2026 NPPES data Gynecology Physician NPI 1467498410 MD
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JULIA EDELMAN, MD

Gynecology Physician in MIDDLEBORO, Massachusetts. 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
294
Medicare Part D claims · 107 beneficiaries · Gynecology Physician avg: 295
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$16.02
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JULIA EDELMAN, MD is a Gynecology Physician ([object Object]) practicing in MIDDLEBORO, Massachusetts with a Medicare Part D prescribing footprint of 294 claims across 107 beneficiaries — 13% brand-name prescribing . Industry payments of $16.02 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What the federal data shows

JULIA EDELMAN, MD filed 294 Medicare Part D claims in 2023 as a Gynecology Physician in MIDDLEBORO, Massachusetts, prescribing 87% generic.

294
Part D claims, 2023
87%
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.

Board certification likely (heuristic — not verified)

JULIA EDELMAN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JULIA EDELMAN, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 06/20/2006

NPI 1467498410

Primary specialty

Gynecology Physician

Niche

3,902 US NPIs in this specialty

Medicare Part D claims

294 0% vs specialty avg

2023 prescription claims

Specialty avg: 295

Specialty distribution in Massachusetts

How Gynecology Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Gynecology Physician share within Massachusetts

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Gynecology 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).

JULIA EDELMAN, MD is a Gynecology Physician provider practicing in MIDDLEBORO, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1467498410. 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.

JULIA EDELMAN, MD appears in the CMS NPPES registry as a Gynecology Physician provider holding MD credentials at 511 W GROVE ST, MIDDLEBORO, MA, 02346, with a listed phone of (508) 947-0800. NPI 1467498410 was issued on 06/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what EDELMAN 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 294 prescription claims written by this provider, covering 107 Medicare beneficiaries and totaling roughly $32K in drug spend, split 13% brand-name and 87% generic by claim count. 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.

Gynecology Physician is a narrow specialty nationwide, with 3,902 enrolled providers across 53 states and an average of 295 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

511 W GROVE ST
MIDDLEBORO, MA 02346

Provider Details

NPI 1467498410
Specialty Gynecology Physician
Credentials MD
Gender Female
NPI Issued 06/20/2006

Hospital and facility affiliations

Facilities where JULIA EDELMAN, 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.

WOMENS HEALTH AND GYNECOLOGY OF NEW ENGLAND PC
MIDDLEBORO, MA

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 JULIA EDELMAN, MD. Source: openpaymentsdata.cms.gov.

Total received

$16

Largest payer

Astellas Pharma US 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.

License & disciplinary context — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to JULIA EDELMAN, MD. To verify JULIA EDELMAN, MD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

JULIA EDELMAN, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 294 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.

294
Total Claims
$32K
Total Drug Cost
107
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
706
Total Day Supply
20,323
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$11K
Generic Drug Cost
$21K
Antibiotic Claims
20

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
0.62
Gender Split
100% female / 0% 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
Estradiol
95
Yuvafem
Estradiol
49
Alendronate Sodium
46
Imvexxy
Estradiol
19
Misoprostol
12
Oxybutynin Chloride Er
Oxybutynin Chloride
12

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

Gynecology Physician Overview

How JULIA EDELMAN, MD fits within the Gynecology Physician landscape nationally.

3,902
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider

JULIA EDELMAN, MD's 294 claims are below the specialty average of 295.

Nearby Gynecology Physician Providers in Massachusetts

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

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

Frequently Asked Questions

What is JULIA EDELMAN, MD's specialty?
JULIA EDELMAN, MD specializes in Gynecology Physician and practices in MIDDLEBORO, Massachusetts. Credentials: MD.
How much does JULIA EDELMAN, MD prescribe under Medicare Part D?
In 2023, JULIA EDELMAN, MD wrote 294 Medicare Part D claims totaling $32K in drug costs for 107 beneficiaries.
Where is JULIA EDELMAN, MD located?
JULIA EDELMAN, MD is located at 511 W GROVE ST, MIDDLEBORO, MA, 02346. Phone: (508) 947-0800.
What is JULIA EDELMAN, MD's NPI number?
JULIA EDELMAN, MD's National Provider Identifier (NPI) is 1467498410, issued on 06/20/2006.
Does JULIA EDELMAN, MD prescribe more brand-name or generic drugs?
JULIA EDELMAN, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $11K in brand drug costs.
How many Gynecology Physician providers are there in the US?
There are 3,902 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does JULIA EDELMAN, MD prescribe most often?
Based on 2023 Medicare Part D data, JULIA EDELMAN, MD's most frequently prescribed drugs include Estradiol, Yuvafem, Alendronate Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JULIA EDELMAN, MD accept Medicare?
JULIA EDELMAN, MD appears in CMS Medicare data with 294 Part D claims and 107 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JULIA EDELMAN, MD's credentials?
JULIA EDELMAN, MD's NPI is 1467498410 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.
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