Dr. Edwin Joseph Upton Jr., MD
- Medicare services, 2024
- 326
- Medicare patients, 2024
- 59
- Part D claims, 2024
- 2,070
- Industry payments
- $105
- Insurance carriers
- 13
- Practice address
- 1353 N Travis St, Liberty, TX 77575
- Practice phone
- Call (936) 336-7316
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Liberty - Dayton Community Hospital
Liberty, Texas
Find Dr. Upton's professional email, personal email and mobile number
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Dr. Edwin Joseph Upton Jr. is a pediatrician in Liberty, Texas
Dr. Upton practices at Liberty - Dayton Community Hospital in Liberty, Texas.
Dr. Upton's NPI, 1932130440, was assigned on July 5, 2006. Dr. Upton graduated from McGovern Medical School in 1986. Dr. Upton's Texas license number on file is H2859.
- NPI
- 1932130440NPI Registry (opens in a new tab)
- NPI enumeration date
- July 5, 2006
- NPI status
- Active
- Practice phone
- (936) 336-7316
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 66
- Medical school graduation
- 1986
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Practice Data
Dr. Edwin Joseph Upton Jr. practices at Liberty - Dayton Community Hospital in Liberty, Texas
Dr. Upton's primary practice is Liberty - Dayton Community Hospital, at 1353 N Travis St, Liberty, TX 77575 in Liberty County. The practice phone is (936) 336-7316.
- Liberty - Dayton Community Hospital1353 N Travis St, Liberty, TX 77575 · Liberty CountyPhone(936) 336-7316
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Edwin Joseph Upton Jr. is affiliated with 1 site of care
Dr. Upton's primary practice is Liberty - Dayton Community Hospital in Liberty, Texas.
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dmand AI tracks the EHR system at Dr. Edwin Joseph Upton Jr.'s practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Upton practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Liberty - Dayton Community Hospital | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Edwin Joseph Upton Jr. is one of 4,833 pediatricians in Texas
Pediatrics is Dr. Upton's primary specialty in the NPI Registry, under taxonomy code 208000000X. Dr. Upton is board certified in internal medicine by the American Board of Internal Medicine. Dmand AI has Dr. Upton's licenses on file in 2 states: Texas and Louisiana.
Specialties and state licenses
- Pediatrics, TexasPrimary
- Louisiana license
Clinical focus
Dmand AI lists acute sinusitis, acute skin infection, aneurysm, bronchitis, chronic diabetes, chronic hypertension, chronic kidney disease and chronic obstructive pulmonary disease (COPD) among the conditions Dr. Upton treats.
Pediatricians near Dr. Upton
Counts of pediatricians with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Edwin Joseph Upton Jr. billed Medicare for 326 services in 2024
CMS data shows 326 Medicare services from Dr. Upton across 7 procedure codes in 2024, for 59 Medicare patients. Medicare paid $13,616 for them. Every service was in an office.
Dr. Upton's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 1612024: 17811%
- Surgery
- 2023: 572024: 7735%
- Tests and treatments
- 2023: 432024: 3030%
- Drugs given in the office
- 2023: 02024: 26
- Other services
- 2023: 152024: 15No change
- Lab and pathology
- 2023: 122024: 0100%
Dr. Upton compared with the Texas median for pediatricians, 2024
- Dr. Upton
- Texas median
- Medicare services
- 326vs 664.9 times
- Medicare patients
- 59vs 5116% above
- Part D claims
- 1,711vs 14122.2 times
Medians across 455 pediatricians in Texas with Dmand AI profiles that report each measure.
Dr. Upton's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Upton?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Upton and other pediatricians in Texas.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Edwin Joseph Upton Jr. treated 59 Medicare patients in 2024, average age 74
CMS counts 59 Medicare patients who saw Dr. Upton in 2024. The largest group is 65 to 74, with 25 patients. 75% of them have high blood pressure, and 75% have high cholesterol. Their average risk score is 0.96, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Upton's median patient age at 58, with 44% women.
Dr. Upton's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Upton's Medicare patients by sex, 2024
- Women3254%
- Men2746%
Chronic conditions among Dr. Upton's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Diabetes39%
- Arthritis34%
- Ischemic heart disease27%
- Chronic kidney disease22%
- Mood disorders22%
- Depression20%
Share of Medicare patients with each condition. A patient can have several.
Dr. Upton's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 58
Patient panel by sex, all payers
- Women44%
- Men53%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Edwin Joseph Upton Jr. wrote 2,070 Medicare Part D claims in 2024
In 2024, Dr. Upton wrote 2,070 Medicare Part D claims for 119 patients. 85% of them were for generic drugs. CMS names the drug for 1,711 of them, across 61 drugs with 11 or more claims each, at $97,082 in total drug cost. In 2023, CMS named 1,569 claims across 53 drugs.
Dr. Upton's Part D claims by kind of drug, 2024
- Generic1,760 claims85%
- Brand-name295 claims14%
- Other15 claims1%
Dr. Upton's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Upton's Part D claims, 2024
- Opioids1%29 of 2,070 claims
- Antibiotics3%58 of 2,070 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1,5692024: 1,7119%
Drugs named by CMS: 61 in 2024, 53 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
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Dr. Edwin Joseph Upton Jr. received $105 in industry payments from 2018 to 2023
CMS Open Payments shows 6 general payments to Dr. Upton from 5 drug and device companies from 2018 to 2023. Food and beverage make up the largest share, 100% of the total. Pfizer Inc. paid the most, $40.
General payments to Dr. Upton by program year, 2018 to 2023
Companies that paid Dr. Upton the most, 2018 to 2023
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Edwin Joseph Upton Jr. graduated from McGovern Medical School
Dr. Upton graduated from McGovern Medical School in 1986.
- Medical school
- Board certified in internal medicine
- Board certified in pediatrics
Source: Dmand AI Professional Profile Data
Dr. Edwin Joseph Upton Jr. accepts plans from 13 insurance carriers
Dr. Upton is in network with 13 carriers, including Aetna, United Healthcare and Elevance. PPO plans come from the most carriers, 8. Check the plan with the practice before a visit.
- Aetna
- United Healthcare
- Elevance
- Blue Cross Blue Shield of Michigan
- HCSC
- Humana
- Alliant Health Plans
- Aspirus Health Plan
- +5 more carriersWith a free account
Plan types Dr. Upton accepts, by number of carriers
- PPO8
- HMO7
- EPO4
- Medicare4
- POS4
- Medicaid1
Source: Dmand AI Insurance Network Data
Sources for Dr. Edwin Joseph Upton Jr.'s profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Edwin Joseph Upton Jr.
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Edwin Joseph Upton Jr.'s NPI number?
Dr. Edwin Joseph Upton Jr.'s NPI number is 1932130440. It was assigned on July 5, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Edwin Joseph Upton Jr.?
Dr. Edwin Joseph Upton Jr. is a pediatrician in Liberty, Texas. The primary specialty in the NPI Registry is Pediatrics Physician (taxonomy code 208000000X).
Where does Dr. Edwin Joseph Upton Jr. practice?
Dr. Upton practices at 1353 N Travis St, Liberty, TX 77575. Dr. Upton's primary practice is Liberty - Dayton Community Hospital in Liberty, Texas.
What is Dr. Edwin Joseph Upton Jr.'s office phone number?
The practice phone on file for Dr. Upton is (936) 336-7316.
What is Dr. Edwin Joseph Upton Jr.'s medical license number?
Dr. Upton's Texas license number on file is H2859, one of the licenses on file in 2 states.
Which states has Dr. Edwin Joseph Upton Jr. been licensed in?
Dmand AI has state licenses on file for Dr. Upton in Texas (1987 to 2025) and Louisiana (1998 to 2026).
Does Dr. Edwin Joseph Upton Jr. accept Medicare?
Yes. CMS data shows Dr. Upton billed Medicare for 326 services in 2024.
How many Medicare patients does Dr. Edwin Joseph Upton Jr. see?
CMS counts 59 Medicare patients who saw Dr. Upton in 2024, with an average age of 74.
Is Dr. Edwin Joseph Upton Jr. board certified?
Yes. Dr. Upton is board certified in internal medicine by the American Board of Internal Medicine.
What services does Dr. Edwin Joseph Upton Jr. bill to Medicare?
In 2024, Dr. Upton's most billed Medicare services were office visit, established patient (99213), office visit, established patient (99214) and surgery: heart and blood vessels (36415).
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Where did Dr. Edwin Joseph Upton Jr. go to medical school?
Dr. Upton graduated from McGovern Medical School in 1986.
What drugs does Dr. Edwin Joseph Upton Jr. prescribe most?
In 2024 Medicare Part D data, Dr. Upton's most prescribed drugs by claims were Atorvastatin Calcium, Levothyroxine Sodium and Rosuvastatin Calcium.
Has Dr. Edwin Joseph Upton Jr. received payments from drug or device companies?
CMS Open Payments shows $105 in general payments to Dr. Upton from 5 companies from 2018 to 2023. The largest total came from Pfizer Inc.
How long has Dr. Edwin Joseph Upton Jr. been practicing?
Dr. Upton graduated from medical school in 1986, 40 years ago.
What insurance does Dr. Edwin Joseph Upton Jr. accept?
Dr. Upton is in network with 13 carriers, including Aetna, United Healthcare and Elevance. PPO plans come from the most carriers, 8. Check the plan with the practice before a visit.
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