Timothy Edison, MD
Gastroenterology Physician in Neenah, Wisconsin. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,567 in Gastroenterology 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
Timothy Edison, MD filed 1,168 Medicare Part D claims in 2023 as a Gastroenterology Physician in Neenah, Wisconsin, prescribing 76% generic.
- 1K
- Part D claims, 2023
- 76%
- 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.
Timothy Edison, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,168 Top 23% higher than 77% 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
Timothy Edison, 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).
What does the federal data show about Timothy Edison, MD?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Wisconsin
How Gastroenterology Physician compares to other specialties among Wisconsin providers
Largest specialties in Wisconsin (% of in-state providers)
Gastroenterology Physician ranks #61 among Wisconsin's specialties (0.2% of in-state providers)
Each bar is a specialty's share of the Wisconsin provider total, by primary NUCC taxonomy. The highlighted bar is Gastroenterology 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 Gastroenterology Physician. Verify directly:
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).
Timothy Edison, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 100 THEDA CLARK MEDICAL PLZ STE 400, Neenah, WI, 54956, with a listed phone of (920) 725-4527. NPI 1861425902 was issued on 07/09/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Edison 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 1,168 prescription claims written by this provider, covering 470 Medicare beneficiaries and totaling roughly $980K in drug spend, split 24% brand-name and 76% 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.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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 | 1861425902 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/09/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Timothy Edison, MD's current license status, disciplinary history, and board certifications with the Wisconsin Department of Safety and Professional Services in Wisconsin before relying on this page for a clinical or care decision.
How we sourced this profile
Hospital and facility affiliations
Facilities where Timothy Edison, 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.
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 Timothy Edison, MD. Source: openpaymentsdata.cms.gov.
Total received
$859
Largest payer
ABBVIE 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
24% brand-name claims vs 76% generic, on 1,168 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
- 2,129
- Total Day Supply
- 56,180
- Brand vs Generic
- 24% brand / 76% generic
- Brand Drug Cost
- $893K
- Generic Drug Cost
- $87K
- Antibiotic Claims
- 19
Patient Demographics
- Average Patient Age
- 71.0 years
- Avg HCC Risk Score
- 1.47
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 63, 65-74: 247, 75-84: 130, 85+: 30
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Timothy Edison, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Pantoprazole Sodium
Pantoprazole Sodium
294 claims
- Peg 3350-Electrolyte
Peg 3350-Electrolyte
172 claims
- Linzess 52
Linzess
52 claims
- Mesalamine 45
Mesalamine
45 claims
- Budesonide Dr 40
Budesonide Dr
40 claims
- Dicyclomine Hcl 40
Dicyclomine Hcl
40 claims
- Omeprazole 37
Omeprazole
37 claims
- Amitriptyline Hcl 36
Amitriptyline Hcl
36 claims
| Drug | Claims |
|---|---|
| Pantoprazole Sodium | 294 |
| Peg 3350-Electrolyte Sodium Chloride/Nahco3/Kcl/Peg | 172 |
| Linzess Linaclotide | 52 |
| Mesalamine | 45 |
| Budesonide Dr Budesonide | 40 |
| Dicyclomine Hcl | 40 |
| Omeprazole | 37 |
| Amitriptyline Hcl | 36 |
| Colestipol Hcl | 35 |
| Azathioprine | 28 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Timothy Edison, MD fits within the Gastroenterology Physician landscape nationally.
Timothy Edison, MD's 1,168 claims are above the specialty average of 833.
Nearby Gastroenterology Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Edison.
Compare Gastroenterology 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 Wisconsin medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology 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
- 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