Physician

Kenneth John Mcalpine, M.D.

According to 2025 Medicare claims, Kenneth Mcalpine, M.D. (NPI: 1023351194) practices orthopedic surgery in the Reading, PA market, with the plurality of this provider's patient population coming from Berks, PA. This provider's primary affiliated billing organization is BERKS ORTHO LLC (NPI: 1992594709; TIN: 333530857) and primary practice location at 19611-2143.

Mcalpine's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 682 traditional Medicare patients, billed 3,130 HCPCS/CPT codes, and received $327,018 in Medicare payments. The top billing code was 0055T (Musculoskeletal surgical navigational orthopedic operation using imaging guidance). Part D data shows 492 prescription claims across 286 beneficiaries totaling $5,105 in drug costs, led by Celecoxib (Celecoxib). DME data shows 30 claims. Open Payments data shows 12 records totaling $1,644. 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 risen steadily, from $58,072 to $327,018. Similarly, Part D prescription costs have risen steadily, from $134 to $5,105. For DME billing, reported payments did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	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	203	494	$58,072
2020	442	1,597	$194,395
2021	500	2,251	$241,897
2022	542	2,979	$224,437
2023	657	3,925	$311,921
2024	682	3,130	$327,018

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	14	14	$134
2016	37	50	$1,608
2017	32	41	$312
2018	N/R	N/R	N/R
2019	18	28	$605
2020	87	164	$1,397
2021	153	284	$3,948
2022	178	296	$6,658
2023	263	477	$10,273
2024	286	492	$5,105

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	15	15	$681
2021	25	54	$2,381
2022	20	32	$2,186
2023	21	21	$1,253
2024	30	30	$1,410

* / # = 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
0055T	Musculoskeletal surgical navigational orthopedic operation using imaging guidance	146	155	$174
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	214	$92
20611	Aspiration and/or injection of fluid large joint using ultrasound guidance	133	165	$76
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	350	449	$64
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	169	617	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Celecoxib	Celecoxib	38	1,169	$543
Oxycodone Hcl	Oxycodone Hcl	60	450	$471
Amoxicillin	Amoxicillin	140	464	$286
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	19	251	$183
Mupirocin	Mupirocin	14	251	$168

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
E0143	Walker, folding, wheeled, adjustable or fixed height	N	30	30	$1,410

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	12	$1,644	Stryker Corporation
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 Kenneth John Mcalpine, M.D.?

Tedicare shows public-source Medicare data for Kenneth John Mcalpine, M.D. (NPI 1023351194), 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 Kenneth John Mcalpine, 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 Kenneth John Mcalpine, M.D.?

Kenneth John Mcalpine, M.D. is linked to BERKS ORTHO LLC (billing NPI 1992594709) in the available physician profile data.

Does Kenneth John Mcalpine, M.D. have Open Payments data?

Kenneth John Mcalpine, M.D. has 12 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.