Physician

Andrew Donguk Nam, M.D.

According to 2025 Medicare claims, Andrew Nam, M.D. (NPI: 1407291867) practices pain management in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from Bergen, NJ. This provider's primary affiliated billing organization is NEW JERSEY HEALTHCARE SPECIALISTS PC (NPI: 1174585780; TIN: 221948732) and primary practice location at 07601-1914. Nam is affiliated with the Physician Leaders Direct Contracting Entity, LLC (ACO ID: D0171) and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under the REACH model.

Nam's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 165 traditional Medicare patients, billed 168 HCPCS/CPT codes, and received $28,573 in Medicare payments. The top billing code was 00813 (Anesthesia for procedure on small and large bowel using an endoscope). 2020 Part D data shows 612 prescription claims across 133 beneficiaries totaling $33,330 in drug costs. Open Payments data shows 6 records totaling $100. 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 started with an early spike, then settled into a lower baseline, moving from $42,124 to $28,573. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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$92K$183K2018 Medicare payment: $42,124 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $183,448 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $122,645 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $34,730 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $40,102 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $23,435 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $28,573 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018174553$42,124
20193323,679$183,448
20202033,447$122,645
2021218234$34,730
2022271280$40,102
2023168170$23,435
2024165168$28,573

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$17K$33K2017 Drug cost: $8,332 (USD; Tot_Drug_Cst)2018 Drug cost: $18,590 (USD; Tot_Drug_Cst)2019 Drug cost: $27,901 (USD; Tot_Drug_Cst)2020 Drug cost: $33,330 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
201775195$8,332
2018190632$18,590
2019157698$27,901
2020133612$33,330
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.

CodeDescriptionPatientsClm LinesTotal Payment
00813Anesthesia for procedure on small and large bowel using an endoscope1111$121
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1920$112
00811Anesthesia for other procedure on large bowel using an endoscope3030$110
00812Anesthesia for exam of colon using an endoscope1616$107

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 in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.6$100Salix Pharmaceuticals, a division of Bausch Health US, LLC
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 Andrew Donguk Nam, M.D.?

Tedicare shows public-source Medicare data for Andrew Donguk Nam, M.D. (NPI 1407291867), 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 Andrew Donguk Nam, M.D. have ACO affiliation data?

Andrew Donguk Nam, M.D. is shown with ACO affiliation data for Physician Leaders Direct Contracting Entity, LLC (REACH, ACO ID D0171) and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Andrew Donguk Nam, M.D.?

Andrew Donguk Nam, M.D. is linked to NEW JERSEY HEALTHCARE SPECIALISTS PC (billing NPI 1174585780) in the available physician profile data.

Does Andrew Donguk Nam, M.D. have Open Payments data?

Andrew Donguk Nam, M.D. has 6 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.