Physician

Adam L Dore, DO

According to 2025 Medicare claims, Adam Dore, DO (NPI: 1467688747) practices rheumatology in the Pittsburgh, PA market, with the plurality of this provider's patient population coming from Allegheny, PA. This provider's primary affiliated billing organization is ALLEGHENY CLINIC (NPI: 1437472644; TIN: 251838458) and primary practice location at 15025-3723. Dore is affiliated with the Physician Partners of Western PA LLC (ACO ID: A3547), participating under the MSSP model.

Dore's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 191 traditional Medicare patients, billed 1,385 HCPCS/CPT codes, and received $27,229 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 1,562 prescription claims across 304 beneficiaries totaling $1,536,915 in drug costs, led by Gammagard Liquid (Immun Glob G(Igg)/Gly/Iga Ov50). Open Payments data shows 154 records totaling $54,306. 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 moved sharply higher in recent years, from $198,595 to $1,536,915. 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$56K$112K2015 Medicare payment: $18,718 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $37,181 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $47,101 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $41,181 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $62,506 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $65,337 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $111,815 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $96,780 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $53,198 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $27,229 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015108243$18,718
2016163643$37,181
2017204684$47,101
2018241765$41,181
20192623,282$62,506
20202754,373$65,337
202122912,094$111,815
202219910,897$96,780
20232031,973$53,198
20241911,385$27,229

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$768K$1.5M2015 Drug cost: $198,595 (USD; Tot_Drug_Cst)2016 Drug cost: $263,186 (USD; Tot_Drug_Cst)2017 Drug cost: $294,958 (USD; Tot_Drug_Cst)2018 Drug cost: $379,110 (USD; Tot_Drug_Cst)2019 Drug cost: $576,579 (USD; Tot_Drug_Cst)2020 Drug cost: $620,594 (USD; Tot_Drug_Cst)2021 Drug cost: $508,572 (USD; Tot_Drug_Cst)2022 Drug cost: $1,001,630 (USD; Tot_Drug_Cst)2023 Drug cost: $1,175,569 (USD; Tot_Drug_Cst)2024 Drug cost: $1,536,915 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015169982$198,595
20162251,300$263,186
20172821,507$294,958
20183341,765$379,110
20193902,227$576,579
20204022,226$620,594
20213021,491$508,572
20222771,496$1,001,630
20232471,472$1,175,569
20243041,562$1,536,915

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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more4453$130
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more2323$110
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more94119$86
G2211Visit 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's103132$12
J1010Injection, methylprednisolone acetate, 1 mg14960$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Gammagard LiquidImmun Glob G(Igg)/Gly/Iga Ov5017459$335,314
Humira(Cf) PenAdalimumab481,344$315,548
Humira(Cf)Adalimumab17476$162,333
Enbrel SureclickEtanercept18504$134,655
RinvoqUpadacitinib17510$107,538

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.154$54,306ABBVIE 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 Adam L. Dore, DO?

Tedicare shows public-source Medicare data for Adam L. Dore, DO (NPI 1467688747), 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 Adam L. Dore, DO have ACO affiliation data?

Adam L. Dore, DO is shown with ACO affiliation data for Physician Partners of Western PA LLC (MSSP, ACO ID A3547).

What billing organization is linked to Adam L. Dore, DO?

Adam L. Dore, DO is linked to ALLEGHENY CLINIC (billing NPI 1437472644) in the available physician profile data.

Does Adam L. Dore, DO have Open Payments data?

Adam L. Dore, DO has 154 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.