Physician

Herbert D Ladley, MD

According to 2025 Medicare claims, Herbert Ladley, MD (NPI: 1174552467) practices cardiology in the Kingsport-Bristol, TN-VA market, with the plurality of this provider's patient population coming from Sullivan, TN. This provider's primary affiliated billing organization is WELLMONT CARDIOLOGY SERVICES (NPI: 1376575035; TIN: 263557623) and primary practice location at 37660-7475. Ladley is affiliated with the AnewCare Collaborative, LLC (ACO ID: A1241), participating under the MSSP model.

Ladley's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,968 traditional Medicare patients, billed 6,055 HCPCS/CPT codes, and received $180,504 in Medicare payments. The top billing code was 93280 (Programming of dual lead pacemaker system). Part D data shows 2,383 prescription claims across 395 beneficiaries totaling $449,596 in drug costs, led by Eliquis (Apixaban). 2015 DME data shows 24 claims. Open Payments data shows 29 records totaling $546. 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 $75,255 to $180,504. Similarly, Part D prescription costs have risen steadily, from $156,617 to $449,596. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,128	2,002	$75,255
2016	1,302	2,243	$70,821
2017	1,022	1,791	$64,618
2018	886	1,564	$60,917
2019	593	1,138	$44,768
2020	210	486	$21,938
2021	331	772	$39,511
2022	1,408	2,657	$101,690
2023	1,875	5,596	$178,204
2024	1,968	6,055	$180,504

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	373	3,264	$156,617
2016	459	3,147	$184,842
2017	502	3,264	$246,221
2018	350	2,136	$220,462
2019	319	2,110	$258,892
2020	293	2,144	$323,417
2021	362	2,000	$292,773
2022	367	2,103	$359,481
2023	392	2,345	$416,960
2024	395	2,383	$449,596

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	24	$1,988
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	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
93280	Programming of dual lead pacemaker system	512	643	$50
93295	Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days	345	543	$22
93294	Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days	869	1,287	$19
93296	Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	1,266	2,066	$13
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	155	198	$10

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	299	16,395	$309,077
Xarelto	Rivaroxaban	57	2,370	$41,175
Jardiance	Empagliflozin	22	1,020	$20,280
Entresto	Sacubitril/Valsartan	19	1,140	$19,104
Brilinta	Ticagrelor	12	810	$11,958

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	29	$546	Abbott Laboratories
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 Herbert D. Ladley, MD?

Tedicare shows public-source Medicare data for Herbert D. Ladley, MD (NPI 1174552467), 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 Herbert D. Ladley, MD have ACO affiliation data?

Herbert D. Ladley, MD is shown with ACO affiliation data for AnewCare Collaborative, LLC (MSSP, ACO ID A1241).

What billing organization is linked to Herbert D. Ladley, MD?

Herbert D. Ladley, MD is linked to WELLMONT CARDIOLOGY SERVICES (billing NPI 1376575035) in the available physician profile data.

Does Herbert D. Ladley, MD have Open Payments data?

Herbert D. Ladley, MD has 29 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.