Physician

Edward W Jernigan, MD

According to 2025 Medicare claims, Edward Jernigan, MD (NPI: 1356600597) practices hand surgery in the Raleigh-Cary, NC market, with the plurality of this provider's patient population coming from Wake, NC. This provider's primary affiliated billing organization is RALEIGH ORTHOPAEDIC CLINIC PA (NPI: 1235137563; TIN: 560941814) and primary practice location at 27612-5243.

Jernigan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 362 traditional Medicare patients, billed 2,192 HCPCS/CPT codes, and received $165,965 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 260 prescription claims across 177 beneficiaries totaling $1,410 in drug costs, led by Oxycodone Hcl (Oxycodone Hcl). DME data shows 78 claims. Open Payments data shows 5 records totaling $91. 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 $16,064 to $165,965. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,094 and ending at $1,410. 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$84K$168K2018 Medicare payment: $16,064 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $54,616 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $99,018 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $120,845 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $129,734 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $168,277 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $165,965 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
201861196$16,064
2019223787$54,616
20202771,130$99,018
20213071,386$120,845
20223211,973$129,734
20233332,557$168,277
20243622,192$165,965

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$4.5K$9.0K2015 Drug cost: $1,094 (USD; Tot_Drug_Cst)2016 Drug cost: $986 (USD; Tot_Drug_Cst)2017 Drug cost: $787 (USD; Tot_Drug_Cst)2018 Drug cost: $3,719 (USD; Tot_Drug_Cst)2019 Drug cost: $791 (USD; Tot_Drug_Cst)2020 Drug cost: $647 (USD; Tot_Drug_Cst)2021 Drug cost: $1,353 (USD; Tot_Drug_Cst)2022 Drug cost: $9,022 (USD; Tot_Drug_Cst)2023 Drug cost: $1,644 (USD; Tot_Drug_Cst)2024 Drug cost: $1,410 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153653$1,094
20163660$986
20174470$787
20182342$3,719
20193673$791
20205495$647
202198182$1,353
2022132213$9,022
2023133219$1,644
2024177260$1,410

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$6.1K$12K2019 Medicare payment: $6,569 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $3,010 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $12,194 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $7,768 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $10,609 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $11,785 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
20196279$6,569
20203952$3,010
20219196$12,194
20226868$7,768
20237677$10,609
20247678$11,785

* / # = 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 more126126$115
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more266562$93
20550Injection into tendon or ligament78130$41
73130X-ray of hand, minimum of 3 views7589$25
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg147346$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Oxycodone HclOxycodone Hcl95427$433
MethylprednisoloneMethylprednisolone66391$379
CephalexinCephalexin1387$103
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen2191$84
Tramadol HclTramadol Hcl20123$76

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
L3906Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustmentN1414$4,985
L3808Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustmentN1212$3,383
L3923Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertiseN2628$2,143
L3908Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelfN2424$1,274

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.5$91Amgen 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 Edward W. Jernigan, MD?

Tedicare shows public-source Medicare data for Edward W. Jernigan, MD (NPI 1356600597), 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 Edward W. Jernigan, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Edward W. Jernigan, MD?

Edward W. Jernigan, MD is linked to RALEIGH ORTHOPAEDIC CLINIC PA (billing NPI 1235137563) in the available physician profile data.

Does Edward W. Jernigan, MD have Open Payments data?

Edward W. Jernigan, MD has 5 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.