Physician

Thomas K Pow, M.D.

According to 2025 Medicare claims, Thomas Pow, M.D. (NPI: 1174583199) practices cardiology in the Niles, MI market, with the plurality of this provider's patient population coming from Berrien, MI. This provider's primary affiliated billing organization is LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC (NPI: 1134220031; TIN: 382156872) and primary practice location at 49085-2112. Pow is affiliated with the West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Pow's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,005 traditional Medicare patients, billed 3,389 HCPCS/CPT codes, and received $229,382 in Medicare payments. The top billing code was 93880 (Ultrasound of both sides of head and neck blood flow). Part D data shows 5,329 prescription claims across 890 beneficiaries totaling $792,751 in drug costs, led by Eliquis (Apixaban). 2022 DME data shows 11 claims. Open Payments data shows 56 records totaling $1,700. 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 fallen sharply in recent years, from $1,171,150 to $229,382. In contrast, Part D prescription costs have risen steadily, from $446,359 to $792,751. For DME billing, this smaller-volume category moved sharply higher in recent years, from $3,535 to $25,461.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	2,317	10,101	$1,171,150
2016	2,339	10,326	$1,141,644
2017	2,665	11,754	$1,110,912
2018	2,428	10,483	$1,090,814
2019	1,749	8,247	$864,593
2020	1,381	6,652	$548,745
2021	1,261	6,766	$558,453
2022	1,039	4,230	$309,913
2023	1,065	3,792	$273,940
2024	1,005	3,389	$229,382

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	779	5,880	$446,359
2016	776	5,792	$476,978
2017	783	5,554	$442,992
2018	813	5,693	$558,192
2019	841	5,961	$682,700
2020	814	5,458	$724,469
2021	808	5,166	$609,007
2022	846	5,688	$702,903
2023	831	5,094	$685,864
2024	890	5,329	$792,751

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	32	$3,011
2016	N/R	25	$1,374
2017	N/R	14	$368
2018	N/R	12	$340
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	11	$25,461
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
93880	Ultrasound of both sides of head and neck blood flow	90	92	$137
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	362	461	$90
78452	Nuclear medicine studies of heart muscle at rest and with stress and spect	228	232	$52
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	455	476	$49
93018	Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	236	240	$10

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	367	21,594	$402,700
Entresto	Sacubitril/Valsartan	71	4,835	$93,306
Xarelto	Rivaroxaban	69	5,318	$92,420
Jardiance	Empagliflozin	30	1,920	$36,306
Repatha Sureclick	Evolocumab	37	1,764	$31,780

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.	56	$1,700	Medtronic, Inc.
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 Thomas K. Pow, M.D.?

Tedicare shows public-source Medicare data for Thomas K. Pow, M.D. (NPI 1174583199), 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 Thomas K. Pow, M.D. have ACO affiliation data?

Thomas K. Pow, M.D. is shown with ACO affiliation data for West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626).

What billing organization is linked to Thomas K. Pow, M.D.?

Thomas K. Pow, M.D. is linked to LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC (billing NPI 1134220031) in the available physician profile data.

Does Thomas K. Pow, M.D. have Open Payments data?

Thomas K. Pow, M.D. has 56 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.