Physician

Tara S Shields, MD

According to 2025 Medicare claims, Tara Shields, MD (NPI: 1215347240) practices internal medicine in the Johnson City, TN market, with the plurality of this provider's patient population coming from Washington, TN. This provider's primary affiliated billing organization is STATE OF FRANKLIN HEALTHCARE ASSOCIATES PLLC (NPI: 1063459410; TIN: 621730293) and primary practice location at 37604-2641. Shields is affiliated with the Rancho Health Management, LLC (ACO ID: D0015), participating under the REACH model.

Shields' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 272 traditional Medicare patients, billed 10,358 HCPCS/CPT codes, and received $199,124 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 10,312 prescription claims across 580 beneficiaries totaling $744,839 in drug costs, led by Eliquis (Apixaban). DME data shows 355 claims. Open Payments data shows 23 records totaling $270. 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 risen steadily, from $11,213 to $199,124. Similarly, Part D prescription costs have moved sharply higher in recent years, from $2,946 to $744,839. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $2,918 to $24,303.

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	101	265	$11,213
2018	333	2,187	$65,535
2019	340	2,112	$69,885
2020	234	3,825	$50,783
2021	233	5,115	$63,735
2022	156	4,884	$72,433
2023	231	12,205	$148,177
2024	272	10,358	$199,124

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	14	$2,946
2016	13	29	$2,590
2017	137	356	$11,516
2018	526	6,043	$421,302
2019	509	6,458	$507,898
2020	548	2,980	$193,114
2021	319	3,173	$206,477
2022	295	3,460	$267,893
2023	426	7,333	$597,774
2024	580	10,312	$744,839

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	23	$222
2019	13	57	$1,498
2020	N/R	41	$1,729
2021	N/R	119	$9,461
2022	N/R	66	$4,163
2023	11	171	$16,066
2024	34	355	$19,885

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	235	485	$78
84443	Blood test, thyroid stimulating hormone (tsh)	196	333	$16
80061	Blood test, lipids (cholesterol and triglycerides)	197	298	$13
80053	Blood test, comprehensive group of blood chemicals	213	414	$10
36415	Insertion of needle into vein for collection of blood sample	225	516	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	132	5,515	$107,621
Ozempic	Semaglutide	55	1,842	$60,612
Trulicity	Dulaglutide	32	1,414	$47,785
Mounjaro	Tirzepatide	38	1,074	$39,936
Farxiga	Dapagliflozin Propanediol	29	1,548	$28,102

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	28	$8,587
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	66	$1,963
A7031	Face mask interface, replacement for full face mask, each	N	N/R	20	$1,758
A7030	Full face mask used with positive airway pressure device, each	N	N/R	20	$1,393
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	14	$1,358

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	23	$270	ABBVIE 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 Tara S. Shields, MD?

Tedicare shows public-source Medicare data for Tara S. Shields, MD (NPI 1215347240), 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 Tara S. Shields, MD have ACO affiliation data?

Tara S. Shields, MD is shown with ACO affiliation data for Rancho Health Management, LLC (REACH, ACO ID D0015).

What billing organization is linked to Tara S. Shields, MD?

Tara S. Shields, MD is linked to STATE OF FRANKLIN HEALTHCARE ASSOCIATES PLLC (billing NPI 1063459410) in the available physician profile data.

Does Tara S. Shields, MD have Open Payments data?

Tara S. Shields, MD has 23 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.