2026 NPPES data Cardiovascular Disease Physician NPI 1053395533 MD
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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.

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
1K
Medicare Part D claims · 145 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

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

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). This entry sits in this band. 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. 2K+: 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-eligible specialty (heuristic, not verified)

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 reported

NPI registry status

Active

Issued 11/30/2005

NPI 1053395533

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,810 US NPIs in this specialty

Medicare Part D claims

1,033 66% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

Specialty distribution in Missouri

How Cardiovascular Disease Physician compares to other specialties among Missouri providers

Missouri providers
Pharmacist - 4.8%Pharmacist4.8%Professional Counselor - 4.8%Professional Counselor4.8%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Clinical Social Worker - 4.5%Clinical Social Worker4.5%Family Nurse Practitioner - 4.3%Family Nurse Practitioner4.3%Physical Therapist - 4%Physical Therapist4%Cardiovascular Disease Physician - 0.4%Cardiovascular Disease Physician0.4%
Largest specialties in Missouri (% of in-state providers)

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

1034 S BRENTWOOD BLVD STE 1230
Saint Louis, MO 63117

Provider Details

NPI 1053395533
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 11/30/2005

Brand vs generic prescribing mix · Typical

Michael Twyman, MD - brand share 16.0%
Cardiovascular Disease Physician average

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.

1,033
Total Claims
$179K
Total Drug Cost
145
Medicare Beneficiaries

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

24,810
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

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.

Frequently Asked Questions

What is Michael Twyman, MD's specialty?
Michael Twyman, MD specializes in Cardiovascular Disease Physician and practices in Saint Louis, Missouri. Credentials: MD.
How much does Michael Twyman, MD prescribe under Medicare Part D?
In 2023, Michael Twyman, MD wrote 1,033 Medicare Part D claims totaling $179K in drug costs for 145 beneficiaries.
Where is Michael Twyman, MD located?
Michael Twyman, MD is located at 1034 S BRENTWOOD BLVD STE 1230, Saint Louis, MO, 63117. Phone: (314) 635-9028.
What is Michael Twyman, MD's NPI number?
Michael Twyman, MD's National Provider Identifier (NPI) is 1053395533, issued on 11/30/2005.
Does Michael Twyman, MD prescribe more brand-name or generic drugs?
Michael Twyman, MD's prescribing is 16% brand-name and 84% generic drugs by claim count, with $158K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,810 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does Michael Twyman, MD prescribe most often?
Based on 2023 Medicare Part D data, Michael Twyman, MD's most frequently prescribed drugs include Ezetimibe, Rosuvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Twyman, MD accept Medicare?
Michael Twyman, MD appears in CMS Medicare data with 1,033 Part D claims and 145 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Twyman, MD's credentials?
Michael Twyman, MD's NPI is 1053395533 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

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

Compiled from official public sources by the PlainDoctor editorial team.

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.