Physician

Adam Foster Nicholson, MD

According to 2025 Medicare claims, Adam Nicholson, MD (NPI: 1063619237) practices urology in the Grand Forks, ND-MN market, with the plurality of this provider's patient population coming from Grand Forks, ND. This provider's primary affiliated billing organization is ALTRU HEALTH SYSTEM (NPI: 1043309552; TIN: 450310462) and primary practice location at 58201-4036. Nicholson is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Caravan Health ACO 50 LLC (ACO ID: A5160), CVS ACO (ACO ID: A5407), Collaborative ACO 30, LLC (ACO ID: A5483), Essentia Health ACO, Inc. (ACO ID: A5617), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Nicholson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 692 traditional Medicare patients, billed 1,569 HCPCS/CPT codes, and received $115,440 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 3,565 prescription claims across 669 beneficiaries totaling $246,221 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 645 claims. Open Payments data shows 1 records totaling $17. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $83,969 to $246,221. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $1,045 and ending at $2,108.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	457	1,463	$100,556
2016	581	2,044	$122,987
2017	610	1,959	$109,737
2018	741	2,246	$142,844
2019	863	2,755	$164,588
2020	794	2,620	$147,869
2021	824	2,422	$169,229
2022	812	2,089	$156,809
2023	740	2,027	$148,215
2024	692	1,569	$115,440

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	284	1,081	$83,969
2016	355	1,845	$147,737
2017	450	2,424	$225,165
2018	500	2,972	$242,875
2019	609	3,744	$337,962
2020	619	3,739	$333,955
2021	701	3,878	$337,742
2022	673	3,705	$326,982
2023	673	3,461	$310,528
2024	669	3,565	$246,221

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	16	136	$21,133
2016	66	303	$31,680
2017	96	552	$55,621
2018	97	483	$57,540
2019	105	624	$64,488
2020	105	668	$61,258
2021	108	739	$75,676
2022	120	785	$99,499
2023	113	667	$85,020
2024	127	645	$79,428

* / # = 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	74	85	$91
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	288	$62
52000	Diagnostic exam of bladder and urethra using an endoscope	185	215	$52
76872	Ultrasound scan of pelvic region through rectum	55	55	$24
74420	Imaging of urinary tract following injection of a contrast agent	76	113	$18

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	331	11,459	$172,082
Trospium Chloride	Trospium Chloride	360	13,788	$16,482
Tamsulosin Hcl	Tamsulosin Hcl	696	47,953	$9,773
Oxybutynin Chloride Er	Oxybutynin Chloride	405	18,686	$7,890
Potassium Citrate Er	Potassium Citrate	83	3,905	$6,580

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
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	30	152	$38,440
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	46	$34,140
A4358	Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each	N	24	110	$1,575
A4332	Lubricant, individual sterile packet, each	N	24	94	$1,417
A4333	Urinary catheter anchoring device, adhesive skin attachment, each	N	15	43	$1,060

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$17	Boston Scientific 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 Adam Foster Nicholson, MD?

Tedicare shows public-source Medicare data for Adam Foster Nicholson, MD (NPI 1063619237), 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 Adam Foster Nicholson, MD have ACO affiliation data?

Adam Foster Nicholson, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), CVS ACO (MSSP, ACO ID A5407), Collaborative ACO 30, LLC (MSSP, ACO ID A5483), Essentia Health ACO, Inc. (MSSP, ACO ID A5617), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Adam Foster Nicholson, MD?

Adam Foster Nicholson, MD is linked to ALTRU HEALTH SYSTEM (billing NPI 1043309552) in the available physician profile data.

Does Adam Foster Nicholson, MD have Open Payments data?

Adam Foster Nicholson, MD has 1 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.