Physician

James R Ouellette, DO

According to 2025 Medicare claims, James Ouellette, DO (NPI: 1245288422) practices surgical oncology in the Dayton-Kettering-Beavercreek, OH market, with the plurality of this provider's patient population coming from Montgomery, OH. This provider's primary affiliated billing organization is PREMIER HEALTH SPECIALISTS INC (NPI: 1194958223; TIN: 311741379) and primary practice location at 45409-2722.

Ouellette's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 224 traditional Medicare patients, billed 550 HCPCS/CPT codes, and received $121,553 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 132 prescription claims across 53 beneficiaries totaling $114,066 in drug costs, led by Creon (Lipase/Protease/Amylase). DME data shows 103 claims. Open Payments data shows 26 records totaling $2,789. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $48,487 to $114,066. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $2,634 and ending at $1,411.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	269	660	$154,417
2016	270	626	$134,808
2017	269	640	$166,833
2018	257	2,194	$210,604
2019	257	652	$131,777
2020	250	564	$129,315
2021	264	650	$146,038
2022	275	668	$146,344
2023	244	583	$126,875
2024	224	550	$121,553

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	50	119	$48,487
2016	41	87	$32,699
2017	46	97	$32,600
2018	41	74	$19,122
2019	54	112	$35,238
2020	64	147	$75,058
2021	46	113	$63,631
2022	49	103	$87,381
2023	64	153	$140,343
2024	53	132	$114,066

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	76	$20,767
2016	N/R	178	$54,673
2017	N/R	162	$11,694
2018	N/R	115	$5,683
2019	N/R	262	$20,760
2020	N/R	95	$9,311
2021	N/R	309	$82,165
2022	N/R	136	$13,082
2023	N/R	152	$16,706
2024	N/R	103	$12,597

* / # = 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
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	58	58	$152
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$130
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	139	$92
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	28	32	$63
99231	Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	25	40	$37

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Creon	Lipase/Protease/Amylase	35	1,102	$100,869
Neomycin Sulfate	Neomycin Sulfate	24	25	$130
Metronidazole	Metronidazole	24	74	$32
Ondansetron Hcl	Ondansetron Hcl	14	21	$18

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
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	N	N/R	17	$4,523
A4425	Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each	N	N/R	22	$3,214
A4409	Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each	N	N/R	14	$2,258
A4394	Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce	N	N/R	16	$1,907
A4456	Adhesive remover, wipes, any type, each	N	N/R	20	$492

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	24	$1,774	HISTOSONICS,INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	2	$1,016	Medtronic, Inc.
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 James R. Ouellette, DO?

Tedicare shows public-source Medicare data for James R. Ouellette, DO (NPI 1245288422), 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 James R. Ouellette, DO have ACO affiliation data?

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

What billing organization is linked to James R. Ouellette, DO?

James R. Ouellette, DO is linked to PREMIER HEALTH SPECIALISTS INC (billing NPI 1194958223) in the available physician profile data.

Does James R. Ouellette, DO have Open Payments data?

James R. Ouellette, DO has 26 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.