Physician

John Patrick Fogarty, MD

According to 2025 Medicare claims, John Fogarty, MD (NPI: 1033112081) practices pulmonary disease in the Greenville, NC market, with the plurality of this provider's patient population coming from Pitt, NC. This provider's primary affiliated billing organization is PHYSICIANS EAST, P.A. (NPI: 1598761967; TIN: 561968491) and primary practice location at 27834-5704. Fogarty is affiliated with the Coastal Plains Network, LLC (ACO ID: A2684) and Aledade A4548 NC Legacy MSSP Enhanced (ACO ID: A4548), participating under the MSSP model.

Fogarty's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,347 traditional Medicare patients, billed 8,611 HCPCS/CPT codes, and received $388,194 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 6,278 prescription claims across 846 beneficiaries totaling $2,688,950 in drug costs, led by Ofev (Nintedanib Esylate). DME data shows 9,537 claims. Open Payments data shows 9 records totaling $149. 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 moved up and down with repeated peaks and valleys, starting at $370,730 and ending at $388,194. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $602,834 to $2,688,950. For DME billing, reported payments moved sharply higher in recent years, from $461,407 to $605,399.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	2,531	10,823	$370,730
2016	2,743	13,697	$415,450
2017	2,781	10,585	$418,035
2018	2,738	9,916	$371,612
2019	2,999	13,000	$398,354
2020	2,304	10,076	$278,200
2021	1,892	7,425	$285,399
2022	2,217	8,532	$367,354
2023	2,524	9,944	$480,624
2024	2,347	8,611	$388,194

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	378	2,712	$602,834
2016	455	3,370	$988,217
2017	469	3,673	$1,051,383
2018	462	3,518	$1,438,819
2019	432	3,442	$1,523,090
2020	466	3,835	$2,085,835
2021	539	4,127	$2,241,173
2022	600	4,477	$2,181,032
2023	778	5,554	$2,865,813
2024	846	6,278	$2,688,950

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	1,913	5,479	$518,898
2016	1,988	5,628	$353,144
2017	2,127	5,603	$209,988
2018	2,254	5,850	$277,022
2019	2,384	6,401	$323,892
2020	2,395	6,555	$387,449
2021	2,418	6,349	$395,211
2022	2,954	7,398	$509,924
2023	3,508	9,048	$833,784
2024	3,555	9,537	$822,084

* / # = 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
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	286	421	$130
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	627	837	$91
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	409	446	$61
94010	Test to measure expiratory airflow and volume	564	632	$19
71046	X-ray of chest, 2 views	1,297	1,504	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ofev	Nintedanib Esylate	57	1,710	$730,743
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	968	33,300	$695,994
Breztri Aerosphere	Budesonide/Glycopyr/Formoterol	347	10,916	$223,695
Breo Ellipta	Fluticasone/Vilanterol	343	12,030	$153,151
Anoro Ellipta	Umeclidinium Brm/Vilanterol Tr	248	8,340	$123,860

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
J7686	Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg	N	N/R	12	$195,541
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	16	126	$127,888
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	97	709	$68,270
A7030	Full face mask used with positive airway pressure device, each	N	276	593	$57,878
E0601	Continuous positive airway pressure (cpap) device	Y	224	1,483	$56,351

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	9	$149	GlaxoSmithKline, LLC.
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 John Patrick Fogarty, MD?

Tedicare shows public-source Medicare data for John Patrick Fogarty, MD (NPI 1033112081), 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 John Patrick Fogarty, MD have ACO affiliation data?

John Patrick Fogarty, MD is shown with ACO affiliation data for Coastal Plains Network, LLC (MSSP, ACO ID A2684) and Aledade A4548 NC Legacy MSSP Enhanced (MSSP, ACO ID A4548).

What billing organization is linked to John Patrick Fogarty, MD?

John Patrick Fogarty, MD is linked to PHYSICIANS EAST, P.A. (billing NPI 1598761967) in the available physician profile data.

Does John Patrick Fogarty, MD have Open Payments data?

John Patrick Fogarty, MD has 9 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.