Physician

James A Fugazzi, M.D,

According to 2025 Medicare claims, James Fugazzi, M.D, (NPI: 1003809005) practices radiation oncology in the Lansing-East Lansing, MI market, with the plurality of this provider's patient population coming from Ingham, MI. This provider's primary affiliated billing organization is EDWARD W. SPARROW HOSPITAL ASSOCIATION (NPI: 1174562649; TIN: 381360584) and primary practice location at 48912-1806. Fugazzi is affiliated with the POM ACO (ACO ID: A1297), Mosaic ACO (ACO ID: A5033), and Aledade 155 National MSSP (ACO ID: A5358), participating under the MSSP model.

Fugazzi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 226 traditional Medicare patients, billed 2,521 HCPCS/CPT codes, and received $163,608 in Medicare payments. The top billing code was 77427 (Radiation treatment management, 5 treatment sessions). Part D data shows 229 prescription claims across 92 beneficiaries totaling $6,360 in drug costs, led by Pilocarpine Hcl (Pilocarpine Hcl). 2023 DME data shows 25 claims. Open Payments data shows 3 records totaling $279. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $5,292 to $6,360. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	274	1,707	$185,929
2016	325	2,275	$269,987
2017	198	2,922	$188,686
2018	224	2,032	$129,806
2019	204	2,078	$139,832
2020	195	2,134	$152,453
2021	207	2,322	$164,620
2022	231	2,450	$178,625
2023	270	2,595	$179,533
2024	226	2,521	$163,608

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	85	179	$5,292
2016	75	164	$4,202
2017	63	141	$4,753
2018	58	164	$7,914
2019	61	174	$9,483
2020	83	183	$6,560
2021	71	201	$8,748
2022	92	200	$9,538
2023	84	204	$8,420
2024	92	229	$6,360

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	25	$3,497
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
77427	Radiation treatment management, 5 treatment sessions	67	247	$143
77263	Complex radiation therapy planning	67	75	$127
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	75	87	$47
77334	Design and construction of complex radiation treatment device	61	176	$46
77014	Ct guidance for insertion of radiation therapy fields	118	1,243	$34

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Pilocarpine Hcl	Pilocarpine Hcl	29	990	$1,289
Lidocaine Hcl Viscous	Lidocaine Hcl	21	96	$474
Dexamethasone	Dexamethasone	14	380	$404
Memantine Hcl	Memantine Hcl	27	806	$322
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	19	240	$289

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$279	Elekta, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for James A. Fugazzi, M.D, ?

Tedicare shows public-source Medicare data for James A. Fugazzi, M.D, (NPI 1003809005), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does James A. Fugazzi, M.D, have ACO affiliation data?

James A. Fugazzi, M.D, is shown with ACO affiliation data for POM ACO (MSSP, ACO ID A1297), Mosaic ACO (MSSP, ACO ID A5033), and Aledade 155 National MSSP (MSSP, ACO ID A5358).

What billing organization is linked to James A. Fugazzi, M.D, ?

James A. Fugazzi, M.D, is linked to EDWARD W. SPARROW HOSPITAL ASSOCIATION (billing NPI 1174562649) in the available physician profile data.

Does James A. Fugazzi, M.D, have Open Payments data?

James A. Fugazzi, M.D, has 3 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.