NPI registry status
Active
2026 NPPES data Interventional Pain Medicine Physician NPI 1053420190 MD
Verify on CMS → William Edmiston, MD
Interventional Pain Medicine Physician in Mooresville, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,603 in Interventional Pain Medicine 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
6K
Medicare Part D claims · 361 beneficiaries · Interventional Pain Medicine Physician avg: 2K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$594.74
6 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
William Edmiston, MD filed 5,509 Medicare Part D claims in 2024 as an Interventional Pain Medicine Physician in Mooresville, North Carolina, prescribing 94% generic.
- 6K
- Part D claims, 2024
- 94%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥94th
- pct by Part D claim volume (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.
Federal trust snapshot
What official records show about William Edmiston, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1053420190), first enumerated 08/30/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 5,509 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$594.74 in reported industry payments (6 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1053420190 · Interventional Pain Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1053420190
- ENUM-LEGACY 2006
- TAX-NARROW 1,603
- RX-MID 5,509
- BOOK-THIN 34 in North Carolina
- PHOTO-ENUM Michael Poss · 2006
William Edmiston, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
5,509 ≥ 94th percentile 94% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
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).
What does the federal data show about William Edmiston, MD?
Quality data not reportedPrimary specialty
Interventional Pain Medicine Physician
Medicare Part D claims
5,509 148% vs specialty avg
Specialty distribution in North Carolina
How Interventional Pain Medicine Physician compares to other specialties among North Carolina 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 Interventional Pain Medicine 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).
Practice Address
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 6.0%
Interventional Pain Medicine Physician average
6% brand-name claims vs 94% generic, on 5,509 2024 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 2024.
5,509
Total Claims
$375K
Total Drug Cost
361
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 5,801.933
- Total Day Supply
- 169,955
- Brand vs Generic
- 6% brand / 94% generic
- Brand Drug Cost
- $156K
- Generic Drug Cost
- $219K
- Opioid Claims
- 3,875 (70.3% rate)
Patient Demographics
- Average Patient Age
- 70.2 years
- Avg HCC Risk Score
- 1.86
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 94, 65-74: 142, 75-84: 98, 85+: 27
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What William Edmiston, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Oxycodone Hcl
Oxycodone Hcl
1,327 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
659 claims
- Morphine Sulfate Er 417
Morphine Sulfate Er
417 claims
- Oxycodone-Acetamin… 331
Oxycodone-Acetaminophen
331 claims
- Gabapentin 314
Gabapentin
314 claims
- Pregabalin 228
Pregabalin
228 claims
- Buprenorphine 222
Buprenorphine
222 claims
- Hydromorphone Hcl 206
Hydromorphone Hcl
206 claims
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 1,327 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 659 |
| Morphine Sulfate Er Morphine Sulfate | 417 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 331 |
| Gabapentin | 314 |
| Pregabalin | 228 |
| Buprenorphine | 222 |
| Hydromorphone Hcl | 206 |
| Fentanyl | 192 |
| Tizanidine Hcl | 183 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Interventional Pain Medicine Physician in NC →
All providers in North Carolina →
Compare specialties →
Interventional Pain Medicine Physician Overview
How William Edmiston, MD fits within the Interventional Pain Medicine Physician landscape nationally.
1,603
Interventional Pain Medicine Physician Providers in US
53
States with Interventional Pain Medicine Physician
2,221
Avg Claims per Provider
William Edmiston, MD's 5,509 claims are above the specialty average of 2,221.
Nationwide Interventional Pain Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Edmiston, both outside North Carolina so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 34 Interventional Pain Medicine Physician providers enrolled in North Carolina, 5 are shown here.
Dr. Sunil Arora
MD
Wilmington, NC
Dr. Jonathan Blank
MD
Greenville, NC
Dr. Allyson Bryant
M.D.
Raleigh, NC
Dr. Thomas Buchheit
MD
Chapel Hill, NC
Dr. Daljit Buttar
M.D.
Raleigh, NC
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 2024, William Edmiston, MD wrote 5,509 Medicare Part D claims totaling $375K in drug costs for 361 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 6% brand-name and 94% generic drugs by claim count, with $156K in brand drug costs.
Does William Edmiston, MD prescribe opioids? ▼
Yes, William Edmiston, MD had 3,875 opioid claims in 2024 with an opioid prescribing rate of 70.3%.
How many Interventional Pain Medicine Physician providers are there in the US? ▼
There are 1,603 Interventional Pain Medicine Physician providers across 53 states in the US. The average Interventional Pain Medicine Physician provider writes 2,221 Medicare Part D claims per year.
What drugs does William Edmiston, MD prescribe most often? ▼
Based on 2024 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 5,509 Part D claims and 361 Medicare beneficiaries in 2024. 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.