Physician

Paul E Pinson, M.D.

According to 2025 Medicare claims, Paul Pinson, M.D. (NPI: 1265431035) practices pain management in the Cleveland, TN market, with the plurality of this provider's patient population coming from Bradley, TN. Pinson uses personal NPI as billing NPI and primary practice location at 37312-1806. Pinson is affiliated with the Main Street Rural Health Cedar ACO LLC (ACO ID: A5502), participating under the MSSP model.

Pinson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 253 traditional Medicare patients, billed 3,451 HCPCS/CPT codes, and received $159,514 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 2,322 prescription claims across 611 beneficiaries totaling $71,480 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). 2019 DME data shows 22 claims. Open Payments data shows 7 records totaling $138. 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 from a lower plateau to a higher plateau, from $189,905 to $159,514. In contrast, Part D prescription costs have fallen sharply in recent years, from $88,524 to $71,480. 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.

Year	Patients	Clm Lines	Payment
2015	353	7,000	$189,905
2016	260	1,818	$104,356
2017	272	3,732	$121,267
2018	531	13,101	$292,067
2019	549	10,479	$298,316
2020	471	8,411	$284,634
2021	376	7,397	$304,338
2022	330	7,052	$249,920
2023	267	4,720	$185,048
2024	253	3,451	$159,514

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	401	1,109	$88,524
2016	349	1,900	$186,672
2017	474	4,378	$347,568
2018	976	12,254	$904,310
2019	1,181	18,102	$940,761
2020	1,064	12,016	$546,769
2021	769	3,908	$158,889
2022	804	4,144	$188,991
2023	612	2,173	$76,517
2024	611	2,322	$71,480

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	56	56	$49,250
2018	88	88	$90,758
2019	22	22	$22,574
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

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	66	109	$69
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	226	1,680	$58
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	71	$40
96127	Assessment of emotional or behavioral problems	178	293	$3
J1100	Injection, dexamethasone sodium phosphate, 1 mg	48	680	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	530	14,993	$15,545
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	416	11,745	$12,191
Xtampza Er	Oxycodone Myristate	28	777	$10,686
Oxycodone Hcl	Oxycodone Hcl	194	5,518	$3,241
Gabapentin	Gabapentin	284	8,304	$3,117

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	7	$138	Collegium Pharmaceutical, 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

Explore More Providers

Pain Management providers in the Cleveland, TN market
Providers within practice ZIP code 37312-1806
Providers whose plurality patient county is Bradley, TN
Providers in Tennessee affiliated with Main Street Rural Health Cedar ACO LLC (MSSP)

FAQ

What Medicare data is available for Paul E. Pinson, M.D.?

Tedicare shows public-source Medicare data for Paul E. Pinson, M.D. (NPI 1265431035), 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 Paul E. Pinson, M.D. have ACO affiliation data?

Paul E. Pinson, M.D. is shown with ACO affiliation data for Main Street Rural Health Cedar ACO LLC (MSSP, ACO ID A5502).

What billing organization is linked to Paul E. Pinson, M.D.?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does Paul E. Pinson, M.D. have Open Payments data?

Paul E. Pinson, M.D. has 7 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.