Physician

Douglas W Edgren, MD

According to 2025 Medicare claims, Douglas Edgren, MD (NPI: 1033145164) practices general practice in the Cheyenne, WY market, with the plurality of this provider's patient population coming from Laramie, WY. This provider's primary affiliated billing organization is BABSON & ASSOCIATES PRIMARY CARE, PC (NPI: 1184639759; TIN: 830331477) and primary practice location at 82009-4867. Edgren is affiliated with the Aledade Accountable Care 128, LLC (ACO ID: D0268), participating under the REACH model.

Edgren's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 898 traditional Medicare patients, billed 13,465 HCPCS/CPT codes, and received $238,921 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 11,482 prescription claims across 894 beneficiaries totaling $828,332 in drug costs, led by Eliquis (Apixaban). DME data shows 1,139 claims. Open Payments data shows 34 records totaling $685. 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 $134,734 to $238,921. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $255,162 to $828,332. For DME billing, reported payments rose steadily, from $12,746 to $70,369.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	790	5,082	$134,734
2016	972	6,481	$229,559
2017	1,017	6,835	$209,924
2018	1,154	10,496	$233,108
2019	1,165	8,795	$234,789
2020	1,291	11,008	$259,022
2021	1,604	11,130	$322,340
2022	1,155	9,379	$265,001
2023	1,120	12,022	$295,144
2024	898	13,465	$238,921

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	622	4,476	$255,162
2016	640	5,732	$320,605
2017	665	6,088	$384,258
2018	723	8,264	$693,187
2019	726	10,230	$924,976
2020	746	10,560	$960,868
2021	774	11,049	$886,603
2022	888	12,301	$935,433
2023	916	11,247	$899,855
2024	894	11,482	$828,332

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	74	239	$10,592
2016	71	503	$63,441
2017	67	411	$27,909
2018	139	846	$34,226
2019	185	1,043	$38,122
2020	222	1,290	$62,089
2021	223	1,211	$57,566
2022	303	1,198	$54,322
2023	620	1,601	$1,872,663
2024	334	1,139	$52,666

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	380	380	$123
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	245	337	$113
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	377	$76
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	478	845	$55
99211	Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	202	271	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	186	6,916	$131,932
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	57	3,240	$66,397
Ozempic	Semaglutide	40	1,316	$41,855
Jardiance	Empagliflozin	48	2,406	$40,250
Trulicity	Dulaglutide	33	1,176	$38,553

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	43	294	$20,413
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	17	$7,179
A7031	Face mask interface, replacement for full face mask, each	N	26	58	$4,484
A7030	Full face mask used with positive airway pressure device, each	N	25	51	$3,984
E0601	Continuous positive airway pressure (cpap) device	Y	12	85	$2,777

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	34	$685	ABBVIE 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

Explore More Providers

FAQ

What Medicare data is available for Douglas W. Edgren, MD?

Tedicare shows public-source Medicare data for Douglas W. Edgren, MD (NPI 1033145164), 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 Douglas W. Edgren, MD have ACO affiliation data?

Douglas W. Edgren, MD is shown with ACO affiliation data for Aledade Accountable Care 128, LLC (REACH, ACO ID D0268).

What billing organization is linked to Douglas W. Edgren, MD?

Douglas W. Edgren, MD is linked to BABSON & ASSOCIATES PRIMARY CARE, PC (billing NPI 1184639759) in the available physician profile data.

Does Douglas W. Edgren, MD have Open Payments data?

Douglas W. Edgren, MD has 34 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.