Physician

Edlira Tam, D.O.

According to 2025 Medicare claims, Edlira Tam, D.O. (NPI: 1265850093) practices advanced heart failure and transplant cardiology in the Nassau County-Suffolk County, NY market, with the plurality of this provider's patient population coming from Suffolk, NY. This provider's primary affiliated billing organization is STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION (NPI: 1295778371; TIN: 112558775) and primary practice location at 11790-0989. Tam is affiliated with the Stony Brook ACO, LLC. (ACO ID: A4830), participating under the MSSP model.

Tam's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 361 traditional Medicare patients, billed 1,859 HCPCS/CPT codes, and received $146,494 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 887 prescription claims across 144 beneficiaries totaling $366,925 in drug costs, led by Entresto (Sacubitril/Valsartan). Open Payments data shows 16 records totaling $574. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have risen steadily, from $8,795 to $366,925. 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$73K$146K2021 Medicare payment: $44,175 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $106,471 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $114,325 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $146,494 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021189419$44,175
20223161,005$106,471
20233511,475$114,325
20243611,859$146,494

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$183K$367K2015 Drug cost: $8,795 (USD; Tot_Drug_Cst)2016 Drug cost: $15,347 (USD; Tot_Drug_Cst)2017 Drug cost: $32,994 (USD; Tot_Drug_Cst)2018 Drug cost: $5,251 (USD; Tot_Drug_Cst)2019 Drug cost: $23,260 (USD; Tot_Drug_Cst)2020 Drug cost: $18,968 (USD; Tot_Drug_Cst)2021 Drug cost: $39,050 (USD; Tot_Drug_Cst)2022 Drug cost: $95,405 (USD; Tot_Drug_Cst)2023 Drug cost: $185,058 (USD; Tot_Drug_Cst)2024 Drug cost: $366,925 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201549214$8,795
201663391$15,347
201753489$32,994
201831125$5,251
201928184$23,260
202024161$18,968
202138109$39,050
202262361$95,405
2023100553$185,058
2024144887$366,925

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 more194410$159
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5159$156
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes73149$109
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's113165$15
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report251422$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EntrestoSacubitril/Valsartan1126,540$142,709
JardianceEmpagliflozin413,060$57,416
FarxigaDapagliflozin Propanediol442,880$53,406
EliquisApixaban482,241$42,811
Metoprolol SuccinateMetoprolol Succinate1147,634$1,789

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.16$574Abbott Laboratories
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 Edlira Tam, D.O.?

Tedicare shows public-source Medicare data for Edlira Tam, D.O. (NPI 1265850093), 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 Edlira Tam, D.O. have ACO affiliation data?

Edlira Tam, D.O. is shown with ACO affiliation data for Stony Brook ACO, LLC. (MSSP, ACO ID A4830).

What billing organization is linked to Edlira Tam, D.O.?

Edlira Tam, D.O. is linked to STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION (billing NPI 1295778371) in the available physician profile data.

Does Edlira Tam, D.O. have Open Payments data?

Edlira Tam, D.O. has 16 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.