2026 NPPES data Interventional Pain Medicine Physician NPI 1053420190 MD
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WILLIAM EDMISTON, MD

Interventional Pain Medicine Physician in MOORESVILLE, North Carolina. 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
5K
Medicare Part D claims · 338 beneficiaries · Interventional Pain Medicine Physician avg: 2K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$594.74
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: WILLIAM EDMISTON, MD is a Interventional Pain Medicine Physician ([object Object]) practicing in MOORESVILLE, North Carolina with a Medicare Part D prescribing footprint of 5K claims across 338 beneficiaries — 9% brand-name prescribing . Industry payments of $594.74 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: WILLIAM EDMISTON, MD filed 5,414 Medicare Part D claims in 2023 across MOORESVILLE, North Carolina. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

WILLIAM EDMISTON, 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).

WILLIAM EDMISTON, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 08/30/2006

NPI 1053420190

Primary specialty

Interventional Pain Medicine Physician

Niche

1,528 US NPIs in this specialty

Medicare Part D claims

5,414 146% vs specialty avg

2023 prescription claims

Specialty avg: 2,197

Specialty distribution in North Carolina

How Interventional Pain Medicine Physician compares to other specialties among North Carolina providers

North Carolina providers

Interventional Pain Medicine Physician share within North Carolina

1. Interventional Pain Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Pain Medicine Physician share within North Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Interventional Pain Medicine Physician (ABMS / AOA reference)

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

Est. board-certified rate (Interventional Pain Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Interventional Pain Medicine 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).

WILLIAM EDMISTON, MD is a Interventional Pain Medicine Physician provider practicing in MOORESVILLE, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1053420190. 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.

WILLIAM EDMISTON, MD appears in the CMS NPPES registry as a Interventional Pain Medicine Physician provider holding MD credentials at 170 MEDICAL PARK RD, MOORESVILLE, NC, 28117, with a listed phone of (704) 360-4378. NPI 1053420190 was issued on 08/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what EDMISTON 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 5,414 prescription claims written by this provider, covering 338 Medicare beneficiaries and totaling roughly $422K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 68.2%. 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.

Interventional Pain Medicine Physician is a narrow specialty nationwide, with 1,528 enrolled providers across 53 states and an average of 2,197 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

170 MEDICAL PARK RD
MOORESVILLE, NC 28117

Provider Details

NPI 1053420190
Specialty Interventional Pain Medicine Physician
Credentials MD
Gender Male
NPI Issued 08/30/2006

Hospital and facility affiliations

Facilities where WILLIAM EDMISTON, 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.

IREDELL PHYSICIAN NETWORK LLC
STATESVILLE, NC

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 WILLIAM EDMISTON, MD. Source: openpaymentsdata.cms.gov.

Total received

$595

Largest payer

Boston Scientific 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.

Brand vs generic prescribing mix · Generic-heavy

WILLIAM EDMISTON, MD — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 5,414 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.

5,414
Total Claims
$422K
Total Drug Cost
338
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,727
Total Day Supply
166,891
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$195K
Generic Drug Cost
$227K
Opioid Claims
3,694 (68.2% rate)

Patient Demographics

Average Patient Age
70.7 years
Avg HCC Risk Score
1.71
Gender Split
65% female / 35% male
Age Distribution
<65: 82, 65-74: 124, 75-84: 109, 85+: 23

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Oxycodone Hcl
1,102
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
652
Morphine Sulfate Er
Morphine Sulfate
391
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
339
Hydromorphone Hcl
278
Gabapentin
253
Pregabalin
246
Buprenorphine
203
Tizanidine Hcl
203
Fentanyl
175

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

Interventional Pain Medicine Physician Overview

How WILLIAM EDMISTON, MD fits within the Interventional Pain Medicine Physician landscape nationally.

1,528
Interventional Pain Medicine Physician Providers in US
53
States with Interventional Pain Medicine Physician
2,197
Avg Claims per Provider

WILLIAM EDMISTON, MD's 5,414 claims are above the specialty average of 2,197.

Nearby Interventional Pain Medicine Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as EDMISTON.

Compare Interventional Pain Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is WILLIAM EDMISTON, MD's specialty?
WILLIAM EDMISTON, MD specializes in Interventional Pain Medicine Physician and practices in MOORESVILLE, North Carolina. Credentials: MD.
How much does WILLIAM EDMISTON, MD prescribe under Medicare Part D?
In 2023, WILLIAM EDMISTON, MD wrote 5,414 Medicare Part D claims totaling $422K in drug costs for 338 beneficiaries.
Where is WILLIAM EDMISTON, MD located?
WILLIAM EDMISTON, MD is located at 170 MEDICAL PARK RD, MOORESVILLE, NC, 28117. Phone: (704) 360-4378.
What is WILLIAM EDMISTON, MD's NPI number?
WILLIAM EDMISTON, MD's National Provider Identifier (NPI) is 1053420190, issued on 08/30/2006.
Does WILLIAM EDMISTON, MD prescribe more brand-name or generic drugs?
WILLIAM EDMISTON, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $195K in brand drug costs.
Does WILLIAM EDMISTON, MD prescribe opioids?
Yes, WILLIAM EDMISTON, MD had 3,694 opioid claims in 2023 with an opioid prescribing rate of 68.2%.
How many Interventional Pain Medicine Physician providers are there in the US?
There are 1,528 Interventional Pain Medicine Physician providers across 53 states in the US. The average Interventional Pain Medicine Physician provider writes 2,197 Medicare Part D claims per year.
What drugs does WILLIAM EDMISTON, MD prescribe most often?
Based on 2023 Medicare Part D data, WILLIAM EDMISTON, MD's most frequently prescribed drugs include Oxycodone Hcl, Hydrocodone-Acetaminophen, Morphine Sulfate Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does WILLIAM EDMISTON, MD accept Medicare?
WILLIAM EDMISTON, MD appears in CMS Medicare data with 5,414 Part D claims and 338 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WILLIAM EDMISTON, MD's credentials?
WILLIAM EDMISTON, MD's NPI is 1053420190 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