Physician

Michael Zachek, M.D.

According to 2025 Medicare claims, Michael Zachek, M.D. (NPI: 1457357865) practices sleep medicine in the Bowling Green, KY market, with the plurality of this provider's patient population coming from Warren, KY. This provider's primary affiliated billing organization is GRAVES GILBERT CLINIC PLLC (NPI: 1114948288; TIN: 610700826) and primary practice location at 42104-5852. Zachek is affiliated with the Caravan Health ACO 50 LLC (ACO ID: A5160) and GGC ValueCare LLC (ACO ID: A5611), participating under the MSSP model.

Zachek's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,123 traditional Medicare patients, billed 2,191 HCPCS/CPT codes, and received $197,544 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 849 prescription claims across 192 beneficiaries totaling $599,241 in drug costs, led by Xywav (Sodium,calcium,mag,pot Oxybate). DME data shows 6,359 claims. Open Payments data shows 46 records totaling $1,199. 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 have moved sharply higher in recent years, from $166,409 to $599,241. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $428,067 and ending at $260,802.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	830	2,157	$156,680
2016	900	2,230	$174,249
2017	914	2,308	$159,512
2018	1,155	2,204	$188,376
2019	1,172	2,224	$182,051
2020	1,193	2,191	$174,050
2021	992	2,100	$203,221
2022	898	2,070	$185,916
2023	1,016	2,198	$217,742
2024	1,123	2,191	$197,544

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	159	961	$166,409
2016	154	971	$183,981
2017	155	997	$187,094
2018	135	947	$200,964
2019	143	823	$195,998
2020	129	840	$281,805
2021	111	665	$399,125
2022	107	615	$535,960
2023	167	752	$580,300
2024	192	849	$599,241

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	3,640	7,946	$434,114
2016	4,133	8,414	$273,325
2017	4,656	10,771	$261,795
2018	5,322	11,744	$343,901
2019	5,796	12,789	$421,727
2020	5,360	12,398	$437,073
2021	4,760	10,428	$382,427
2022	3,488	7,681	$303,108
2023	2,810	5,963	$265,864
2024	3,183	6,359	$260,598

* / # = 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	189	189	$115
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	891	1,232	$85
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$71
G0399	Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	87	89	$66
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	137	164	$59

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xywav	Sodium,calcium,mag,pot Oxybate	23	690	$457,697
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	56	2,490	$51,019
Breo Ellipta	Fluticasone/Vilanterol	24	1,380	$17,329
Anoro Ellipta	Umeclidinium Brm/Vilanterol Tr	16	690	$10,602
Quviviq	Daridorexant Hcl	19	570	$9,091

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
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	377	655	$37,876
A7032	Cushion for use on nasal mask interface, replacement only, each	N	216	427	$37,652
E0601	Continuous positive airway pressure (cpap) device	Y	137	755	$30,451
A7030	Full face mask used with positive airway pressure device, each	N	144	246	$25,440
A7031	Face mask interface, replacement for full face mask, each	N	122	328	$23,420

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	46	$1,199	HARMONY BIOSCIENCES LLC
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 Michael Zachek, M.D.?

Tedicare shows public-source Medicare data for Michael Zachek, M.D. (NPI 1457357865), 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 Michael Zachek, M.D. have ACO affiliation data?

Michael Zachek, M.D. is shown with ACO affiliation data for Caravan Health ACO 50 LLC (MSSP, ACO ID A5160) and GGC ValueCare LLC (MSSP, ACO ID A5611).

What billing organization is linked to Michael Zachek, M.D.?

Michael Zachek, M.D. is linked to GRAVES GILBERT CLINIC PLLC (billing NPI 1114948288) in the available physician profile data.

Does Michael Zachek, M.D. have Open Payments data?

Michael Zachek, M.D. has 46 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.