Physician

Akira William Gillingham, M.D.

According to 2025 Medicare claims, Akira Gillingham, M.D. (NPI: 1265871867) practices obstetrics/gynecology in the Montgomery County-Bucks County-Chester County, PA market, with the plurality of this provider's patient population coming from Montgomery, PA. This provider's primary affiliated billing organization is REGIONAL WOMENS HEALTH GROUP LLC (NPI: 1750880118; TIN: 22-3693606) and primary practice location at 18103-3691.

Gillingham's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 235 traditional Medicare patients, billed 5,426 HCPCS/CPT codes, and received $133,938 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 804 prescription claims across 254 beneficiaries totaling $262,068 in drug costs, led by Gemtesa (Vibegron). Open Payments data shows 63 records totaling $13,331. 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 sharply higher in recent years, from $752 to $262,068. 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	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	88	280	$24,360
2021	299	1,312	$139,341
2022	189	1,747	$113,157
2023	220	4,797	$146,971
2024	235	5,426	$133,938

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	11	$752
2016	23	34	$11,084
2017	50	94	$11,995
2018	82	120	$20,718
2019	113	180	$29,254
2020	82	157	$30,151
2021	173	357	$70,341
2022	188	497	$107,031
2023	237	650	$167,804
2024	254	804	$262,068

DME Billing Trend

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

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.

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	74	74	$154
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	73	88	$62
99459	Pelvic exam	143	148	$17
51741	Electronic assessment of bladder emptying	90	98	$9
51798	Ultrasound measurement of bladder capacity after voiding	111	111	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gemtesa	Vibegron	258	10,330	$160,793
Myrbetriq	Mirabegron	148	5,640	$85,968
Estradiol	Estradiol	89	10,296	$5,998
Premarin	Estrogens, Conjugated	11	844	$4,561
Nitrofurantoin Mono-Macro	Nitrofurantoin Monohyd/M-Cryst	81	440	$636

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.	63	$13,331	Astellas Pharma US 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

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FAQ

What Medicare data is available for Akira William Gillingham, M.D.?

Tedicare shows public-source Medicare data for Akira William Gillingham, M.D. (NPI 1265871867), 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 Akira William Gillingham, M.D. have ACO affiliation data?

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

What billing organization is linked to Akira William Gillingham, M.D.?

Akira William Gillingham, M.D. is linked to REGIONAL WOMENS HEALTH GROUP LLC (billing NPI 1750880118) in the available physician profile data.

Does Akira William Gillingham, M.D. have Open Payments data?

Akira William Gillingham, M.D. has 63 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.