Physician

Blair A Wormer, M.D.

According to 2025 Medicare claims, Blair Wormer, M.D. (NPI: 1437475779) practices plastic and reconstructive surgery in the Charlotte-Concord-Gastonia, NC-SC market, with the plurality of this provider's patient population coming from Mecklenburg, NC. This provider's primary affiliated billing organization is NOVANT HEALTH MEDICAL GROUP, LLC (NPI: 1063134344; TIN: 581728803) and primary practice location at 28204-2515. Wormer is affiliated with the Novant Health Accountable Care Organization I, LLC (ACO ID: A3504), participating under the MSSP model.

Wormer's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 37 traditional Medicare patients, billed 108 HCPCS/CPT codes, and received $25,406 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 129 prescription claims across 36 beneficiaries totaling $4,607 in drug costs, led by Doxycycline Monohydrate (Doxycycline Monohydrate). Open Payments data shows 41 records totaling $6,168. 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 risen steadily, from $743 to $4,607. 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$28K$55K2019 Medicare payment: $9,998 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $55,154 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $33,185 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $38,712 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $24,921 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $25,406 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
20192243$9,998
202051166$55,154
202141124$33,185
202245150$38,712
202354116$24,921
202437108$25,406

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$2.3K$4.6K2015 Drug cost: $743 (USD; Tot_Drug_Cst)2016 Drug cost: $663 (USD; Tot_Drug_Cst)2017 Drug cost: $354 (USD; Tot_Drug_Cst)2018 Drug cost: $318 (USD; Tot_Drug_Cst)2019 Drug cost: $344 (USD; Tot_Drug_Cst)2020 Drug cost: $1,020 (USD; Tot_Drug_Cst)2021 Drug cost: $595 (USD; Tot_Drug_Cst)2022 Drug cost: $1,221 (USD; Tot_Drug_Cst)2023 Drug cost: $1,737 (USD; Tot_Drug_Cst)2024 Drug cost: $4,607 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152744$743
20163045$663
20173039$354
20182444$318
20191758$344
202029155$1,020
202135117$595
202231116$1,221
20232490$1,737
202436129$4,607

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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more1717$105
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1114$64

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Doxycycline MonohydrateDoxycycline Monohydrate1282$121
IbuprofenIbuprofen28200$79
Oxycodone HclOxycodone Hcl1553$58
Cyclobenzaprine HclCyclobenzaprine Hcl12135$47
Ondansetron OdtOndansetron1341$26

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.41$6,168RTI SURGICAL, INC
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 Blair A. Wormer, M.D.?

Tedicare shows public-source Medicare data for Blair A. Wormer, M.D. (NPI 1437475779), 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 Blair A. Wormer, M.D. have ACO affiliation data?

Blair A. Wormer, M.D. is shown with ACO affiliation data for Novant Health Accountable Care Organization I, LLC (MSSP, ACO ID A3504).

What billing organization is linked to Blair A. Wormer, M.D.?

Blair A. Wormer, M.D. is linked to NOVANT HEALTH MEDICAL GROUP, LLC (billing NPI 1063134344) in the available physician profile data.

Does Blair A. Wormer, M.D. have Open Payments data?

Blair A. Wormer, M.D. has 41 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.