Kathryn Edmiston, M.D.
NPI 1306820790ActiveIndividual· Internal Medicine, Hematology & Oncology· Worcester, MA
Internal Medicine, Hematology & Oncology (M.D.) in Worcester, Massachusetts, trained at University of Chicago, Pritzker School of Medicine (class of 1982). Their prescriptions cost Medicare Part D more than their services did: $1,377,415 for 984 claims, against $47,908 paid for services in 2024.
Overview
| NPI | 1306820790 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Nov 30, 2005 |
| Last updated in NPPES | Oct 30, 2020 |
| Certified by provider | Oct 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Hematology & Oncology Primary | 207RH0003X | 57722 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hematology/Oncology (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 340 |
|---|---|
| Services billed | 700 across 10 procedure codes |
| Paid by Medicare | $47,908 |
Part D prescriptions in 2024
| Prescriptions (claims) | 984 · 2,046 30-day fills |
|---|---|
| Patients | 235 |
| Total drug cost | $1,377,415 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | University of Chicago, Pritzker School of Medicine |
|---|---|
| Graduation year | 1982 |
| Medicare specialty | Hematology/Oncology |
Medical group
- Umass Memorial Medical Group IncWorcester, MA · 2,516 clinicians
Hospital affiliations
- Marlborough HospitalMarlborough, MA
- Milford Regional Medical CenterMilford, MA
- Umass Memorial Health - Harrington HospitalSouthbridge, MA
- Umass Memorial Healthalliance HospitalsLeominster, MA
- Umass Memorial Medical Center/University CampusWorcester, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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