Dr. Michael Thomas Edgerton , DO
Orthopaedic Surgery - Hand Surgery โข Lima, OH
801 Medical Dr Ste A
Lima, OH 458044030
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Dr. Michael Edgerton is listed in NPPES under Orthopaedic Surgery - Hand Surgery.
-
NPI assigned on February 20, 2013; this date does not establish years in practice.
-
Published CMS data list 10,027 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- J1010 โ Injection, methylprednisolone acetate, 1 mg: 8,800 service units.
- 73030 โ X-ray of shoulder, minimum of 2 views: 281 service units.
- 99213 โ Established patient outpatient office visit: 156 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 23 records in the table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 361 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 204 prescription fills, including refills.
- Tramadol Hcl โ 43 prescription fills, including refills.
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) โ 34 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 7 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
More Medicare Part B services than 95% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Ohio (2024, 73 clinicians with data). Median for this group: 1,020. Middle half: 615 to 1,809.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 916 in 2020 to 10,027 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
801 Medical Dr Ste A
Lima, OH 458044030
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Orthopaedic Institute Of Ohio, Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Kentucky School Of Medicine
2013
What Public CMS Data Show
Orthopaedic Surgery - Hand Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
421 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $143,641 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $108,821 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
365 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,724 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $58.33 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
13 years (graduated 2013)
CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2013
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Edgerton has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Edgerton as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Lima and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Ohio (2024, 73 clinicians with data). Median for this group: 1,020. Middle half: 615 to 1,809.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Lima have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Ohio (2024, 73 clinicians with data). Median for this group: $73,563. Middle half: $43,603 to $115,912.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Lima have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Ohio (2024, 73 clinicians with data). Median for this group: $53,625. Middle half: $31,114 to $85,302.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Lima have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Ohio (2024, 63 clinicians with data). Median for this group: 170. Middle half: 79 to 281.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Lima have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Orthopaedic Surgery - Hand Surgery in Ohio (2024, 63 clinicians with data). Median for this group: $716. Middle half: $343 to $1,375.
Too few clinicians listed under Orthopaedic Surgery - Hand Surgery in Lima have Medicare Part D data for 2024 to compare.
3 active clinicians are listed under Orthopaedic Surgery - Hand Surgery with a practice address in Lima, OH (95 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services increased 995% from 916 in 2020 to 10,027 in 2024.
- 2020: 916
- 2021: 1,104
- 2022: 1,054
- 2023: 1,081
- 2024: 10,027
-
Medicare-allowed amount
Medicare-allowed amount increased 112% from $67,735 in 2020 to $143,641 in 2024.
- 2020: $67,735
- 2021: $110,562
- 2022: $114,888
- 2023: $117,839
- 2024: $143,641
-
Paid by Medicare
Paid by Medicare increased 111% from $51,463 in 2020 to $108,821 in 2024.
- 2020: $51,463
- 2021: $83,704
- 2022: $85,975
- 2023: $90,158
- 2024: $108,821
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 107% from 174 in 2020 to 361 in 2024.
- 2020: 174
- 2021: 212
- 2022: 262
- 2023: 404
- 2024: 361
-
30-day fills
30-day fills increased 105% from 178 in 2020 to 365 in 2024.
- 2020: 178
- 2021: 212
- 2022: 262
- 2023: 404
- 2024: 365
-
Part D drug cost
Part D drug cost increased 55% from $1,109 in 2020 to $1,724 in 2024.
- 2020: $1,109
- 2021: $1,197
- 2022: $1,773
- 2023: $3,688
- 2024: $1,724
-
Industry payments (Open Payments)
Industry payments (Open Payments) decreased 96% from $1,324.35 in 2021 to $58.33 in 2025.
- 2021: $1,324.35
- 2022: $20.17
- 2023: $166.82
- 2024: $44.88
- 2025: $58.33
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $58.33.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ACUMED LLC |
Food and Beverage
In-kind items and services
|
Montage 5cc | General | $58.33 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2019โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
J1010
Injection, methylprednisolone acetate, 1 mg
|
8,800 | 74 | $1.75 | $0.13 |
|
73030
X-ray of shoulder, minimum of 2 views
|
281 | 142 | $76.66 | $30.11 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
156 | 128 | $199.58 | $85.52 |
|
J0702
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
|
142 | 62 | $18.00 | $6.98 |
|
20611
Aspiration and/or injection of fluid large joint using ultrasound guidance
|
87 | 62 | $210.59 | $96.23 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
71 | 68 | $291.00 | $120.88 |
|
20550
Injection into tendon or ligament
|
63 | 33 | $144.00 | $42.28 |
|
20610
Aspiration and/or injection of fluid from large joint
|
44 | 31 | $187.50 | $64.76 |
|
23472
Prosthetic repair of shoulder joint, total shoulder
|
41 | 40 | $4030.00 | $1371.51 |
|
73140
X-ray of finger, minimum of 2 views
|
38 | 26 | $86.11 | $33.99 |
|
73080
X-ray of elbow, minimum of 3 views
|
36 | 16 | $76.72 | $29.03 |
|
73110
X-ray of wrist, minimum of 3 views
|
35 | 22 | $74.51 | $37.28 |
|
29848
Release of wrist ligament using an endoscope
|
34 | 29 | $1400.00 | $442.30 |
|
J1040
Injection, methylprednisolone acetate, 80 mg
|
31 | 27 | $70.00 | $9.71 |
|
73130
X-ray of hand, minimum of 3 views
|
30 | 26 | $83.93 | $32.83 |
|
20600
Aspiration and/or injection of fluid from small joint
|
28 | 20 | $165.00 | $48.19 |
|
73030
X-ray of shoulder, minimum of 2 views
|
24 | 23 | $23.00 | $8.58 |
|
73221
Mri scan of arm joint without contrast
|
18 | 18 | $1000.00 | $132.90 |
|
73200
Ct scan of arm without contrast
|
17 | 17 | $500.00 | $92.37 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
16 | 16 | $290.00 | $105.16 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
13 | 13 | $443.00 | $158.53 |
|
29827
Repair of shoulder rotator cuff using an endoscope
|
11 | 11 | $2909.00 | $1017.69 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
11 | 11 | $120.00 | $53.01 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 204 | 1,352 | $1,183.72 | 133 |
| Tramadol Hcl | Tramadol Hcl | 43 | 292 | $84.19 | 22 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 34 | 222 | $165.04 | 16 |
| Meloxicam | Meloxicam | 30 | 1,020 | $21.35 | 16 |
| Methylprednisolone | Methylprednisolone | 24 | 144 | $121.21 | 23 |
| Diclofenac Sodium | Diclofenac Sodium | 14 | 420 | $96.21 | 11 |
| Cephalexin | Cephalexin | 12 | 89 | $52.26 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-04-19NUCC Taxonomy Code: 207XS0106X
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20190813003162
OH
5193017960
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Orthopaedic Institute Of Ohio, Inc
801 Medical Dr, Lima, OH 458044030
Phone: 4192226622
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Surgical
Physician Assistant (Certified)
Physician Assistant - Surgical
Physical Therapist
Doctor of Philosophy (Ph.D.), Master of Physical Therapy
Physician Assistant - Surgical
Physician Assistant
Physician Assistant - Surgical
Physician Assistant (Certified)
Orthopaedic Surgery - Foot and Ankle Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 801 MEDICAL DR STE A, LIMA, OH 458044030 (Tel: 4192226622)
Registered at 801 MEDICAL DR STE A, LIMA, OH 458044030 (Tel: 4192226622)
Orthopaedic Surgery (license number reported to NPPES: OH 34.013877)
NPI status registered as active in NPPES database
Registered at 2213 CHERRY ST, TOLEDO, OH 436082603 (Tel: 4192516596)
Registered at 2213 CHERRY ST, TOLEDO, OH 436082603 (Tel: 4192516596)
Recorded as MICHAEL EDGERTON, D.O.
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Orthopaedic Surgery - Hand Surgery Specialists in Lima
Healthcare providers in LimaMailing Address
801 Medical Dr Ste A
Lima, OH 458044030
Phone: 4192226622