Physician

Charles Adam Decook, MD

According to 2025 Medicare claims, Charles Decook, MD (NPI: 1386794113) practices orthopedic surgery in the Gainesville, GA market, with the plurality of this provider's patient population coming from Hall, GA. This provider's primary affiliated billing organization is ADVANCED JOINT SURGERY SPECIALISTS, LLC (NPI: 1477929206; TIN: 474793694) and primary practice location at 30041-7623. Decook is affiliated with the Mission Health Partners, LLC (ACO ID: A2591), participating under the MSSP model.

Decook's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,162 traditional Medicare patients, billed 13,666 HCPCS/CPT codes, and received $758,696 in Medicare payments. The top billing code was 27447 (Replacement of knee joint, both sides of knee). Part D data shows 2,784 prescription claims across 1,077 beneficiaries totaling $13,713 in drug costs, led by Pregabalin (Pregabalin). 2022 DME data shows 13 claims. Open Payments data shows 279 records totaling $299,729. 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 $537,608 to $758,696. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $38,417 and ending at $13,713. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $21,804 to $855.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,078	3,929	$537,608
2016	749	2,687	$431,577
2017	1,005	3,993	$573,778
2018	1,179	4,174	$684,929
2019	1,399	5,038	$816,170
2020	945	2,491	$618,721
2021	1,013	3,461	$683,837
2022	1,074	3,176	$642,989
2023	1,243	3,592	$768,399
2024	1,162	13,666	$758,696

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	475	976	$38,417
2016	376	684	$19,647
2017	509	1,030	$17,266
2018	790	1,533	$17,495
2019	970	2,127	$19,382
2020	856	2,112	$22,984
2021	727	1,989	$21,599
2022	842	2,867	$30,008
2023	994	3,828	$32,235
2024	1,077	2,784	$13,713

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	191	214	$16,955
2016	95	107	$5,604
2017	63	63	$2,306
2018	68	68	$2,667
2019	N/R	N/R	N/R
2020	N/R	22	$1,037
2021	N/R	22	$363
2022	N/R	13	$995
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
27447	Replacement of knee joint, both sides of knee	325	346	$1,006
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	407	407	$117
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	258	284	$58
73564	X-ray of knee, 4 or more views	429	434	$33
73502	X-ray of hip, 2-3 views	332	345	$33

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Pregabalin	Pregabalin	404	12,120	$2,245
Oxycodone Hcl	Oxycodone Hcl	825	3,344	$2,050
Gabapentin	Gabapentin	189	5,625	$1,199
Ibuprofen	Ibuprofen	227	4,151	$1,198
Cefdinir	Cefdinir	69	490	$842

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	279	$299,729	Zimmer Biomet Holdings, 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

Explore More Providers

FAQ

What Medicare data is available for Charles Adam Decook, MD?

Tedicare shows public-source Medicare data for Charles Adam Decook, MD (NPI 1386794113), 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 Charles Adam Decook, MD have ACO affiliation data?

Charles Adam Decook, MD is shown with ACO affiliation data for Mission Health Partners, LLC (MSSP, ACO ID A2591).

What billing organization is linked to Charles Adam Decook, MD?

Charles Adam Decook, MD is linked to ADVANCED JOINT SURGERY SPECIALISTS, LLC (billing NPI 1477929206) in the available physician profile data.

Does Charles Adam Decook, MD have Open Payments data?

Charles Adam Decook, MD has 279 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.