Physician

Scott Gilchrist, MD

According to 2025 Medicare claims, Scott Gilchrist, MD (NPI: 1255656468) practices psychiatry in the Wheeling, WV-OH market, with the plurality of this provider's patient population coming from Ohio, WV. This provider's primary affiliated billing organization is GR&W, INC (NPI: 1407192024; TIN: 461385612) and primary practice location at 26330-4599.

Gilchrist's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 237 traditional Medicare patients, billed 1,552 HCPCS/CPT codes, and received $124,445 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 3,536 prescription claims across 281 beneficiaries totaling $292,344 in drug costs, led by Austedo Xr (Deutetrabenazine). Open Payments data shows 98 records totaling $1,749. 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 moved sharply higher in recent years, from $30,494 to $124,445. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $137,294 to $292,344. 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$114K$229K2015 Medicare payment: $30,494 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $25,810 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $40,269 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $71,488 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $109,210 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $87,980 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $91,294 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $134,008 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $228,936 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $124,445 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015105855$30,494
201675673$25,810
2017138800$40,269
20181931,223$71,488
20192271,720$109,210
20201991,342$87,980
20211541,185$91,294
20222471,705$134,008
20233212,776$228,936
20242371,552$124,445

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$146K$292K2015 Drug cost: $137,294 (USD; Tot_Drug_Cst)2016 Drug cost: $72,595 (USD; Tot_Drug_Cst)2017 Drug cost: $113,768 (USD; Tot_Drug_Cst)2018 Drug cost: $172,732 (USD; Tot_Drug_Cst)2019 Drug cost: $176,255 (USD; Tot_Drug_Cst)2020 Drug cost: $217,611 (USD; Tot_Drug_Cst)2021 Drug cost: $224,088 (USD; Tot_Drug_Cst)2022 Drug cost: $207,425 (USD; Tot_Drug_Cst)2023 Drug cost: $229,500 (USD; Tot_Drug_Cst)2024 Drug cost: $292,344 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151161,221$137,294
201660739$72,595
2017981,107$113,768
20181211,515$172,732
20191461,652$176,255
20201472,164$217,611
20211842,641$224,088
20221912,684$207,425
20232623,388$229,500
20242813,536$292,344

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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more2382$104
90837Psychotherapy, 1 hour73439$83
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more158400$68
99442Telephone medical discussion with physician, 11-20 minutes3675$58
90833Psychotherapy with evaluation and management visit, 30 minutes52140$50

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Austedo XrDeutetrabenazine14420$95,192
Abilify MaintenaAripiprazole18394$51,304
TrintellixVortioxetine Hydrobromide321,260$19,708
RexultiBrexpiprazole11330$18,244
Paliperidone ErPaliperidone13384$7,009

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.98$1,749Otsuka America Pharmaceutical, Inc.
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 Scott Gilchrist, MD?

Tedicare shows public-source Medicare data for Scott Gilchrist, MD (NPI 1255656468), 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 Scott Gilchrist, MD have ACO affiliation data?

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

What billing organization is linked to Scott Gilchrist, MD?

Scott Gilchrist, MD is linked to GR&W, INC (billing NPI 1407192024) in the available physician profile data.

Does Scott Gilchrist, MD have Open Payments data?

Scott Gilchrist, MD has 98 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.