Physician

Paul Timothy English, M.D.

According to 2025 Medicare claims, Paul English, M.D. (NPI: 1154300705) practices family practice in the Hot Springs, AR market, with the plurality of this provider's patient population coming from Garland, AR. This provider's primary affiliated billing organization is FAMILY MEDICINE CLINIC, P.A. (NPI: 1396701041; TIN: 16-1641065) and primary practice location at 71913-7379. English is affiliated with the Baptist Health/UAMS Accountable Care Alliance (ACO ID: A3633), participating under the MSSP model.

English's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 602 traditional Medicare patients, billed 10,087 HCPCS/CPT codes, and received $264,858 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 16,157 prescription claims across 807 beneficiaries totaling $1,314,361 in drug costs, led by Ozempic (Semaglutide). DME data shows 898 claims. Open Payments data shows 17 records totaling $509. 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 moved sharply higher in recent years, from $625,883 to $1,314,361. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $58,843 and ending at $88,864.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,146	13,827	$388,856
2016	1,099	13,151	$325,875
2017	985	12,066	$324,833
2018	920	12,610	$342,413
2019	908	12,666	$327,762
2020	837	12,035	$336,132
2021	813	11,451	$328,411
2022	701	11,062	$301,579
2023	594	10,255	$265,760
2024	602	10,087	$264,858

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	756	14,958	$625,883
2016	764	16,433	$692,786
2017	781	16,658	$690,763
2018	842	16,439	$749,981
2019	813	15,821	$809,091
2020	757	15,736	$845,052
2021	779	15,213	$964,129
2022	793	14,803	$1,026,619
2023	788	15,498	$1,420,235
2024	807	16,157	$1,314,361

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	307	1,211	$53,696
2016	253	1,113	$38,892
2017	260	1,073	$29,314
2018	246	928	$27,098
2019	217	1,030	$38,789
2020	239	1,026	$42,670
2021	203	911	$48,096
2022	218	867	$49,076
2023	182	948	$74,225
2024	222	898	$88,094

* / # = 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	405	405	$117
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	548	1,414	$52
84443	Blood test, thyroid stimulating hormone (tsh)	426	502	$16
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	438	565	$8
36415	Insertion of needle into vein for collection of blood sample	502	899	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	280	9,018	$283,241
Mounjaro	Tirzepatide	168	4,978	$173,244
Eliquis	Apixaban	210	7,482	$134,755
Farxiga	Dapagliflozin Propanediol	81	3,870	$62,788
Jardiance	Empagliflozin	69	3,270	$61,768

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
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	25	128	$52,664
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	15	106	$7,859
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	21	$5,478
A7031	Face mask interface, replacement for full face mask, each	N	15	44	$3,827
A7030	Full face mask used with positive airway pressure device, each	N	15	35	$2,789

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	17	$509	AstraZeneca Pharmaceuticals LP
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 Paul Timothy English, M.D.?

Tedicare shows public-source Medicare data for Paul Timothy English, M.D. (NPI 1154300705), 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 Paul Timothy English, M.D. have ACO affiliation data?

Paul Timothy English, M.D. is shown with ACO affiliation data for Baptist Health/UAMS Accountable Care Alliance (MSSP, ACO ID A3633).

What billing organization is linked to Paul Timothy English, M.D.?

Paul Timothy English, M.D. is linked to FAMILY MEDICINE CLINIC, P.A. (billing NPI 1396701041) in the available physician profile data.

Does Paul Timothy English, M.D. have Open Payments data?

Paul Timothy English, M.D. has 17 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.