Physician

Adam W Fosnaugh, M.D.

According to 2025 Medicare claims, Adam Fosnaugh, M.D. (NPI: 1326190232) practices orthopedic surgery in the Charlotte-Concord-Gastonia, NC-SC market, with the plurality of this provider's patient population coming from Union, NC. This provider's primary affiliated billing organization is ORTHOCAROLINA (NPI: 1497704217; TIN: 56-1093722) and primary practice location at 28112-5684. Fosnaugh is affiliated with the Carolinas HealthCare System ACO, LLC (ACO ID: A3675), participating under the MSSP model.

Fosnaugh's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 401 traditional Medicare patients, billed 5,718 HCPCS/CPT codes, and received $146,631 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 448 prescription claims across 162 beneficiaries totaling $3,096 in drug costs, led by Celecoxib (Celecoxib). DME data shows 23 claims. Open Payments data shows 3 records totaling $260. 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 $13,046 to $3,096. For DME billing, reported payments started with an early spike, then settled into a lower baseline, moving from $10,718 to $4,111.

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$86K$173K2015 Medicare payment: $169,566 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $143,467 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $164,032 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $167,702 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $172,622 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $103,592 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $132,013 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $155,079 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $145,900 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $146,631 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154583,229$169,566
20164363,024$143,467
20174273,835$164,032
20184643,797$167,702
20194744,503$172,622
20203092,362$103,592
20213253,407$132,013
20224375,609$155,079
20234065,158$145,900
20244015,718$146,631

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$6.5K$13K2015 Drug cost: $13,046 (USD; Tot_Drug_Cst)2016 Drug cost: $6,268 (USD; Tot_Drug_Cst)2017 Drug cost: $3,692 (USD; Tot_Drug_Cst)2018 Drug cost: $8,767 (USD; Tot_Drug_Cst)2019 Drug cost: $12,430 (USD; Tot_Drug_Cst)2020 Drug cost: $5,972 (USD; Tot_Drug_Cst)2021 Drug cost: $4,302 (USD; Tot_Drug_Cst)2022 Drug cost: $2,673 (USD; Tot_Drug_Cst)2023 Drug cost: $3,101 (USD; Tot_Drug_Cst)2024 Drug cost: $3,096 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015200473$13,046
2016160373$6,268
2017185348$3,692
2018237454$8,767
2019269659$12,430
2020130305$5,972
2021123249$4,302
2022127264$2,673
2023153350$3,101
2024162448$3,096

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$5.2K$10K2015 Medicare payment: $7,021 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $5,822 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $5,854 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $9,013 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $10,372 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $6,235 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $3,520 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $5,063 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $2,440 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20156871$7,021
20163579$5,822
20174141$5,854
20187273$9,013
20197688$10,372
20203648$6,235
20211616$3,520
2022N/RN/RN/R
20232727$5,063
20242323$2,440

* / # = 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 more247380$85
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more7999$65
20610Aspiration and/or injection of fluid from large joint162235$48
73564X-ray of knee, 4 or more views94119$34
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1732,842$1

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CelecoxibCelecoxib531,890$1,016
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen76344$524
Cyclobenzaprine HclCyclobenzaprine Hcl57767$214
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen32117$211
MethylprednisoloneMethylprednisolone23138$156

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
L3670Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelfN1212$1,330
L1820Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertiseN1111$1,110

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.3$260Davol 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 Adam W. Fosnaugh, M.D.?

Tedicare shows public-source Medicare data for Adam W. Fosnaugh, M.D. (NPI 1326190232), 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 Adam W. Fosnaugh, M.D. have ACO affiliation data?

Adam W. Fosnaugh, M.D. is shown with ACO affiliation data for Carolinas HealthCare System ACO, LLC (MSSP, ACO ID A3675).

What billing organization is linked to Adam W. Fosnaugh, M.D.?

Adam W. Fosnaugh, M.D. is linked to ORTHOCAROLINA (billing NPI 1497704217) in the available physician profile data.

Does Adam W. Fosnaugh, M.D. have Open Payments data?

Adam W. Fosnaugh, M.D. has 3 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.