Physician

Thomas John Zweifel, D.O.

According to 2025 Medicare claims, Thomas Zweifel, D.O. (NPI: 1114027307) practices neurology in the Sheboygan, WI market, with the plurality of this provider's patient population coming from Sheboygan, WI. This provider's primary affiliated billing organization is ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS (NPI: 1275799413; TIN: 390808480) and primary practice location at 53081-1957. Zweifel is affiliated with the HSHS ACO, L.L.C. (ACO ID: A2783), participating under the MSSP model.

Zweifel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 220 traditional Medicare patients, billed 9,265 HCPCS/CPT codes, and received $93,444 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 2,483 prescription claims across 323 beneficiaries totaling $499,760 in drug costs, led by Austedo (Deutetrabenazine). DME data shows 12 claims. No Open Payments records. 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 changed little. Concurrently, Part D prescription costs have fallen sharply in recent years, from $741,196 to $499,760. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $2,446 to $284.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$62K$124K2015 Medicare payment: $85,615 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $87,170 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $102,361 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $106,092 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $111,603 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $98,265 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $124,390 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $95,447 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $101,186 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $93,444 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153914,132$85,615
20163854,934$87,170
20173757,170$102,361
20183039,673$106,092
201927911,013$111,603
20203077,960$98,265
202133010,051$124,390
20222767,823$95,447
20232419,674$101,186
20242209,265$93,444

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$555K$1.1M2015 Drug cost: $741,196 (USD; Tot_Drug_Cst)2016 Drug cost: $972,860 (USD; Tot_Drug_Cst)2017 Drug cost: $1,109,694 (USD; Tot_Drug_Cst)2018 Drug cost: $977,504 (USD; Tot_Drug_Cst)2019 Drug cost: $887,284 (USD; Tot_Drug_Cst)2020 Drug cost: $1,001,487 (USD; Tot_Drug_Cst)2021 Drug cost: $671,339 (USD; Tot_Drug_Cst)2022 Drug cost: $504,252 (USD; Tot_Drug_Cst)2023 Drug cost: $490,496 (USD; Tot_Drug_Cst)2024 Drug cost: $499,760 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153443,632$741,196
20163483,521$972,860
20173543,212$1,109,694
20183213,036$977,504
20193122,795$887,284
20203883,654$1,001,487
20213983,461$671,339
20224083,358$504,252
20233873,158$490,496
20243232,483$499,760

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$960$1.9K2020 Medicare payment: $1,920 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $284 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/R60$1,920
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R12$284

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more4040$159
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more5669$120
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more77105$80
95886Needle measurement of electrical activity in arm or leg muscles, complete study5255$67
36415Insertion of needle into vein for collection of blood sample3444$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
AustedoDeutetrabenazine18410$152,372
EpidiolexCannabidiol (Cbd)33972$63,043
UbrelvyUbrogepant32632$50,793
Aimovig AutoinjectorErenumab-Aooe321,080$27,324
Emgality PenGalcanezumab-Gnlm371,110$26,423

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingYN/R12$284

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Thomas John Zweifel, D.O.?

Tedicare shows public-source Medicare data for Thomas John Zweifel, D.O. (NPI 1114027307), 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 Thomas John Zweifel, D.O. have ACO affiliation data?

Thomas John Zweifel, D.O. is shown with ACO affiliation data for HSHS ACO, L.L.C. (MSSP, ACO ID A2783).

What billing organization is linked to Thomas John Zweifel, D.O.?

Thomas John Zweifel, D.O. is linked to ST. NICHOLAS HOSPITAL-SISTERS OF THE THIRD ORDER OF ST FRANCIS (billing NPI 1275799413) in the available physician profile data.

Does Thomas John Zweifel, D.O. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.