Physician

John Terry Dearborn, MD

According to 2025 Medicare claims, John Dearborn, MD (NPI: 1396786901) practices orthopedic surgery in the San Francisco-San Mateo-Redwood City, CA market, with the plurality of this provider's patient population coming from San Mateo, CA. This provider's primary affiliated billing organization is DEARBORN & ASSOCIATES INSTITUTE FOR JOINT RESTORATION (NPI: 1053344838; TIN: 204145936) and primary practice location at 94027-4127. Dearborn is affiliated with the Community Care Partnership of Maine, LLC (ACO ID: A2831), participating under the MSSP model.

Dearborn's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,390 traditional Medicare patients, billed 9,681 HCPCS/CPT codes, and received $1,258,863 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 167 prescription claims across 132 beneficiaries totaling $1,556 in drug costs, led by Celecoxib (Celecoxib). DME data shows 309 claims. Open Payments data shows 3 records totaling $1,599,852. 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 changed little. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $39,886 to $1,556. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $13,974 and ending at $62,516.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,802	8,116	$1,041,228
2016	1,712	6,419	$1,058,004
2017	1,470	5,399	$930,136
2018	1,840	6,879	$1,053,835
2019	1,910	7,272	$1,118,587
2020	2,221	7,167	$972,591
2021	2,257	8,731	$1,038,024
2022	2,365	9,067	$1,130,800
2023	2,310	9,288	$1,233,440
2024	2,390	9,681	$1,258,863

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	241	361	$39,886
2016	163	224	$5,042
2017	202	287	$5,101
2018	215	309	$6,342
2019	228	321	$7,353
2020	159	215	$2,212
2021	115	157	$2,526
2022	126	164	$1,844
2023	121	153	$1,445
2024	132	167	$1,556

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	210	210	$11,149
2016	222	222	$8,577
2017	225	225	$7,288
2018	268	301	$12,027
2019	247	247	$8,504
2020	174	207	$9,346
2021	185	202	$8,636
2022	194	194	$8,244
2023	242	277	$15,010
2024	258	309	$17,976

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	594	594	$121
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,574	2,076	$100
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	824	953	$73
73502	X-ray of hip, 2-3 views	715	1,019	$34
73562	X-ray of knee, 3 views	1,193	1,749	$27

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Celecoxib	Celecoxib	28	840	$697
Amoxicillin	Amoxicillin	76	351	$193
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	12	93	$181
Clindamycin Hcl	Clindamycin Hcl	13	38	$19

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
E0143	Walker, folding, wheeled, adjustable or fixed height	N	205	205	$9,594
E1810	Dynamic adjustable knee extension / flexion device, includes soft interface material	Y	17	68	$7,626
E0100	Cane, includes canes of all materials, adjustable or fixed, with tip	N	25	25	$535
A6219	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	N	11	11	$221

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$1,599,852	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

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FAQ

What Medicare data is available for John Terry Dearborn, MD?

Tedicare shows public-source Medicare data for John Terry Dearborn, MD (NPI 1396786901), 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 John Terry Dearborn, MD have ACO affiliation data?

John Terry Dearborn, MD is shown with ACO affiliation data for Community Care Partnership of Maine, LLC (MSSP, ACO ID A2831).

What billing organization is linked to John Terry Dearborn, MD?

John Terry Dearborn, MD is linked to DEARBORN & ASSOCIATES INSTITUTE FOR JOINT RESTORATION (billing NPI 1053344838) in the available physician profile data.

Does John Terry Dearborn, MD have Open Payments data?

John Terry Dearborn, MD has 3 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.