON, M.D.

Surgery Physician in MOBILE, Alabama. 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
530
Medicare Part D claims · 186 beneficiaries · Surgery Physician avg: 169
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$7.1K
29 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOSHUA EDGERTON, M.D. filed 530 Medicare Part D claims in 2023 as a Surgery Physician in MOBILE, Alabama, prescribing 86% generic.

530
Part D claims, 2023
86%
generic prescribing
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.

JOSHUA EDGERTON, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

530 Top 34% higher than 66% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

JOSHUA EDGERTON, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 JOSHUA EDGERTON, M.D.?

Quality data not reported

NPI registry status

Active

Issued 06/09/2011

NPI 1366736159

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

530 214% vs specialty avg

2023 prescription claims

Specialty avg: 169

Specialty distribution in Alabama

How Surgery Physician compares to other specialties among Alabama providers

Alabama providers

Surgery Physician share within Alabama

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

Specialty board-certification context

Estimated specialty board-certified rate — Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Surgery Physician) — ABMS / AOA estimate

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).

JOSHUA EDGERTON, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 6701 AIRPORT BLVD STE A208, MOBILE, AL, 36608, with a listed phone of (251) 266-3544. NPI 1366736159 was issued on 06/09/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what EDGERTON 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 530 prescription claims written by this provider, covering 186 Medicare beneficiaries and totaling roughly $31K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 10.2%. 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.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

6701 AIRPORT BLVD STE A208
MOBILE, AL 36608

Provider Details

NPI 1366736159
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 06/09/2011

Hospital and facility affiliations

Facilities where JOSHUA EDGERTON, 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.

USA HEALTH COMMUNITY PROVIDERS LLC
MOBILE, AL
USA HEALTH PHYSICIAN BILLING SERVICES LLC
MOBILE, AL

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 JOSHUA EDGERTON, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$7.1K

Largest payer

INTUITIVE SURGICAL, 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.

Brand vs generic prescribing mix · Typical

JOSHUA EDGERTON, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 530 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.

530
Total Claims
$31K
Total Drug Cost
186
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
726
Total Day Supply
16,371
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$7K
Generic Drug Cost
$24K
Opioid Claims
54 (10.2% rate)
Antibiotic Claims
99

Patient Demographics

Average Patient Age
69.7 years
Avg HCC Risk Score
1.61
Gender Split
58% female / 42% male
Age Distribution
<65: 47, 65-74: 79, 75-84: 42, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

What JOSHUA EDGERTON, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Pantoprazole Sodium
138
Sucralfate
65
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
51
Levofloxacin-D5w
Levofloxacin In Dextrose 5 %
28
Silver Sulfadiazine
24
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
22
Clopidogrel
Clopidogrel Bisulfate
18
Ssd
Silver Sulfadiazine
18
Atorvastatin Calcium
11
Sod Sulf-Potass Sulf-Mag Sulf
"Sodium
N/A

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

Surgery Physician Overview

How JOSHUA EDGERTON, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

JOSHUA EDGERTON, M.D.'s 530 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in Alabama

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

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

Frequently Asked Questions

What is JOSHUA EDGERTON, M.D.'s specialty?
JOSHUA EDGERTON, M.D. specializes in Surgery Physician and practices in MOBILE, Alabama. Credentials: M.D..
How much does JOSHUA EDGERTON, M.D. prescribe under Medicare Part D?
In 2023, JOSHUA EDGERTON, M.D. wrote 530 Medicare Part D claims totaling $31K in drug costs for 186 beneficiaries.
Where is JOSHUA EDGERTON, M.D. located?
JOSHUA EDGERTON, M.D. is located at 6701 AIRPORT BLVD STE A208, MOBILE, AL, 36608. Phone: (251) 266-3544.
What is JOSHUA EDGERTON, M.D.'s NPI number?
JOSHUA EDGERTON, M.D.'s National Provider Identifier (NPI) is 1366736159, issued on 06/09/2011.
Does JOSHUA EDGERTON, M.D. prescribe more brand-name or generic drugs?
JOSHUA EDGERTON, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $7K in brand drug costs.
Does JOSHUA EDGERTON, M.D. prescribe opioids?
Yes, JOSHUA EDGERTON, M.D. had 54 opioid claims in 2023 with an opioid prescribing rate of 10.2%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does JOSHUA EDGERTON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSHUA EDGERTON, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Sucralfate, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSHUA EDGERTON, M.D. accept Medicare?
JOSHUA EDGERTON, M.D. appears in CMS Medicare data with 530 Part D claims and 186 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSHUA EDGERTON, M.D.'s credentials?
JOSHUA EDGERTON, M.D.'s NPI is 1366736159 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.
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