Timothy Edison, MD
NPI 1861425902 · Gastroenterology Physician · Neenah, WI
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Edison, MD is a Gastroenterology Physician provider in Neenah, WI (NPI 1861425902).
Provider details
- NPI number
- 1861425902
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 37531 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
304 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 60 | $82 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 48 | $83 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 35 | $143 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 28 | $193 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 26 | $117 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 286 | 118 |
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 215 | 210 |
| Omeprazole | 105 | 33 |
| Budesonidebrand: Budesonide Dr | 78 | 28 |
| Mesalamine | 62 | 21 |
| Dicyclomine Hcl | 41 | 16 |
| Colestipol Hcl | 38 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$859 across 44 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 2 Transam Plaza DrOakbrook Terrace, IL 60181-4823Phone: (630) 833-0653
- 1550 Midway PlMenasha, WI 54952-1165Phone: (920) 727-8100
- 100 Theda Clark Medical Plz Ste 400Neenah, WI 54956-2763Phone: (920) 725-4527Fax: (920) 729-2378
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Frequently asked questions
- What is Timothy Edison's NPI number?
- Timothy Edison's National Provider Identifier (NPI) is 1861425902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Edison's specialty?
- Timothy Edison is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Timothy Edison located?
- Timothy Edison's practice location on file with NPPES is 200 Theda Clark Medical Plz, Neenah, WI 54956-2721.
- What is Timothy Edison's phone number?
- The practice phone number listed in the NPPES registry for Timothy Edison is (920) 720-6440.
- Does Timothy Edison accept Medicare?
- Timothy Edison is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Edison's NPI active?
- Yes — Timothy Edison's NPI (1861425902) is active in the NPPES registry as of the last update on 2026-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.