Physician

John Z Edwards, MD

According to 2025 Medicare claims, John Edwards, MD (NPI: 1679553523) practices orthopedic surgery in the Charlottesville, VA market, with the plurality of this provider's patient population coming from Charlottesville City, VA. This provider's primary affiliated billing organization is MARTHA JEFFERSON MEDICAL GROUP LLC (NPI: 1275720559; TIN: 261126956) and primary practice location at 22911-4668. Edwards is affiliated with the Sentara Accountable Care Organization, LLC (ACO ID: A4868) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Edwards' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 559 traditional Medicare patients, billed 3,623 HCPCS/CPT codes, and received $324,612 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 422 prescription claims across 214 beneficiaries totaling $7,879 in drug costs, led by Meloxicam (Meloxicam). DME data shows 32 claims. Open Payments data shows 5 records totaling $269. 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 changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $7,445 and ending at $7,879. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $2,743 and ending at $12,662.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	671	4,449	$316,310
2016	738	4,663	$300,025
2017	623	4,770	$313,004
2018	653	5,440	$369,829
2019	760	6,291	$425,848
2020	683	5,575	$377,533
2021	698	4,789	$369,513
2022	646	4,320	$348,054
2023	618	3,870	$344,764
2024	559	3,623	$324,612

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	167	351	$7,445
2016	155	295	$2,669
2017	159	320	$4,854
2018	213	446	$21,693
2019	265	528	$18,782
2020	256	662	$22,089
2021	281	618	$19,669
2022	265	663	$20,765
2023	257	547	$19,466
2024	214	422	$7,879

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	18	34	$2,093
2016	11	28	$1,048
2017	30	31	$1,968
2018	22	22	$1,682
2019	135	420	$47,396
2020	107	430	$20,787
2021	58	102	$3,673
2022	30	117	$3,065
2023	41	88	$3,006
2024	N/R	32	$328

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	136	147	$134
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	131	152	$66
20610	Aspiration and/or injection of fluid from large joint	197	312	$56
73564	X-ray of knee, 4 or more views	134	211	$35
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	178	1,368	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Meloxicam	Meloxicam	128	4,842	$391
Oxycodone Hcl	Oxycodone Hcl	73	473	$299
Ondansetron Odt	Ondansetron	30	85	$109
Hydromorphone Hcl	Hydromorphone Hcl	19	115	$104
Prednisone	Prednisone	23	205	$54

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0149	Walker, heavy duty, wheeled, rigid or folding, any type	Y	N/R	32	$328

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	5	$269	DePuy Synthes Sales Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for John Z. Edwards, MD?

Tedicare shows public-source Medicare data for John Z. Edwards, MD (NPI 1679553523), 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 John Z. Edwards, MD have ACO affiliation data?

John Z. Edwards, MD is shown with ACO affiliation data for Sentara Accountable Care Organization, LLC (MSSP, ACO ID A4868) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to John Z. Edwards, MD?

John Z. Edwards, MD is linked to MARTHA JEFFERSON MEDICAL GROUP LLC (billing NPI 1275720559) in the available physician profile data.

Does John Z. Edwards, MD have Open Payments data?

John Z. Edwards, MD has 5 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.