NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1356388557 MD
Verify on CMS → Timothy Edwards, MD
Gastroenterology Physician in Cape Girardeau, 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 16,601 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.
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
630
Medicare Part D claims · 373 beneficiaries · Gastroenterology Physician avg: 833
MIPS score
63.6/100
▼ 20 pts below national avg 83.5 · Mid-tier
Industry payments
$1.2K
57 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Timothy Edwards, MD reported a CMS MIPS final score of 63.6/100 - below the 83.5 national average - and filed 630 Medicare Part D claims in 2023.
- 63.6/100
- MIPS score · -20 vs avg
- 630
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥6th
- pct among measured MIPS (lower-bound band)
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 Edwards, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
64 ≥ 6th percentile 6% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Timothy Edwards, MD sits
This provider among gastroenterology physician peers
Across the 5,560 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Timothy Edwards, MD writes more Part D claims than 42% of them and scores higher on MIPS quality than 8% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Timothy Edwards, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Timothy Edwards, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Edwards, MD?
Below national averagePrimary specialty
Gastroenterology Physician
Medicare Part D claims
630 24% vs specialty avg
MIPS final score
63.6/100 19.9 pts vs avg
Specialty distribution in Missouri
How Gastroenterology Physician compares to other specialties among Missouri providers
Medicare quality performance, MIPS
Timothy Edwards, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 63.6/100
- vs 83.5 national avg · 2023 performance year
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).
Timothy Edwards, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 1429 N MOUNT AUBURN RD, Cape Girardeau, MO, 63701, with a listed phone of (573) 334-8870. NPI 1356388557 was issued on 05/31/2006.
Medicare Part D records for calendar year 2023 show 630 prescription claims written by this provider, covering 373 Medicare beneficiaries and totaling roughly $305K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 63.6/100 for the 2023 performance year (Quality 20.2, Cost 58.6), compared with the 83.5 average among clinicians with a measured score.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,601 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 | 1356388557 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/31/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
63.6378
Final Score
Measured-score avg: 83.5
20.1939
Quality
58.5987
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Timothy Edwards, 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.
Saint Francis Medical Center
★★★☆☆ 3/5
Cape Girardeau, MO
Acute Care Hospitals
CMS CCN: 260183
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 Edwards, MD. Source: openpaymentsdata.cms.gov.
Total received
$1.2K
Largest payer
GENZYME CORPORATION
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
630
Total Claims
$305K
Total Drug Cost
373
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 887
- Total Day Supply
- 17,223
- Generic Drug Cost
- $23K
Patient Demographics
- Average Patient Age
- 70.9 years
- Avg HCC Risk Score
- 0.88
- Gender Split
- 57% female / 43% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Timothy Edwards, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Pantoprazole Sodium
Pantoprazole Sodium
73 claims
- Omeprazole
Omeprazole
69 claims
- Dicyclomine Hcl 19
Dicyclomine Hcl
19 claims
- Azathioprine 16
Azathioprine
16 claims
- Famotidine 14
Famotidine
14 claims
- Clenpiq 13
Clenpiq
13 claims
- Metoclopramide Hcl 12
Metoclopramide Hcl
12 claims
- Sutab 11
Sutab
11 claims
| Drug | Claims |
|---|---|
| Pantoprazole Sodium | 73 |
| Omeprazole | 69 |
| Dicyclomine Hcl | 19 |
| Azathioprine | 16 |
| Famotidine | 14 |
| Clenpiq Sod Picosulf/Mag Ox/Citric Ac | 13 |
| Metoclopramide Hcl | 12 |
| Sutab Sod Sulf/Pot Chloride/Mag Sulf | 11 |
| Gavilyte-G "Peg3350/Sod Sulf | N/A |
| 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.
Gastroenterology Physician Overview
How Timothy Edwards, MD fits within the Gastroenterology Physician landscape nationally.
16,601
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider
Timothy Edwards, MD's 630 claims are below the specialty average of 833.
Nationwide Gastroenterology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Edwards, both outside Missouri so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (63.6 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Gastroenterology Physician Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Edwards.
One of 319 Gastroenterology Physician providers enrolled in Missouri, 5 are shown here.
Dr. Ma'n Abdullah
MD
Columbia, MO
Dr. Kelsey Able
DO
Kansas City, MO
Dr. Barry Abramson
M.D.
Saint Louis, MO
Dr. Tarek Abu-Rajab Tamimi
M.D.
Kansas City, MO
Dr. Aireen-Ronalda Agulto
MD
Saint Louis, MO
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 Missouri 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
What is Timothy Edwards, MD's specialty? ▼
Timothy Edwards, MD specializes in Gastroenterology Physician and practices in Cape Girardeau, Missouri. Credentials: MD.
How much does Timothy Edwards, MD prescribe under Medicare Part D? ▼
In 2023, Timothy Edwards, MD wrote 630 Medicare Part D claims totaling $305K in drug costs for 373 beneficiaries.
What is Timothy Edwards, MD's Medicare quality score? ▼
Timothy Edwards, MD has a CMS MIPS Final Score of 63.6/100 (Quality: 20.2, Cost: 58.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Timothy Edwards, MD located? ▼
Timothy Edwards, MD is located at 1429 N MOUNT AUBURN RD, Cape Girardeau, MO, 63701. Phone: (573) 334-8870.
What is Timothy Edwards, MD's NPI number? ▼
Timothy Edwards, MD's National Provider Identifier (NPI) is 1356388557, issued on 05/31/2006.
How many Gastroenterology Physician providers are there in the US? ▼
There are 16,601 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Timothy Edwards, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Timothy Edwards, MD's most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Dicyclomine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Timothy Edwards, MD accept Medicare? ▼
Timothy Edwards, MD appears in CMS Medicare data with 630 Part D claims and 373 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Timothy Edwards, MD's credentials? ▼
Timothy Edwards, MD's NPI is 1356388557 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.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- 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.