Physician

Patrick Clegg, DO

According to 2025 Medicare claims, Patrick Clegg, DO (NPI: 1164985768) practices physical medicine and rehabilitation in the Winston-Salem, NC market, with the plurality of this provider's patient population coming from Forsyth, NC. This provider's primary affiliated billing organization is CAROLINA REHAB CONSULTANTS LLC (NPI: 1386358877; TIN: 921153277) and primary practice location at 27103-3048.

Clegg's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 563 traditional Medicare patients, billed 3,365 HCPCS/CPT codes, and received $221,085 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 1,930 prescription claims across 387 beneficiaries totaling $101,374 in drug costs, led by Eliquis (Apixaban). DME data shows 1,370 claims. Open Payments data shows 1 records totaling $15. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $8,654 to $101,374. For DME billing, reported payments moved sharply higher in recent years, from $6,679 to $35,226.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
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	295	1,875	$129,124
2024	563	3,365	$221,085

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	26	81	$8,654
2020	69	434	$43,967
2021	58	363	$19,766
2022	20	124	$7,044
2023	129	628	$42,188
2024	387	1,930	$101,374

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	35	$1,358
2021	N/R	163	$5,249
2022	N/R	139	$4,801
2023	75	193	$4,977
2024	476	1,370	$150,964

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$108
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	289	301	$94
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	188	282	$86
99239	Hospital discharge day management, more than 30 minutes	291	299	$83
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	457	2,389	$57

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	55	1,599	$31,093
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	23	1,284	$1,414
Albuterol Sulfate Hfa	Albuterol Sulfate	33	723	$743
Gabapentin	Gabapentin	66	1,895	$700
Pantoprazole Sodium	Pantoprazole Sodium	93	2,743	$696

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
L5673	Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism	N	21	24	$30,572
L5301	Below knee, molded socket, shin, sach foot, endoskeletal system	N	N/R	11	$27,387
L5679	Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism	N	13	17	$17,424
L5940	Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)	N	17	19	$9,680
K0003	Lightweight wheelchair	Y	59	230	$9,473

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$15	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 Patrick Clegg, DO?

Tedicare shows public-source Medicare data for Patrick Clegg, DO (NPI 1164985768), 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 Patrick Clegg, DO have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Patrick Clegg, DO?

Patrick Clegg, DO is linked to CAROLINA REHAB CONSULTANTS LLC (billing NPI 1386358877) in the available physician profile data.

Does Patrick Clegg, DO have Open Payments data?

Patrick Clegg, DO 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.