Edward Lyle Cain Jr., MD
NPI 1578538112ActiveIndividual· Orthopaedic Surgery, Sports Medicine· Birmingham, AL
Orthopaedic Surgery, Sports Medicine (MD) in Birmingham, Alabama, trained at University of Alabama School of Medicine (class of 1994). 234 Medicare patients in 2024, $139,046 paid; nearly all of their 1,107 Part D prescriptions were generic (99%). Arthrex, Inc. was the largest of 6 companies reporting payments in 2025, $2,980,039 in all, mostly royalties and licenses.
Overview
| NPI | 1578538112 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 17, 2006 |
| Last updated in NPPES | May 6, 2025 |
| Certified by provider | May 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | MD22442 | AL |
| Orthopaedic Surgery | 207X00000X | MD22442 | AL |
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 - Orthopedic Surgery (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 234 |
|---|---|
| Services billed | 1,283 across 49 procedure codes |
| Paid by Medicare | $139,046 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,107 · 1,139 30-day fills |
|---|---|
| Patients | 327 |
| Total drug cost | $18,475 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | University of Alabama School of Medicine |
|---|---|
| Graduation year | 1994 |
| Medicare specialty | Orthopedic Surgery |
Medical groups
- Champion Sports Medicine Birmingham, LLCHoover, AL · 176 clinicians
- Stv Sports Medicine and Orthopedics LLCBirmingham, AL · 51 clinicians
- Rehab Associates, LLCVestavia Hills, AL · 21 clinicians
Hospital affiliations
- Hill Hospital of Sumter CountyYork, AL
- Ochsner Choctaw GeneralButler, AL
- St Vincent's BirminghamBirmingham, AL
Other facilities
- Compassus Home HealthHome health agency · Birmingham, AL
Industry payments (Open Payments)
- 2025$2,980,039 · 45 payments from 6 companies
- 2024$3,203,780 · 55 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Arthrex, Inc. | $2,979,026 | 32 |
| Prime Surgical, LLC | $572.33 | 4 |
| Stryker Corporation | $310.90 | 5 |
| Depuy Synthes Sales Inc. | $67.25 | 2 |
| Getinge USA Sales, LLC | $40.31 | 1 |
What the 2025 payments were for
- Royalty or License$2,975,467 · 4 payments
- Travel and Lodging$3,078 · 15 payments
- Food and Beverage$1,495 · 26 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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