Michael Twyman, MD
Cardiovascular Disease Physician in Saint Louis, Missouri.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,810 in Cardiovascular Disease 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Michael Twyman, MD filed 1,033 Medicare Part D claims in 2023 as a Cardiovascular Disease Physician in Saint Louis, Missouri, prescribing 84% generic.
- 1K
- Part D claims, 2023
- 84%
- generic prescribing
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.
Michael Twyman, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,033 Top 24% higher than 76% of 1,370,886 prescribers
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
Michael Twyman, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Michael Twyman, MD?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Missouri
How Cardiovascular Disease Physician compares to other specialties among Missouri providers
Cardiovascular Disease Physician ranks #45 among Missouri's specialties (0.4% of in-state providers)
Each bar is a specialty's share of the Missouri provider total, by primary NUCC taxonomy. The highlighted bar is Cardiovascular Disease Physician; the long tail of smaller specialties is omitted for legibility.
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Cardiovascular Disease Physician. Verify directly:
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).
Michael Twyman, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 1034 S BRENTWOOD BLVD STE 1230, Saint Louis, MO, 63117, with a listed phone of (314) 635-9028. NPI 1053395533 was issued on 11/30/2005.
Medicare Part D records for calendar year 2023 show 1,033 prescription claims written by this provider, covering 145 Medicare beneficiaries and totaling roughly $179K in drug spend, split 16% brand-name and 84% generic by claim count.
Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,810 enrolled providers across 54 states and an average of 3,033 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
Provider Details
| NPI | 1053395533 |
|---|---|
| Specialty | Cardiovascular Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 11/30/2005 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Michael Twyman, MD's current license status, disciplinary history, and board certifications with the Missouri Board of Registration for the Healing Arts in Missouri before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1053395533 is the unique 10-digit identifier CMS uses to link Twyman across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
Brand vs generic prescribing mix · Typical
16% brand-name claims vs 84% generic, on 1,033 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.
Prescribing Breakdown
- 30-Day Fills
- 2,766
- Total Day Supply
- 82,756
- Brand vs Generic
- 16% brand / 84% generic
- Brand Drug Cost
- $158K
- Generic Drug Cost
- $22K
Patient Demographics
- Average Patient Age
- 71.7 years
- Avg HCC Risk Score
- 0.74
- Gender Split
- 46% female / 54% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Michael Twyman, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Ezetimibe
Ezetimibe
164 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
147 claims
- Amlodipine Besylate
Amlodipine Besylate
106 claims
- Ramipril
Ramipril
70 claims
- Repatha Sureclick 53
Repatha Sureclick
53 claims
- Telmisartan 51
Telmisartan
51 claims
- Metoprolol Tartrate 38
Metoprolol Tartrate
38 claims
- Nexletol 36
Nexletol
36 claims
| Drug | Claims |
|---|---|
| Ezetimibe | 164 |
| Rosuvastatin Calcium | 147 |
| Amlodipine Besylate | 106 |
| Ramipril | 70 |
| Repatha Sureclick Evolocumab | 53 |
| Telmisartan | 51 |
| Metoprolol Tartrate | 38 |
| Nexletol Bempedoic Acid | 36 |
| Pravastatin Sodium | 31 |
| Lisinopril | 30 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Cardiovascular Disease Physician Overview
How Michael Twyman, MD fits within the Cardiovascular Disease Physician landscape nationally.
Michael Twyman, MD's 1,033 claims are below the specialty average of 3,033.
Nearby Cardiovascular Disease Physician Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Twyman.
Compare Cardiovascular Disease 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 Missouri medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Cardiovascular Disease 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.
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Frequently Asked Questions
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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 (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
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 May 2026.
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