Physician

Douglas T. Edwards, M.D.

According to 2025 Medicare claims, Douglas Edwards, M.D. (NPI: 1679556484) practices ophthalmology in the Wausau, WI market, with the plurality of this provider's patient population coming from Marathon, WI. This provider's primary affiliated billing organization is EYE CLINIC OF WISCONSIN SC (NPI: 1740263458; TIN: 391093716) and primary practice location at 54403-4754.

Edwards' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 758 traditional Medicare patients, billed 2,513 HCPCS/CPT codes, and received $276,464 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 1,654 prescription claims across 423 beneficiaries totaling $74,827 in drug costs, led by Restasis (Cyclosporine). DME data shows 32 claims. Open Payments data shows 2 records totaling $85. 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 declined steadily, from $140,577 to $74,827. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,151	3,003	$320,202
2016	1,141	2,972	$313,288
2017	1,086	2,979	$298,463
2018	1,075	3,179	$342,116
2019	1,082	2,891	$304,697
2020	912	2,234	$223,975
2021	979	2,595	$267,671
2022	878	2,781	$260,650
2023	876	2,477	$237,089
2024	758	2,513	$276,464

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	433	1,876	$140,577
2016	422	1,981	$133,129
2017	318	1,412	$109,761
2018	280	1,234	$103,834
2019	261	1,145	$106,796
2020	223	994	$93,948
2021	249	973	$77,780
2022	299	1,119	$101,475
2023	319	1,113	$87,935
2024	423	1,654	$74,827

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	93	96	$6,340
2016	132	133	$8,836
2017	54	54	$3,778
2018	76	77	$5,456
2019	72	72	$5,240
2020	30	31	$2,101
2021	46	47	$3,641
2022	26	26	$2,020
2023	25	26	$1,840
2024	32	32	$2,759

* / # = 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
66984	Removal of cataract with insertion of prosthetic lens	366	601	$252
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	167	167	$101
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	216	$87
92014	Established patient complete exam of visual system	264	264	$74
92136	Measurement of corneal curvature and depth of eye	306	679	$18

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Restasis	Cyclosporine	23	1,050	$22,539
Prednisolone Acetate	Prednisolone Acetate	361	14,296	$16,953
Moxifloxacin	Moxifloxacin Hcl	282	4,278	$6,825
Ketorolac Tromethamine	Ketorolac Tromethamine	224	5,163	$3,924
Latanoprost	Latanoprost	308	16,577	$2,973

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
V2303	Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens	N	18	18	$1,963
V2020	Frames, purchases	N	14	14	$797

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$85	Ocular Therapeutix, 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 Douglas T. Edwards, M.D.?

Tedicare shows public-source Medicare data for Douglas T. Edwards, M.D. (NPI 1679556484), 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 Douglas T. Edwards, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Douglas T. Edwards, M.D.?

Douglas T. Edwards, M.D. is linked to EYE CLINIC OF WISCONSIN SC (billing NPI 1740263458) in the available physician profile data.

Does Douglas T. Edwards, M.D. have Open Payments data?

Douglas T. Edwards, M.D. has 2 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.