Physician

Derek C Davidson, D.O., MSPT

According to 2025 Medicare claims, Derek Davidson, D.O., MSPT (NPI: 1326238718) practices physical medicine and rehabilitation in the Amherst Town-Northampton, MA market, with the plurality of this provider's patient population coming from Hampshire, MA. This provider's primary affiliated billing organization is PIONEER SPINE AND SPORTS PHYSICIANS PC (NPI: 1346282621; TIN: 043034772) and primary practice location at 01060-1142. Davidson is affiliated with the Pioneer Valley Accountable Care, LLC (ACO ID: A5040) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Davidson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,182 traditional Medicare patients, billed 77,788 HCPCS/CPT codes, and received $345,593 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 921 prescription claims across 214 beneficiaries totaling $267,419 in drug costs, led by Movantik (Naloxegol Oxalate). 2021 DME data shows 66 claims. Open Payments data shows 17 records totaling $519. 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 $30,380 to $345,593. Similarly, Part D prescription costs have risen steadily, from $1,406 to $267,419. 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$173K$346K2017 Medicare payment: $30,380 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $136,581 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $241,310 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $236,913 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $325,522 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $306,299 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $343,074 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $345,593 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017149394$30,380
20185032,063$136,581
201979122,829$241,310
202087128,199$236,913
202197625,494$325,522
202298454,734$306,299
20231,18997,819$343,074
20241,18277,788$345,593

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$155K$310K2015 Drug cost: $1,406 (USD; Tot_Drug_Cst)2017 Drug cost: $10,637 (USD; Tot_Drug_Cst)2018 Drug cost: $151,241 (USD; Tot_Drug_Cst)2019 Drug cost: $267,970 (USD; Tot_Drug_Cst)2020 Drug cost: $276,701 (USD; Tot_Drug_Cst)2021 Drug cost: $294,852 (USD; Tot_Drug_Cst)2022 Drug cost: $309,705 (USD; Tot_Drug_Cst)2023 Drug cost: $279,333 (USD; Tot_Drug_Cst)2024 Drug cost: $267,419 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151349$1,406
2016N/RN/RN/R
201776144$10,637
2018238804$151,241
20193051,106$267,970
20203131,226$276,701
20213201,130$294,852
20223061,178$309,705
2023206900$279,333
2024214921$267,419

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$4.7K$9.4K2021 Medicare payment: $9,418 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/R66$9,418
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more369369$124
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more7061,543$95
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more321524$68
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg160346$6
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml25166,660$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MovantikNaloxegol Oxalate11330$4,532
Xtampza ErOxycodone Myristate11330$4,138
GabapentinGabapentin1607,133$2,420
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen911,909$2,034
Oxycodone HclOxycodone Hcl1042,454$1,734

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.17$519Vertos Medical, 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 Derek C. Davidson, D.O., MSPT?

Tedicare shows public-source Medicare data for Derek C. Davidson, D.O., MSPT (NPI 1326238718), 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 Derek C. Davidson, D.O., MSPT have ACO affiliation data?

Derek C. Davidson, D.O., MSPT is shown with ACO affiliation data for Pioneer Valley Accountable Care, LLC (MSSP, ACO ID A5040) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Derek C. Davidson, D.O., MSPT?

Derek C. Davidson, D.O., MSPT is linked to PIONEER SPINE AND SPORTS PHYSICIANS PC (billing NPI 1346282621) in the available physician profile data.

Does Derek C. Davidson, D.O., MSPT have Open Payments data?

Derek C. Davidson, D.O., MSPT has 17 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.