Physician

Nicole Marie Ducharme, DO

According to 2025 Medicare claims, Nicole Ducharme, DO (NPI: 1346208394) practices endocrinology in the St. Louis, MO-IL market, with the plurality of this provider's patient population coming from St. Louis, MO. This provider's primary affiliated billing organization is WASHINGTON UNIVERSITY (NPI: 1992746903; TIN: 430653611) and primary practice location at 63129-0002. Ducharme is affiliated with the BJC HealthCare ACO, LLC (ACO ID: A1204), IRCCO (ACO ID: A2619), and SSM IL ACO, LLC (ACO ID: A4832), participating under the MSSP model.

Ducharme's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 528 traditional Medicare patients, billed 92,523 HCPCS/CPT codes, and received $1,694,391 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 7,447 prescription claims across 541 beneficiaries totaling $2,983,115 in drug costs, led by Mounjaro (Tirzepatide). DME data shows 621 claims. Open Payments data shows 1 records totaling $13. 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 $71,884 to $1,694,391. Similarly, Part D prescription costs have moved sharply higher in recent years, from $432,302 to $2,983,115. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $8,228 to $222,892.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	292	1,443	$71,884
2016	328	1,636	$82,291
2017	335	1,727	$92,290
2018	355	1,750	$85,048
2019	310	2,191	$69,773
2020	303	43,555	$1,008,917
2021	488	97,238	$2,064,255
2022	457	81,409	$1,535,171
2023	481	72,236	$1,437,610
2024	528	92,523	$1,694,391

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	217	3,158	$432,302
2016	263	4,022	$801,157
2017	310	4,262	$1,026,451
2018	319	4,195	$1,088,236
2019	334	4,556	$1,319,408
2020	253	3,431	$1,182,199
2021	315	4,224	$1,780,670
2022	365	5,078	$2,240,147
2023	437	6,065	$2,967,068
2024	541	7,447	$2,983,115

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	84	247	$9,068
2016	75	256	$5,083
2017	90	251	$9,856
2018	89	295	$14,760
2019	106	336	$20,131
2020	94	345	$30,424
2021	125	480	$63,986
2022	113	657	$103,645
2023	146	783	$149,022
2024	158	621	$229,095

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	290	433	$84
G2211	Visit 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's	236	313	$12
96372	Injection of drug or substance under skin or into muscle	117	225	$10
83036	Hemoglobin a1c level	161	221	$9
82962	Blood glucose (sugar) test performed by hand-held instrument	103	123	$3

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mounjaro	Tirzepatide	558	20,086	$740,199
Ozempic	Semaglutide	430	15,480	$512,510
Farxiga	Dapagliflozin Propanediol	221	10,270	$191,795
Jardiance	Empagliflozin	168	7,382	$146,351
Trulicity	Dulaglutide	93	3,566	$123,297

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	93	402	$193,759
A4238	Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	16	$8,240
E0784	External ambulatory infusion pump, insulin	Y	N/R	23	$7,251
J1817	Insulin for administration through dme (i.e., insulin pump) per 50 units	N	N/R	15	$6,491
A4224	Supplies for maintenance of insulin infusion catheter, per week	N	N/R	26	$6,390

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$13	PFIZER INC.
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 Nicole Marie Ducharme, DO?

Tedicare shows public-source Medicare data for Nicole Marie Ducharme, DO (NPI 1346208394), 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 Nicole Marie Ducharme, DO have ACO affiliation data?

Nicole Marie Ducharme, DO is shown with ACO affiliation data for BJC HealthCare ACO, LLC (MSSP, ACO ID A1204), IRCCO (MSSP, ACO ID A2619), and SSM IL ACO, LLC (MSSP, ACO ID A4832).

What billing organization is linked to Nicole Marie Ducharme, DO?

Nicole Marie Ducharme, DO is linked to WASHINGTON UNIVERSITY (billing NPI 1992746903) in the available physician profile data.

Does Nicole Marie Ducharme, DO have Open Payments data?

Nicole Marie Ducharme, DO has 1 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.