Physician

Craig S. Shapiro, M.D.

According to 2025 Medicare claims, Craig Shapiro, M.D. (NPI: 1386638799) practices pulmonary disease in the Pueblo, CO market, with the plurality of this provider's patient population coming from Pueblo, CO. This provider has primary practice location at 81003-2755. Shapiro is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Collaborative ACO 30, LLC (ACO ID: A5483), and Vytalize Health KS 25 LLC (ACO ID: A5671), participating under the MSSP model.

Shapiro's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,672 traditional Medicare patients, billed 3,588 HCPCS/CPT codes, and received $254,552 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 2,324 prescription claims across 455 beneficiaries totaling $1,198,052 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 4,855 claims. Open Payments data shows 7 records totaling $126. 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 declined steadily, from $505,534 to $254,552. In contrast, Part D prescription costs have moved sharply higher in recent years, from $202,009 to $1,198,052. For DME billing, reported payments moved from a lower plateau to a higher plateau, from $148,611 to $383,088.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	2,699	7,149	$505,534
2016	3,050	7,838	$543,253
2017	2,824	7,205	$496,069
2018	2,789	6,373	$473,515
2019	2,548	5,783	$446,429
2020	2,017	4,562	$354,824
2021	2,229	5,231	$389,492
2022	2,175	4,948	$357,027
2023	2,266	4,955	$346,901
2024	1,672	3,588	$254,552

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	250	988	$202,009
2016	224	957	$203,016
2017	240	926	$191,946
2018	273	1,291	$340,198
2019	330	1,528	$559,862
2020	357	1,726	$699,460
2021	383	1,784	$817,852
2022	399	1,913	$946,327
2023	457	2,161	$1,188,910
2024	455	2,324	$1,198,052

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	331	1,402	$148,181
2016	354	1,552	$103,030
2017	556	2,026	$144,138
2018	801	2,584	$176,306
2019	1,213	3,981	$371,564
2020	1,556	5,023	$497,097
2021	1,561	4,906	$554,053
2022	1,515	4,786	$513,529
2023	1,663	4,933	$486,252
2024	1,540	4,855	$408,938

* / # = 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	403	537	$96
95811	Sleep study in sleep lab with continuous airway pressure (6 years or older)	221	224	$95
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	207	540	$93
95810	Sleep study in sleep lab (6 years or older)	205	218	$93
94060	Test to measure expiratory airflow and volume changes before and after medication administration	206	209	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	373	15,330	$328,718
Ofev	Nintedanib Esylate	17	510	$229,317
Breztri Aerosphere	Budesonide/Glycopyr/Formoterol	118	5,998	$116,190
Prolastin C	Alpha-1-Proteinase Inhibitor	11	308	$109,980
Spiriva Respimat	Tiotropium Bromide	87	4,290	$72,581

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	18	135	$125,154
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	110	852	$82,257
A7030	Full face mask used with positive airway pressure device, each	N	118	264	$25,424
A7031	Face mask interface, replacement for full face mask, each	N	116	282	$25,339
J7677	Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram	N	N/R	24	$18,204

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	7	$126	Philips North America LLC
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 Craig S. Shapiro, M.D.?

Tedicare shows public-source Medicare data for Craig S. Shapiro, M.D. (NPI 1386638799), 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 Craig S. Shapiro, M.D. have ACO affiliation data?

Craig S. Shapiro, M.D. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Collaborative ACO 30, LLC (MSSP, ACO ID A5483), and Vytalize Health KS 25 LLC (MSSP, ACO ID A5671).

What billing organization is linked to Craig S. Shapiro, M.D.?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does Craig S. Shapiro, M.D. have Open Payments data?

Craig S. Shapiro, M.D. 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.