Physician

Daniel R Opel, M.D.

According to 2025 Medicare claims, Daniel Opel, M.D. (NPI: 1316357874) practices dermatology in the Sheboygan, WI market, with the plurality of this provider's patient population coming from Sheboygan, WI. This provider's primary affiliated billing organization is AURORA MEDICAL GROUP, INC. (NPI: 1427271378; TIN: 391678306) and primary practice location at 53081-3129. Opel is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (ACO ID: D0260), participating under both the MSSP and REACH models.

Opel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 889 traditional Medicare patients, billed 4,890 HCPCS/CPT codes, and received $196,247 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 2,195 prescription claims across 737 beneficiaries totaling $1,387,127 in drug costs, led by Dupixent Pen (Dupilumab). Open Payments data shows 51 records totaling $41,829. 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 $13,505 to $196,247. Similarly, Part D prescription costs have risen steadily, from $25,974 to $1,387,127. 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$117K$234K2018 Medicare payment: $13,505 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $82,779 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $114,130 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $184,051 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $192,550 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $233,659 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $196,247 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
201893306$13,505
20193221,731$82,779
20204832,953$114,130
20216854,054$184,051
20227384,411$192,550
20238375,081$233,659
20248894,890$196,247

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$694K$1.4M2015 Drug cost: $25,974 (USD; Tot_Drug_Cst)2016 Drug cost: $195,541 (USD; Tot_Drug_Cst)2017 Drug cost: $35,329 (USD; Tot_Drug_Cst)2018 Drug cost: $54,039 (USD; Tot_Drug_Cst)2019 Drug cost: $47,073 (USD; Tot_Drug_Cst)2020 Drug cost: $129,947 (USD; Tot_Drug_Cst)2021 Drug cost: $341,344 (USD; Tot_Drug_Cst)2022 Drug cost: $722,901 (USD; Tot_Drug_Cst)2023 Drug cost: $1,113,392 (USD; Tot_Drug_Cst)2024 Drug cost: $1,387,127 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201582252$25,974
2016174383$195,541
2017113186$35,329
2018109208$54,039
2019230598$47,073
2020316814$129,947
20214581,153$341,344
20225211,498$722,901
20236531,897$1,113,392
20247372,195$1,387,127

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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more530575$84
17110Destruction of skin growth, 1-14 growths273303$65
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more235270$59
17000Destruction of precancer skin growth, 1 growth470521$30
17003Destruction of precancer skin growth, 2-14 growths3691,942$4

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Dupixent PenDupilumab1143,122$454,624
Skyrizi PenRisankizumab-Rzaa12858$253,494
Humira(Cf) PenAdalimumab24672$195,049
RinvoqUpadacitinib26780$169,045
OtezlaApremilast18660$104,013

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.51$41,829ABBVIE 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 Daniel R. Opel, M.D.?

Tedicare shows public-source Medicare data for Daniel R. Opel, M.D. (NPI 1316357874), 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 Daniel R. Opel, M.D. have ACO affiliation data?

Daniel R. Opel, M.D. is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (REACH, ACO ID D0260).

What billing organization is linked to Daniel R. Opel, M.D.?

Daniel R. Opel, M.D. is linked to AURORA MEDICAL GROUP, INC. (billing NPI 1427271378) in the available physician profile data.

Does Daniel R. Opel, M.D. have Open Payments data?

Daniel R. Opel, M.D. has 51 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.