Physician

None

According to 2025 Medicare claims, NPI 1235196676 (NPI: 1235196676) practices interventional pain management (ipm) in the Mansfield, OH market, with the plurality of this provider's patient population coming from Richland, OH. This provider's primary affiliated billing organization is INTERVENTIONAL SPINE AND PAIN REHABILITATION CENTER, LTD. (NPI: 1053596205) and primary practice location at 44907-2212.

1235196676's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 57 traditional Medicare patients, billed 7,183 HCPCS/CPT codes, and received $55,438 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 873 prescription claims across 151 beneficiaries totaling $34,771 in drug costs, led by Shingrix (Varicella-Zoster Ge/As01b/Pf). Open Payments data shows 1 records totaling $26. 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 $250,155 to $55,438. Similarly, Part D prescription costs have moved from a higher plateau to a lower plateau, from $68,250 to $34,771. 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.

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$140K$281K2015 Medicare payment: $250,155 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $280,611 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $277,484 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $258,774 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $177,351 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $180,498 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $160,100 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $117,856 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $84,999 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $55,438 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201519113,975$250,155
201619615,517$280,611
201722320,329$277,484
201819320,406$258,774
201918612,906$177,351
202025713,923$180,498
202117313,742$160,100
20221105,886$117,856
2023819,320$84,999
2024577,183$55,438

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$45K$90K2015 Drug cost: $68,250 (USD; Tot_Drug_Cst)2016 Drug cost: $73,143 (USD; Tot_Drug_Cst)2017 Drug cost: $75,816 (USD; Tot_Drug_Cst)2018 Drug cost: $89,520 (USD; Tot_Drug_Cst)2019 Drug cost: $80,888 (USD; Tot_Drug_Cst)2020 Drug cost: $54,001 (USD; Tot_Drug_Cst)2021 Drug cost: $38,958 (USD; Tot_Drug_Cst)2022 Drug cost: $39,845 (USD; Tot_Drug_Cst)2023 Drug cost: $51,391 (USD; Tot_Drug_Cst)2024 Drug cost: $34,771 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151871,516$68,250
20161621,574$73,143
20171811,648$75,816
20181972,116$89,520
20191721,951$80,888
20201501,563$54,001
20211251,152$38,958
20221501,186$39,845
20231811,121$51,391
2024151873$34,771

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more44248$90
98926Osteopathic manipulative treatment, 3-4 body regions2779$33
96372Injection of drug or substance under skin or into muscle2669$10
J2300Injection, nalbuphine hydrochloride, per 10 mg2440$2
J1010Injection, methylprednisolone acetate, 1 mg312,762$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
ShingrixVaricella-Zoster Ge/As01b/Pf49194$10,371
AbrysvoRsv Vacc, Pref A And Pref B/Pf2222$6,700
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen2025,685$5,141
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen1132,728$2,311
FentanylFentanyl16436$1,496

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$26Nevro Corp.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for NPI 1235196676?

Tedicare shows public-source Medicare data for NPI 1235196676 (NPI 1235196676), 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 NPI 1235196676 have ACO affiliation data?

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

What billing organization is linked to NPI 1235196676?

NPI 1235196676 is linked to INTERVENTIONAL SPINE AND PAIN REHABILITATION CENTER, LTD. (billing NPI 1053596205) in the available physician profile data.

Does NPI 1235196676 have Open Payments data?

NPI 1235196676 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.