Physician

Adam E Pflugrath, MD

According to 2025 Medicare claims, Adam Pflugrath, MD (NPI: 1134515042) practices ophthalmology in the Greenville-Anderson-Greer, SC market, with the plurality of this provider's patient population coming from Greenville, SC. This provider's primary affiliated billing organization is JERVEY EYE GROUP, PA (NPI: 1992775696; TIN: 570996196) and primary practice location at 29605-4528. Pflugrath is affiliated with the CVS ACO (ACO ID: A5407) and CVS Accountable Care Organization, Inc. (ACO ID: D0061), participating under both the MSSP and REACH models.

Pflugrath's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,034 traditional Medicare patients, billed 144,766 HCPCS/CPT codes, and received $5,176,181 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 485 prescription claims across 217 beneficiaries totaling $41,052 in drug costs, led by Prolensa (Bromfenac Sodium). Open Payments data shows 27 records totaling $656. 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 $969,935 to $5,176,181. Similarly, Part D prescription costs have moved sharply higher in recent years, from $10,613 to $41,052. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.