Physician

Niraj Siddharthbhai Doctor, M.D

According to 2025 Medicare claims, Niraj Doctor, M.D (NPI: 1285925883) practices cardiology in the Bakersfield-Delano, CA market, with the plurality of this provider's patient population coming from Kern, CA. This provider's primary affiliated billing organization is CENTRIC HEALTH (NPI: 1831248236; TIN: 953511288) and primary practice location at 93309-1985. Doctor is affiliated with the Aledade 45 CA CHC MSSP Enhanced (ACO ID: A4542) and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Doctor's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,567 traditional Medicare patients, billed 21,321 HCPCS/CPT codes, and received $1,880,252 in Medicare payments. The top billing code was A9555 (Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries). Part D data shows 9,429 prescription claims across 887 beneficiaries totaling $927,825 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 33 records totaling $862. 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 risen steadily, from $176,545 to $1,880,252. Similarly, Part D prescription costs have moved sharply higher in recent years, from $511 to $927,825. 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	546	1,841	$176,545
2018	1,056	9,554	$546,797
2019	1,579	18,053	$794,296
2020	1,172	19,993	$758,518
2021	1,074	12,445	$752,509
2022	1,093	15,779	$900,492
2023	1,177	9,939	$720,033
2024	1,567	21,321	$1,880,252

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	$511
2016	N/R	N/R	N/R
2017	102	340	$17,107
2018	423	2,906	$94,753
2019	755	6,341	$374,918
2020	779	7,749	$547,390
2021	728	7,347	$590,630
2022	766	8,708	$877,914
2023	842	8,773	$1,049,323
2024	887	9,429	$927,825

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
A9555	Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries	673	1,348	$406
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	713	1,827	$62
93015	Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	705	706	$59
G2211	Visit 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's	764	1,867	$12
J2785	Injection, regadenoson, 0.1 mg	681	2,728	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	378	19,887	$380,906
Xarelto	Rivaroxaban	124	6,670	$123,557
Farxiga	Dapagliflozin Propanediol	86	3,270	$59,289
Entresto	Sacubitril/Valsartan	59	2,715	$58,511
Jardiance	Empagliflozin	60	3,120	$57,533

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.	33	$862	Novartis Pharmaceuticals Corporation
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 Niraj Siddharthbhai Doctor, M.D?

Tedicare shows public-source Medicare data for Niraj Siddharthbhai Doctor, M.D (NPI 1285925883), 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 Niraj Siddharthbhai Doctor, M.D have ACO affiliation data?

Niraj Siddharthbhai Doctor, M.D is shown with ACO affiliation data for Aledade 45 CA CHC MSSP Enhanced (MSSP, ACO ID A4542) and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Niraj Siddharthbhai Doctor, M.D?

Niraj Siddharthbhai Doctor, M.D is linked to CENTRIC HEALTH (billing NPI 1831248236) in the available physician profile data.

Does Niraj Siddharthbhai Doctor, M.D have Open Payments data?

Niraj Siddharthbhai Doctor, M.D has 33 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.