Physician

Douglas Patrick Mcinnis, MD

According to 2025 Medicare claims, Douglas Mcinnis, MD (NPI: 1326151150) practices orthopedic surgery in the Coeur d'Alene, ID market, with the plurality of this provider's patient population coming from Kootenai, ID. This provider's primary affiliated billing organization is ORTHOPEDIC SURGERY AND SPORTS (NPI: 1083729438; TIN: 043718451) and primary practice location at 83854-5326. Mcinnis is affiliated with the Kootenai Accountable Care, LLC (ACO ID: A3621), Caravan Collaborative Pathways (ACO ID: A4604), and Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Mcinnis' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 469 traditional Medicare patients, billed 1,175 HCPCS/CPT codes, and received $246,421 in Medicare payments. The top billing code was 27130 (Replacement of thigh bone and hip joint with prosthesis). Part D data shows 71 prescription claims across 48 beneficiaries totaling $208 in drug costs, led by Amoxicillin (Amoxicillin). DME data shows 33 claims. Open Payments data shows 7 records totaling $437. 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 started with an early spike, then settled into a lower baseline, moving from $4,060 to $208. For DME billing, reported payments started with an early spike, then settled into a lower baseline, moving from $16,416 to $1,559.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	531	2,586	$258,491
2016	573	2,895	$284,021
2017	525	2,454	$280,209
2018	555	2,345	$293,503
2019	537	1,729	$273,801
2020	464	1,798	$260,685
2021	436	1,667	$220,761
2022	435	1,133	$219,631
2023	495	1,206	$236,972
2024	469	1,175	$246,421

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	110	245	$4,060
2016	120	296	$7,627
2017	96	166	$2,962
2018	84	153	$1,939
2019	75	126	$2,710
2020	82	134	$6,459
2021	82	149	$5,569
2022	67	117	$1,919
2023	44	76	$229
2024	48	71	$208

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	84	88	$17,132
2016	33	34	$16,756
2017	12	12	$446
2018	11	11	$387
2019	N/R	N/R	N/R
2020	17	17	$820
2021	15	15	$783
2022	32	32	$1,682
2023	39	39	$2,082
2024	33	33	$1,479

* / # = 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
27130	Replacement of thigh bone and hip joint with prosthesis	96	97	$952
27447	Replacement of knee joint, both sides of knee	96	101	$941
73502	X-ray of hip, 2-3 views	141	167	$31
73562	X-ray of knee, 3 views	108	116	$25
73560	X-ray of knee, 1-2 views	100	115	$24

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Amoxicillin	Amoxicillin	33	40	$39

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0143	Walker, folding, wheeled, adjustable or fixed height	N	33	33	$1,479

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	7	$437	Stryker 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 Douglas Patrick Mcinnis, MD?

Tedicare shows public-source Medicare data for Douglas Patrick Mcinnis, MD (NPI 1326151150), 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 Douglas Patrick Mcinnis, MD have ACO affiliation data?

Douglas Patrick Mcinnis, MD is shown with ACO affiliation data for Kootenai Accountable Care, LLC (MSSP, ACO ID A3621), Caravan Collaborative Pathways (MSSP, ACO ID A4604), and Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

What billing organization is linked to Douglas Patrick Mcinnis, MD?

Douglas Patrick Mcinnis, MD is linked to ORTHOPEDIC SURGERY AND SPORTS (billing NPI 1083729438) in the available physician profile data.

Does Douglas Patrick Mcinnis, MD have Open Payments data?

Douglas Patrick Mcinnis, MD has 7 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.