Physician

Craig Daniel Dubois, M.D.

According to 2025 Medicare claims, Craig Dubois, M.D. (NPI: 1164414819) practices neurology in the Charlotte-Concord-Gastonia, NC-SC market, with the plurality of this provider's patient population coming from Iredell, NC. This provider's primary affiliated billing organization is PIEDMONT HEALTHCARE, P.A. (NPI: 1912999897; TIN: 561965983) and primary practice location at 28625-4483. Dubois is affiliated with the agilon health Columbus Ohio ACO, Inc. (DBA: Senior Health Connect ACO 1) (ACO ID: D0114), participating under the REACH model.

Dubois' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 487 traditional Medicare patients, billed 60,511 HCPCS/CPT codes, and received $1,135,382 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 11,018 prescription claims across 791 beneficiaries totaling $4,759,949 in drug costs, led by Gamunex-C (Immune Globul G/Gly/Iga Avg 46). DME data shows 25 claims. Open Payments data shows 289 records totaling $6,881. 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 $350,067 to $1,135,382. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $2,216,956 to $4,759,949. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $5,956 to $5,064.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	776	20,104	$350,067
2016	730	20,549	$376,119
2017	745	14,820	$283,015
2018	704	13,927	$328,354
2019	691	19,520	$404,921
2020	715	21,518	$486,625
2021	625	29,280	$730,002
2022	563	25,503	$702,491
2023	559	41,740	$1,321,216
2024	487	60,511	$1,135,382

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	713	9,282	$2,216,956
2016	735	9,478	$2,044,377
2017	754	9,838	$2,337,938
2018	775	9,517	$2,172,895
2019	801	9,427	$2,560,874
2020	786	9,834	$3,528,119
2021	790	9,481	$3,549,823
2022	790	9,650	$4,042,558
2023	814	10,133	$4,262,718
2024	791	11,018	$4,759,949

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	59	$2,621
2016	N/R	30	$527
2017	N/R	25	$324
2018	N/R	N/R	N/R
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	N/R	25	$35,439

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$108
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	303	529	$81
95886	Needle measurement of electrical activity in arm or leg muscles, complete study	65	95	$68
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	53	68	$59
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	154	192	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gamunex-C	Immune Globul G/Gly/Iga Avg 46	81	2,058	$713,643
Gammagard Liquid	Immun Glob G(Igg)/Gly/Iga Ov50	43	1,204	$536,059
Octagam	Immun Globg(Igg)/Malt/Iga Ov50	31	742	$493,901
Gammaplex	Immun Glob G(Igg)/Gly/Iga 0-50	37	910	$452,476
Privigen	Immun Glob G(Igg)/Pro/Iga 0-50	17	357	$383,167

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
J1557	Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg	N	N/R	12	$31,153
Q2052	Services, supplies and accessories used in the home for the administration of intravenous immune globulin (ivig)	N	N/R	13	$4,285

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	288	$4,612	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	1	$2,269	Celgene Corporation
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 Craig Daniel Dubois, M.D.?

Tedicare shows public-source Medicare data for Craig Daniel Dubois, M.D. (NPI 1164414819), 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 Craig Daniel Dubois, M.D. have ACO affiliation data?

Craig Daniel Dubois, M.D. is shown with ACO affiliation data for agilon health Columbus Ohio ACO, Inc. (DBA: Senior Health Connect ACO 1) (REACH, ACO ID D0114).

What billing organization is linked to Craig Daniel Dubois, M.D.?

Craig Daniel Dubois, M.D. is linked to PIEDMONT HEALTHCARE, P.A. (billing NPI 1912999897) in the available physician profile data.

Does Craig Daniel Dubois, M.D. have Open Payments data?

Craig Daniel Dubois, M.D. has 289 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.