Kathryn Edmiston, M.D.
NPI 1306820790 · Hematology & Oncology Physician · Worcester, MA
Enrolled with Medicare as Practitioner - Hematology/Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kathryn Edmiston, M.D. is a Hematology & Oncology Physician provider in Worcester, MA (NPI 1306820790).
Provider details
- NPI number
- 1306820790
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 57722 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
691 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 260 | $96 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 159 | $139 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 126 | $65 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 115 | $16 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 31 | $179 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Anastrozole | 323 | 111 |
| Exemestane | 115 | 42 |
| Alendronate Sodium | 53 | 21 |
| Palbociclibbrand: Ibrance | 43 | — |
| Tamoxifen Citrate | 40 | 16 |
| Prochlorperazine Maleate | 28 | 17 |
| Gabapentin | 27 | — |
| Dexamethasone | 27 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-30
- Last updated
- 2020-10-30
- Certified
- 2020-10-30
Frequently asked questions
- What is Kathryn Edmiston's NPI number?
- Kathryn Edmiston's National Provider Identifier (NPI) is 1306820790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathryn Edmiston's specialty?
- Kathryn Edmiston is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Kathryn Edmiston located?
- Kathryn Edmiston's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655-0002.
- What is Kathryn Edmiston's phone number?
- The practice phone number listed in the NPPES registry for Kathryn Edmiston is (508) 334-6200.
- Does Kathryn Edmiston accept Medicare?
- Kathryn Edmiston is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kathryn Edmiston's NPI active?
- Yes — Kathryn Edmiston's NPI (1306820790) is active in the NPPES registry as of the last update on 2020-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.