Physician

Thomas Consolati, MD

According to 2025 Medicare claims, Thomas Consolati, MD (NPI: 1326006362) practices internal medicine in the Pittsfield, MA market, with the plurality of this provider's patient population coming from Berkshire, MA. This provider's primary affiliated billing organization is SUBURBAN INTERNAL MEDICINE, INC. (NPI: 1659381192; TIN: 043532606) and primary practice location at 01238-9316. Consolati is affiliated with the Aledade 205 New England MSSP Enhanced (ACO ID: A5370) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Consolati's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,092 traditional Medicare patients, billed 4,996 HCPCS/CPT codes, and received $286,623 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 22,835 prescription claims across 1,240 beneficiaries totaling $2,084,647 in drug costs, led by Eliquis (Apixaban). DME data shows 599 claims. Open Payments data shows 28 records totaling $726. 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 changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $601,385 to $2,084,647. In contrast, DME billing represents a smaller volume and did not follow a clear longitudinal pattern.

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$156K$312K2015 Medicare payment: $311,873 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $271,048 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $245,557 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $274,870 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $269,654 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $236,274 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $269,324 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $243,101 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $255,662 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $286,623 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20159026,252$311,873
20168725,880$271,048
20171,0125,186$245,557
20181,1025,410$274,870
20191,1154,873$269,654
20201,0854,482$236,274
20211,0474,746$269,324
20229714,449$243,101
20231,1104,259$255,662
20241,0924,996$286,623

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$1.0M$2.1M2015 Drug cost: $601,385 (USD; Tot_Drug_Cst)2016 Drug cost: $622,617 (USD; Tot_Drug_Cst)2017 Drug cost: $709,345 (USD; Tot_Drug_Cst)2018 Drug cost: $895,109 (USD; Tot_Drug_Cst)2019 Drug cost: $956,882 (USD; Tot_Drug_Cst)2020 Drug cost: $1,271,817 (USD; Tot_Drug_Cst)2021 Drug cost: $1,359,986 (USD; Tot_Drug_Cst)2022 Drug cost: $1,499,312 (USD; Tot_Drug_Cst)2023 Drug cost: $1,848,465 (USD; Tot_Drug_Cst)2024 Drug cost: $2,084,647 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201562011,025$601,385
201672012,329$622,617
201780413,699$709,345
201896816,670$895,109
201992215,893$956,882
202092918,274$1,271,817
202196718,079$1,359,986
20221,04019,151$1,499,312
20231,18220,709$1,848,465
20241,24022,835$2,084,647

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$19K$38K2015 Medicare payment: $35,961 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $22,398 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $16,480 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $25,290 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $33,573 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $32,714 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $30,747 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $33,457 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $38,297 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $26,286 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015100706$35,961
2016134729$22,398
2017118674$16,480
2018169821$25,290
2019148830$33,573
2020171851$32,714
2021206792$30,747
2022184709$33,457
2023165711$38,297
2024199599$26,286

* / # = 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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit330330$136
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more437948$65
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more328706$58
G0444Annual depression screening, 5 to 15 minutes328328$20
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's254378$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban95723,427$462,712
Humira PenAdalimumab21420$154,917
XareltoRivaroxaban2227,722$141,731
JardianceEmpagliflozin1524,870$97,541
JanuviaSitagliptin Phosphate1554,838$90,751

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R29$8,760
A7031Face mask interface, replacement for full face mask, eachN1639$2,832
A7030Full face mask used with positive airway pressure device, eachN1425$2,067
E0442Stationary oxygen contents, liquid, 1 month's supply = 1 unitNN/R34$1,618
A7032Cushion for use on nasal mask interface, replacement only, eachN1123$1,597

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.28$726Neurocrine Biosciences, 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 Thomas Consolati, MD?

Tedicare shows public-source Medicare data for Thomas Consolati, MD (NPI 1326006362), 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 Thomas Consolati, MD have ACO affiliation data?

Thomas Consolati, MD is shown with ACO affiliation data for Aledade 205 New England MSSP Enhanced (MSSP, ACO ID A5370) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Thomas Consolati, MD?

Thomas Consolati, MD is linked to SUBURBAN INTERNAL MEDICINE, INC. (billing NPI 1659381192) in the available physician profile data.

Does Thomas Consolati, MD have Open Payments data?

Thomas Consolati, MD has 28 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.