Physician

Adam Larry Edwards, M.D.

According to 2025 Medicare claims, Adam Edwards, M.D. (NPI: 1649560806) practices gastroenterology in the Dothan, AL market, with the plurality of this provider's patient population coming from Houston, AL. This provider's primary affiliated billing organization is GUT PC (NPI: 1073566006; TIN: 20-2904686) and primary practice location at 36305-1156. Edwards is affiliated with the Alabama Physician Network, LLC (ACO ID: A3738) and Caravan Collaborative Pathways (ACO ID: A4604), participating under the MSSP model.

Edwards' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 364 traditional Medicare patients, billed 10,761 HCPCS/CPT codes, and received $222,140 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 693 prescription claims across 264 beneficiaries totaling $629,169 in drug costs, led by Linzess (Linaclotide). Open Payments data shows 72 records totaling $1,590. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $16,041 to $222,140. Similarly, Part D prescription costs have moved sharply higher in recent years, from $2,517 to $629,169. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$111K$222K2018 Medicare payment: $16,041 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $23,410 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $28,845 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $28,587 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $24,747 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $79,285 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $222,140 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018134222$16,041
2019181335$23,410
2020194388$28,845
2021174353$28,587
2022157241$24,747
20232872,739$79,285
202436410,761$222,140

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$315K$629K2015 Drug cost: $2,517 (USD; Tot_Drug_Cst)2016 Drug cost: $23,018 (USD; Tot_Drug_Cst)2017 Drug cost: $29,471 (USD; Tot_Drug_Cst)2018 Drug cost: $23,984 (USD; Tot_Drug_Cst)2019 Drug cost: $107,030 (USD; Tot_Drug_Cst)2020 Drug cost: $240,148 (USD; Tot_Drug_Cst)2021 Drug cost: $172,257 (USD; Tot_Drug_Cst)2022 Drug cost: $293,576 (USD; Tot_Drug_Cst)2023 Drug cost: $154,980 (USD; Tot_Drug_Cst)2024 Drug cost: $629,169 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152038$2,517
201647140$23,018
201744155$29,471
201847182$23,984
201967239$107,030
202066269$240,148
202163260$172,257
202271275$293,576
202387258$154,980
2024264693$629,169

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare6566$172
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more137137$105
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7677$95
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6682$89
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope5963$77

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
LinzessLinaclotide371,470$25,668
Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates5869$3,615
Colestipol HclColestipol Hcl372,055$2,363
Pantoprazole SodiumPantoprazole Sodium23210,175$1,934
LubiprostoneLubiprostone18660$1,912

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.72$1,590ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Adam Larry Edwards, M.D.?

Tedicare shows public-source Medicare data for Adam Larry Edwards, M.D. (NPI 1649560806), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Adam Larry Edwards, M.D. have ACO affiliation data?

Adam Larry Edwards, M.D. is shown with ACO affiliation data for Alabama Physician Network, LLC (MSSP, ACO ID A3738) and Caravan Collaborative Pathways (MSSP, ACO ID A4604).

What billing organization is linked to Adam Larry Edwards, M.D.?

Adam Larry Edwards, M.D. is linked to GUT PC (billing NPI 1073566006) in the available physician profile data.

Does Adam Larry Edwards, M.D. have Open Payments data?

Adam Larry Edwards, M.D. has 72 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.