Physician

Herbon E Fleming, MD

According to 2025 Medicare claims, Herbon Fleming, MD (NPI: 1447355185) practices pulmonary disease in the Burlington, NC market, with the plurality of this provider's patient population coming from Alamance, NC. This provider's primary affiliated billing organization is DUKE HEALTH INTEGRATED PRACTICE, INC. (NPI: 1205553369; TIN: 862109896) and primary practice location at 27215-8700. Fleming is affiliated with the Duke Connected Care, LLC (ACO ID: A2419) and Triad HealthCare Network, LLC. (ACO ID: D0209), participating under both the MSSP and REACH models.

Fleming's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 294 traditional Medicare patients, billed 1,750 HCPCS/CPT codes, and received $75,840 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 6,270 prescription claims across 741 beneficiaries totaling $2,351,958 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 2,058 claims. Open Payments data shows 7 records totaling $1,463. 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 declined steadily, from $149,202 to $75,840. Concurrently, Part D prescription costs have changed little. For DME billing, reported payments did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	722	3,351	$149,202
2016	670	2,772	$129,994
2017	623	2,623	$127,414
2018	571	2,636	$129,045
2019	575	2,707	$129,566
2020	467	1,672	$84,874
2021	382	1,852	$112,613
2022	329	1,588	$86,115
2023	294	1,487	$72,919
2024	294	1,750	$75,840

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	696	5,062	$1,709,306
2016	783	5,563	$2,375,151
2017	787	6,015	$2,329,441
2018	777	6,165	$2,273,612
2019	801	6,103	$2,646,751
2020	753	5,851	$2,607,912
2021	748	5,932	$2,409,811
2022	739	6,123	$2,911,327
2023	712	5,869	$2,565,702
2024	741	6,270	$2,351,958

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	735	3,123	$216,002
2016	791	3,141	$140,705
2017	792	3,188	$112,402
2018	868	3,380	$132,614
2019	824	3,319	$119,087
2020	757	3,072	$139,060
2021	643	2,401	$139,547
2022	519	2,202	$113,096
2023	487	1,984	$135,487
2024	523	2,058	$138,483

* / # = 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	64	64	$111
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	385	$85
94010	Test to measure expiratory airflow and volume	145	166	$19
71046	X-ray of chest, 2 views	74	101	$15
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	200	352	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	891	35,606	$757,208
Fasenra Pen	Benralizumab	53	2,752	$327,592
Pirfenidone	Pirfenidone	30	900	$165,281
Opsumit	Macitentan	11	330	$141,198
Ambrisentan	Ambrisentan	54	1,620	$104,308

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	52	$52,720
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	53	401	$29,178
E1392	Portable oxygen concentrator, rental	Y	36	270	$9,248
A7031	Face mask interface, replacement for full face mask, each	N	34	90	$7,901
A7030	Full face mask used with positive airway pressure device, each	N	39	95	$7,404

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	6	$131	GlaxoSmithKline, LLC.
Research Payments	Reported research-related payment or transfer-of-value amount.	1	$1,331	AstraZeneca Pharmaceuticals LP
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

FAQ

What Medicare data is available for Herbon E. Fleming, MD?

Tedicare shows public-source Medicare data for Herbon E. Fleming, MD (NPI 1447355185), 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 Herbon E. Fleming, MD have ACO affiliation data?

Herbon E. Fleming, MD is shown with ACO affiliation data for Duke Connected Care, LLC (MSSP, ACO ID A2419) and Triad HealthCare Network, LLC. (REACH, ACO ID D0209).

What billing organization is linked to Herbon E. Fleming, MD?

Herbon E. Fleming, MD is linked to DUKE HEALTH INTEGRATED PRACTICE, INC. (billing NPI 1205553369) in the available physician profile data.

Does Herbon E. Fleming, MD have Open Payments data?

Herbon E. Fleming, MD has 7 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.