Breanna Edmiston , PA-C
Physician Assistant • Monaca, PA
3468 Brodhead Rd Ste 12
Monaca, PA 150613149
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Breanna Edmiston is listed in NPPES under Physician Assistant.
-
NPI assigned on March 23, 2020; this date does not establish years in practice.
-
Published CMS data list 14 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Published rows only; this is not a quality measure.
-
Published Part B service records, 2022:
- 27447 — Replacement of knee joint, both sides of knee: 14 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See the full table · Guide: How to read Medicare Part B data
-
Published CMS data list 380 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Meloxicam — 93 prescription fills, including refills.
- Oxycodone Hcl — 81 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 63 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 9 records in the table · Guide: How to read Medicare Part D prescriber data
-
More Part D prescriptions than 60% of clinicians listed under Physician Assistant in Pennsylvania (2024, 4,373 clinicians with data). Median for this group: 235. Middle half: 69 to 862.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 12 in 2021 to 14 in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021–2022.
Practice Location & Contact Primary Location
3468 Brodhead Rd Ste 12
Monaca, PA 150613149
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Beaver, PA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Heritage Valley Multispecialty Group Inc; Tri State Obstetrics And Gynecology. 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
2016
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $2,390 in 2022
The total amount Medicare approved for these services in 2022. 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 – by Provider and Service, 2022.
Paid by Medicare
About $1,877 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, 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 – by Provider and Service, 2022.
30-day fills
392 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
$1,381 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 – by Provider and Drug, 2024.
Open Payments general payments, program year 2024
All general payments: $34.99 across 2 records.
By nature of payment
- Food and Beverage: $34.99 across 2 records.
Reporting-company totals
- Endo USA, Inc.: $17.60 across 1 record.
- Ferring Pharmaceuticals Inc.: $17.39 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
Years since graduation
10 years (graduated 2016)
CMS Doctors and Clinicians data list 2016 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
2020
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, “Does your provider accept Medicare as full payment?”
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)
Breanna Edmiston 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 Breanna Edmiston 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 Monaca and Pennsylvania
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 60% of clinicians listed under Physician Assistant in Pennsylvania (2024, 4,373 clinicians with data). Median for this group: 235. Middle half: 69 to 862.
Too few clinicians listed under Physician Assistant in Monaca have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Pennsylvania (2024, 4,373 clinicians with data). Median for this group: $3,681. Middle half: $519 to $94,109.
Too few clinicians listed under Physician Assistant in Monaca have Medicare Part D data for 2024 to compare.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Breanna Edmiston are from 2022.
12 active clinicians are listed under Physician Assistant with a practice address in Monaca, PA (8,021 in Pennsylvania).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Monaca
8.3% of these 12 clinicians have the CMS telehealth indicator.
58.3% of these 12 clinicians are listed by CMS as accepting Medicare assignment.
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 went from 12 in 2021 to 14 in 2022.
- 2021: 12
- 2022: 14
-
Medicare-allowed amount
Medicare-allowed amount increased 15% from $2,081 in 2021 to $2,390 in 2022.
- 2021: $2,081
- 2022: $2,390
-
Paid by Medicare
Paid by Medicare increased 23% from $1,526 in 2021 to $1,877 in 2022.
- 2021: $1,526
- 2022: $1,877
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 1052% from 33 in 2020 to 380 in 2024.
- 2020: 33
- 2021: 201
- 2022: 239
- 2023: 415
- 2024: 380
-
30-day fills
30-day fills increased 1089% from 33 in 2020 to 392 in 2024.
- 2020: 33
- 2021: 203
- 2022: 247
- 2023: 434
- 2024: 392
-
Part D drug cost
Part D drug cost went from $226 in 2020 to $1,381 in 2024.
- 2020: $226
- 2021: $1,379
- 2022: $2,313
- 2023: $2,799
- 2024: $1,381
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $11.74 in 2021 to $34.99 in 2024.
- 2021: $11.74
- 2022: $268.06
- 2023: $99.37
- 2024: $34.99
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · 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 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $34.99.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Endo USA, Inc. |
Food and Beverage
In-kind items and services
|
XIAFLEX | General | $17.60 |
| Ferring Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
EUFLEXXA | General | $17.39 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020–2021 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 – by Provider and Service data, 2021–2022; 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 |
|---|---|---|---|---|
|
27447
Replacement of knee joint, both sides of knee
|
14 | 14 | $644.00 | $170.74 |
Source: CMS Part B by Provider and Service, 2022; 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 |
|---|---|---|---|---|---|
| Meloxicam | Meloxicam | 93 | 3,100 | $173.65 | 47 |
| Oxycodone Hcl | Oxycodone Hcl | 81 | 549 | $311.63 | 68 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 63 | 264 | $220.35 | 56 |
| Diclofenac Sodium | Diclofenac Sodium | 36 | 1,080 | $304.34 | 13 |
| Celecoxib | Celecoxib | 36 | 968 | $222.00 | 18 |
| Amoxicillin | Amoxicillin | 29 | 29 | $26.85 | 27 |
| Prednisone | Prednisone | 19 | 270 | $75.52 | 19 |
| Clindamycin Hcl | Clindamycin Hcl | 12 | 18 | $16.04 | 12 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 11 | 90 | $30.14 | 11 |
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: 2025-01-03NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20200724001201
PA
3870917768
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
Heritage Valley Multispecialty Group Inc
1000 Dutch Ridge Rd, Beaver, PA 150099727
Tri State Obstetrics And Gynecology
2580 Constitution Blvd, Beaver Falls, PA 150101294
Phone: 7248430737
Tri State Obstetrics And Gynecology
1000 Dutch Ridge Rd, Beaver, PA 150099727
Tri State Obstetrics And Gynecology
1000 Dutch Ridge Rd, Beaver, PA 150099727
Phone: 7247707964
Heritage Valley Multispecialty Group Inc
1000 Dutch Ridge Rd, Beaver, PA 150099727
Phone: 7247736403
Heritage Valley Multispecialty Group Inc
500 Sharon Rd, Beaver, PA 150091957
Phone: 7247288751
Secondary Practice Locations
1030 Beaner Hollow Rd
Beaver, PA 150099722
Phone: 7247754242
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Certified Registered Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 3468 BRODHEAD RD STE 12, MONACA, PA 150613149 (Tel: 7247283575)
Registered at 3468 BRODHEAD RD STE 12, MONACA, PA 150613149 (Tel: 7247283575)
NPI status registered as active in NPPES database
Registered at 1030 BEANER HOLLOW RD, BEAVER, PA 150099722 (Tel: 7247754242)
Registered at 5240 WEBB ST, ALIQUIPPA, PA 150014946 (Tel: 4128496849)
Recorded as BREANNA EDMISTON, PA-C
Orthopaedic Surgery (license number reported to NPPES: PA MA059675)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Monaca
More public profiles in Pennsylvania
Directory navigation, in NPI number order.
- Michelle Bower, PA-C Physician Assistant · Lock Haven
- Carly Piel, PA-C Physician Assistant · Bryn Mawr
- Wendy Fiscus, NP-C Nurse Practitioner · Sayre
- Nadine Nelson Nurse Practitioner - Family · Philadelphia
- Margaryta Tolchynska, PA-C Physician Assistant - Surgical · Media
- Varun Kommalapati, MD Internal Medicine · Bridgeville
- David Kim, DMD Dentist - General Practice · Bensalem
- Manisha Raikar, MD Internal Medicine · Sayre
- Gina Lapaglia, NP Nurse Practitioner - Family · Monroeville
- Thomas Gaffney, CRNA Registered Nurse · Philadelphia
- Maria Bening, MD Family Medicine · Washington
- Rand Hindosh, MD Hospitalist · Danville
Mailing Address
3468 Brodhead Rd Ste 12
Monaca, PA 150613149
Phone: 7247283575