Physician

James R. Verheyden, M.D.

According to 2025 Medicare claims, James Verheyden, M.D. (NPI: 1013912591) practices hand surgery in the Bend, OR market, with the plurality of this provider's patient population coming from Deschutes, OR. This provider's primary affiliated billing organization is ST. CHARLES HEALTH SYSTEM, INC. (NPI: 1023331303; TIN: 272006180) and primary practice location at 97701-4281.

Verheyden's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 902 traditional Medicare patients, billed 14,155 HCPCS/CPT codes, and received $709,888 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 332 prescription claims across 232 beneficiaries totaling $2,092 in drug costs, led by Cephalexin (Cephalexin). DME data shows 120 claims. Open Payments data shows 21 records totaling $55,591. 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 has changed little. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $4,806 to $2,092. 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	702	8,288	$453,322
2016	695	10,883	$511,819
2017	783	11,011	$535,038
2018	816	12,790	$617,242
2019	725	12,934	$628,874
2020	683	9,768	$495,508
2021	769	13,447	$704,240
2022	691	11,489	$600,192
2023	712	11,366	$585,177
2024	902	14,155	$709,888

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	217	316	$4,806
2016	214	345	$5,572
2017	246	339	$3,748
2018	245	341	$4,787
2019	236	331	$2,777
2020	182	264	$1,714
2021	208	285	$1,813
2022	134	167	$1,071
2023	180	228	$1,164
2024	232	332	$2,092

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	100	101	$16,400
2016	93	95	$14,110
2017	148	153	$20,417
2018	180	191	$23,380
2019	184	190	$24,199
2020	139	142	$17,053
2021	173	174	$22,098
2022	102	104	$10,774
2023	117	118	$11,531
2024	119	120	$12,343

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	238	238	$108
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	281	344	$89
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	271	358	$63
20550	Injection into tendon or ligament	294	578	$33
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	407	2,424	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Cephalexin	Cephalexin	39	447	$490
Meloxicam	Meloxicam	118	2,294	$465
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	80	233	$194
Oxycodone Hcl	Oxycodone Hcl	35	192	$111
Celecoxib	Celecoxib	15	363	$86

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L3984	Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment	N	39	39	$5,205
L3924	Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf	N	45	46	$4,259
L3923	Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	N	21	21	$1,464
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	N	14	14	$1,416

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	20	$29,091	Endo Pharmaceuticals Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	1	$26,500	Sonex Health, Inc.
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 R. Verheyden, M.D.?

Tedicare shows public-source Medicare data for James R. Verheyden, M.D. (NPI 1013912591), 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 R. Verheyden, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to James R. Verheyden, M.D.?

James R. Verheyden, M.D. is linked to ST. CHARLES HEALTH SYSTEM, INC. (billing NPI 1023331303) in the available physician profile data.

Does James R. Verheyden, M.D. have Open Payments data?

James R. Verheyden, M.D. has 21 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.