Physician

James M Koberstein

According to 2025 Medicare claims, James Koberstein (NPI: 1396785986) practices obstetrics/gynecology in the Duluth, MN-WI market, with the plurality of this provider's patient population coming from Douglas, WI. This provider's primary affiliated billing organization is THE DULUTH CLINIC, LTD (NPI: 1245278209; TIN: 410883623) and primary practice location at 55805-1913. Koberstein is affiliated with the Essentia Health ACO, Inc. (ACO ID: A5617), participating under the MSSP model.

Koberstein's data goes back to 2015 and runs through 2024. For example, in 2019, this provider had 39 traditional Medicare patients, billed 58 HCPCS/CPT codes, and received $3,596 in Medicare payments. Part D data shows 37 prescription claims across 12 beneficiaries totaling $4,953 in drug costs. No Open Payments records. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have changed little. 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$3.2K$6.3K2015 Medicare payment: $5,029 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $4,821 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $6,318 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $4,666 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $3,596 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155687$5,029
20165880$4,821
201776113$6,318
20186292$4,666
20193958$3,596
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

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$3.2K$6.4K2015 Drug cost: $5,968 (USD; Tot_Drug_Cst)2016 Drug cost: $6,350 (USD; Tot_Drug_Cst)2017 Drug cost: $6,301 (USD; Tot_Drug_Cst)2018 Drug cost: $5,635 (USD; Tot_Drug_Cst)2019 Drug cost: $4,953 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152557$5,968
20161867$6,350
20172753$6,301
20181848$5,635
20191237$4,953
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

No connected Part B code-level records for 2024.

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for James M. Koberstein?

Tedicare shows public-source Medicare data for James M. Koberstein (NPI 1396785986), 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 James M. Koberstein have ACO affiliation data?

James M. Koberstein is shown with ACO affiliation data for Essentia Health ACO, Inc. (MSSP, ACO ID A5617).

What billing organization is linked to James M. Koberstein?

James M. Koberstein is linked to THE DULUTH CLINIC, LTD (billing NPI 1245278209) in the available physician profile data.

Does James M. Koberstein have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.