Physician

Peter Walsh, DO

According to 2025 Medicare claims, Peter Walsh, DO (NPI: 1255372736) practices gastroenterology in the Bozeman, MT market, with the plurality of this provider's patient population coming from Gallatin, MT. This provider's primary affiliated billing organization is BOZEMAN HEALTH DEACONESS HOSPITAL (NPI: 1619347390; TIN: 474717998) and primary practice location at 59718-4208. Walsh is affiliated with the Caravan Health ACO 50 LLC (ACO ID: A5160), Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Walsh's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 552 traditional Medicare patients, billed 818 HCPCS/CPT codes, and received $102,440 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 324 prescription claims across 103 beneficiaries totaling $267,204 in drug costs, led by Rinvoq (Upadacitinib). 2017 DME data shows 11 claims. Open Payments data shows 17 records totaling $338. 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. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $116,810 and ending at $267,204. 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$58K$115K2015 Medicare payment: $103,960 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $107,322 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $89,518 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $98,988 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $98,885 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $87,092 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $115,020 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $98,910 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $105,118 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $102,440 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015545951$103,960
20165941,037$107,322
2017538954$89,518
2018516840$98,988
2019505853$98,885
2020481762$87,092
2021610972$115,020
2022536821$98,910
2023529862$105,118
2024552818$102,440

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$221K$443K2015 Drug cost: $116,810 (USD; Tot_Drug_Cst)2016 Drug cost: $176,327 (USD; Tot_Drug_Cst)2017 Drug cost: $442,614 (USD; Tot_Drug_Cst)2018 Drug cost: $247,765 (USD; Tot_Drug_Cst)2019 Drug cost: $210,227 (USD; Tot_Drug_Cst)2020 Drug cost: $48,843 (USD; Tot_Drug_Cst)2021 Drug cost: $34,796 (USD; Tot_Drug_Cst)2022 Drug cost: $96,152 (USD; Tot_Drug_Cst)2023 Drug cost: $215,834 (USD; Tot_Drug_Cst)2024 Drug cost: $267,204 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015308523$116,810
2016283589$176,327
2017279803$442,614
2018357609$247,765
2019336544$210,227
2020303492$48,843
202191258$34,796
202289264$96,152
202393275$215,834
2024103324$267,204

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$2.2K$4.5K2016 Medicare payment: $4,478 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $1,592 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/R38$4,478
2017N/R11$1,592
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare209214$202
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk5050$179
45380Biopsy of large bowel using a flexible endoscope104105$103
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more5764$93
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope109110$61

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RinvoqUpadacitinib12356$102,470
Budesonide DrBudesonide11705$1,285
AzathioprineAzathioprine26985$1,154
Pantoprazole SodiumPantoprazole Sodium1076,314$1,044
OmeprazoleOmeprazole463,888$333

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.17$338Celgene Corporation
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 Peter Walsh, DO?

Tedicare shows public-source Medicare data for Peter Walsh, DO (NPI 1255372736), 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 Peter Walsh, DO have ACO affiliation data?

Peter Walsh, DO is shown with ACO affiliation data for Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403), and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Peter Walsh, DO?

Peter Walsh, DO is linked to BOZEMAN HEALTH DEACONESS HOSPITAL (billing NPI 1619347390) in the available physician profile data.

Does Peter Walsh, DO have Open Payments data?

Peter Walsh, DO has 17 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.