Physician

Gabriel Thornton, MD

According to 2025 Medicare claims, Gabriel Thornton, MD (NPI: 1053653089) practices critical care (intensivists) in the Augusta-Richmond County, GA-SC market, with the plurality of this provider's patient population coming from Richmond, GA. This provider's primary affiliated billing organization is THORNTON PULMONOLOGY & CRITICAL CARE LLC (NPI: 1205482338) and primary practice location at 30901-1037. Thornton is affiliated with the University Hospitals Coordinated Care Organization (ACO ID: A1262), ACO Collaborative, LLC (ACO ID: A5067), Beacon Rural Health, LLC (ACO ID: A5614), Physician Leaders Direct Contracting Entity, LLC (ACO ID: D0171), and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under both the MSSP and REACH models.

Thornton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 191 traditional Medicare patients, billed 1,386 HCPCS/CPT codes, and received $163,550 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 64 prescription claims across 26 beneficiaries totaling $15,750 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 73 claims. Open Payments data shows 9 records totaling $1,730. 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 sharply higher in recent years, from $15,129 to $163,550. In contrast, Part D prescription costs have fallen sharply in recent years, from $17,239 to $15,750. For DME billing, reported payments moved sharply higher in recent years, from $6,687 to $74,625.

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	32	143	$15,129
2020	115	920	$106,476
2021	165	1,782	$202,225
2022	143	1,769	$216,995
2023	169	1,899	$248,528
2024	191	1,386	$163,550

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	52	383	$17,239
2016	31	282	$21,082
2017	17	77	$12,292
2018	N/R	23	$1,655
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	N/R	N/R
2024	26	64	$15,750

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	12	$10,107
2019	N/R	N/R	N/R
2020	N/R	13	$11,462
2021	N/R	15	$13,171
2022	N/R	39	$25,222
2023	N/R	62	$57,738
2024	N/R	73	$70,565

* / # = 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
99291	Critical care, first 30-74 minutes	95	662	$161
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$124
31624	Irrigation and suction of lung airways to obtain cells using an endoscope	22	26	$100
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$92
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	76	333	$88

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	15	510	$11,066

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	73	$70,565

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	9	$1,730	INTUITIVE SURGICAL, 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 Gabriel Thornton, MD?

Tedicare shows public-source Medicare data for Gabriel Thornton, MD (NPI 1053653089), 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 Gabriel Thornton, MD have ACO affiliation data?

Gabriel Thornton, MD is shown with ACO affiliation data for University Hospitals Coordinated Care Organization (MSSP, ACO ID A1262), ACO Collaborative, LLC (MSSP, ACO ID A5067), Beacon Rural Health, LLC (MSSP, ACO ID A5614), Physician Leaders Direct Contracting Entity, LLC (REACH, ACO ID D0171), and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Gabriel Thornton, MD?

Gabriel Thornton, MD is linked to THORNTON PULMONOLOGY & CRITICAL CARE LLC (billing NPI 1205482338) in the available physician profile data.

Does Gabriel Thornton, MD have Open Payments data?

Gabriel Thornton, 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.