Physician

Marshall W Anderson, M.D.

According to 2025 Medicare claims, Marshall Anderson, M.D. (NPI: 1194766378) practices internal medicine in the Burlington, NC market, with the plurality of this provider's patient population coming from Alamance, NC. This provider's primary affiliated billing organization is DUKE HEALTH INTEGRATED PRACTICE, INC. (NPI: 1205553369; TIN: 862109896) and primary practice location at 27215-8700. Anderson is affiliated with the Duke Connected Care, LLC (ACO ID: A2419) and Triad HealthCare Network, LLC. (ACO ID: D0209), participating under both the MSSP and REACH models.

Anderson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 359 traditional Medicare patients, billed 5,382 HCPCS/CPT codes, and received $168,951 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 21,601 prescription claims across 1,139 beneficiaries totaling $2,214,719 in drug costs, led by Jardiance (Empagliflozin). DME data shows 284 claims. No Open Payments records. 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. Similarly, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $35,160 and ending at $20,941.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$101K$202K2015 Medicare payment: $202,004 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $187,886 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $195,913 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $188,698 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $198,948 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $185,716 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $201,492 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $185,041 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $171,021 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $168,951 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157076,819$202,004
20167266,407$187,886
20177756,345$195,913
20187156,191$188,698
20197126,284$198,948
20205985,835$185,716
20215395,714$201,492
20225115,310$185,041
20234225,069$171,021
20243595,382$168,951

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.1M$2.2M2015 Drug cost: $1,310,595 (USD; Tot_Drug_Cst)2016 Drug cost: $1,494,817 (USD; Tot_Drug_Cst)2017 Drug cost: $1,741,114 (USD; Tot_Drug_Cst)2018 Drug cost: $1,627,757 (USD; Tot_Drug_Cst)2019 Drug cost: $1,674,338 (USD; Tot_Drug_Cst)2020 Drug cost: $1,817,625 (USD; Tot_Drug_Cst)2021 Drug cost: $1,856,412 (USD; Tot_Drug_Cst)2022 Drug cost: $2,045,627 (USD; Tot_Drug_Cst)2023 Drug cost: $2,108,702 (USD; Tot_Drug_Cst)2024 Drug cost: $2,214,719 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151,29024,111$1,310,595
20161,30925,788$1,494,817
20171,37728,880$1,741,114
20181,38926,414$1,627,757
20191,35925,884$1,674,338
20201,31226,413$1,817,625
20211,32225,284$1,856,412
20221,32926,126$2,045,627
20231,19122,189$2,108,702
20241,13921,601$2,214,719

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$11K$22K2015 Medicare payment: $21,649 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $15,285 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $14,628 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $10,027 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $11,518 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $20,678 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $16,738 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $9,217 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $12,667 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $10,612 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015190500$21,649
2016165515$15,285
2017118653$14,628
2018126506$10,027
2019110443$11,518
202093535$20,678
202154403$16,738
202241227$9,217
202351290$12,667
202465284$10,612

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit253253$120
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more292723$74
80061Blood test, lipids (cholesterol and triglycerides)260449$13
80053Blood test, comprehensive group of blood chemicals262476$10
36415Insertion of needle into vein for collection of blood sample269548$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
JardianceEmpagliflozin46425,862$505,497
EliquisApixaban49114,714$280,280
RybelsusSemaglutide1086,150$191,489
OzempicSemaglutide1585,604$176,279
TrulicityDulaglutide1214,080$138,558

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0601Continuous positive airway pressure (cpap) deviceY1271$2,131
A7031Face mask interface, replacement for full face mask, eachNN/R20$1,822
A7030Full face mask used with positive airway pressure device, eachNN/R23$1,693
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapNN/R22$1,078
A7033Pillow for use on nasal cannula type interface, replacement only, pairNN/R12$902

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Marshall W. Anderson, M.D.?

Tedicare shows public-source Medicare data for Marshall W. Anderson, M.D. (NPI 1194766378), 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 Marshall W. Anderson, M.D. have ACO affiliation data?

Marshall W. Anderson, M.D. is shown with ACO affiliation data for Duke Connected Care, LLC (MSSP, ACO ID A2419) and Triad HealthCare Network, LLC. (REACH, ACO ID D0209).

What billing organization is linked to Marshall W. Anderson, M.D.?

Marshall W. Anderson, M.D. is linked to DUKE HEALTH INTEGRATED PRACTICE, INC. (billing NPI 1205553369) in the available physician profile data.

Does Marshall W. Anderson, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.