Physician

Douglas Robert Gugger, MD

According to 2025 Medicare claims, Douglas Gugger, MD (NPI: 1457470429) practices pain management in the Montgomery County-Bucks County-Chester County, PA market, with the plurality of this provider's patient population coming from Montgomery, PA. This provider's primary affiliated billing organization is UNIVERSITY OF PENN-MEDICAL GROUP (NPI: 1306234414; TIN: 232743545) and primary practice location at 19087-4557.

Gugger's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 368 traditional Medicare patients, billed 803 HCPCS/CPT codes, and received $67,786 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 524 prescription claims across 150 beneficiaries totaling $38,882 in drug costs, led by Xtampza Er (Oxycodone Myristate). DME data shows 12 claims. Open Payments data shows 2 records totaling $85. 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 moved up and down with repeated peaks and valleys, starting at $67,723 and ending at $67,786. Concurrently, Part D prescription costs have moved from a higher plateau to a lower plateau, from $121,708 to $38,882. 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.

Year	Patients	Clm Lines	Payment
2015	289	915	$67,723
2016	394	3,431	$164,073
2017	326	9,236	$315,077
2018	405	14,238	$397,148
2019	475	3,154	$134,185
2020	313	585	$43,839
2021	324	770	$67,001
2022	383	787	$72,113
2023	420	830	$76,255
2024	368	803	$67,786

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	274	988	$121,708
2016	297	1,666	$198,919
2017	298	2,005	$210,813
2018	300	1,486	$148,165
2019	199	630	$59,067
2020	122	511	$28,570
2021	142	678	$40,507
2022	153	650	$41,269
2023	172	621	$37,248
2024	150	524	$38,882

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	23	$1,462
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	12	$229

* / # = 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	71	71	$100
62323	Injection of substance into lower spine canal using imaging guidance	30	36	$77
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	162	$73
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	32	40	$41
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	38	48	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xtampza Er	Oxycodone Myristate	12	342	$6,683
Buprenorphine	Buprenorphine	11	308	$4,908
Gabapentin	Gabapentin	94	5,597	$2,350
Duloxetine Hcl	Duloxetine Hcl	63	4,170	$1,112
Pregabalin	Pregabalin	21	1,230	$672

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
A4595	Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)	N	N/R	12	$229

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$85	SPR Therapeutics, 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

Explore More Providers

FAQ

What Medicare data is available for Douglas Robert Gugger, MD?

Tedicare shows public-source Medicare data for Douglas Robert Gugger, MD (NPI 1457470429), 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 Douglas Robert Gugger, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Douglas Robert Gugger, MD?

Douglas Robert Gugger, MD is linked to UNIVERSITY OF PENN-MEDICAL GROUP (billing NPI 1306234414) in the available physician profile data.

Does Douglas Robert Gugger, MD have Open Payments data?

Douglas Robert Gugger, MD has 2 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.