Physician

Travis John Ptacek, M.D.

According to 2025 Medicare claims, Travis Ptacek, M.D. (NPI: 1477819944) practices family practice in the Rapid City, SD market, with the plurality of this provider's patient population coming from Pennington, SD. This provider's primary affiliated billing organization is TRAVIS J PTACEK MD PLLC (NPI: 1265113260; TIN: 92-2745143) and primary practice location at 57702-2521. Ptacek is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Avera Prairie View ACO (ACO ID: A4692), Care Partners ACO, LLC (ACO ID: A5350), CoreHealth Alliance LLC (ACO ID: A5645), and CareConnectMD DCE LLC (ACO ID: D0131), participating under both the MSSP and REACH models.

Ptacek's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 722 traditional Medicare patients, billed 4,708 HCPCS/CPT codes, and received $313,276 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 21,473 prescription claims across 609 beneficiaries totaling $1,653,075 in drug costs, led by Eliquis (Apixaban). DME data shows 229 claims. Open Payments data shows 4 records totaling $204. 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 sharply higher in recent years, from $11,679 to $313,276. Similarly, Part D prescription costs have moved sharply higher in recent years, from $1,949 to $1,653,075. In contrast, DME billing represents a smaller volume and 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	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	105	129	$11,679
2021	301	486	$40,934
2022	358	550	$46,130
2023	517	1,687	$147,305
2024	722	4,708	$313,276

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	17	34	$1,949
2018	37	238	$14,479
2019	88	648	$50,494
2020	136	1,284	$102,411
2021	227	5,072	$422,464
2022	274	5,687	$434,257
2023	388	8,963	$805,255
2024	609	21,473	$1,653,075

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	63	$1,785
2022	N/R	151	$28,996
2023	N/R	152	$16,947
2024	11	229	$26,245

* / # = 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
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	365	381	$133
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	494	1,179	$78
99491	Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	442	1,314	$59
99497	Advance care planning, first 30 minutes	155	206	$55
99484	Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional	316	948	$34

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	918	11,937	$250,126
Jardiance	Empagliflozin	438	6,111	$131,854
Ozempic	Semaglutide	50	1,480	$52,932
Vraylar	Cariprazine Hcl	59	804	$41,120
Xarelto	Rivaroxaban	143	1,821	$36,754

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
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	22	$6,506
A6196	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing	N	11	17	$3,951
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	26	$3,393
B4036	Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	28	$3,351
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	N	N/R	17	$3,096

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$204	ACADIA Pharmaceuticals 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

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FAQ

What Medicare data is available for Travis John Ptacek, M.D.?

Tedicare shows public-source Medicare data for Travis John Ptacek, M.D. (NPI 1477819944), 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 Travis John Ptacek, M.D. have ACO affiliation data?

Travis John Ptacek, M.D. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Avera Prairie View ACO (MSSP, ACO ID A4692), Care Partners ACO, LLC (MSSP, ACO ID A5350), CoreHealth Alliance LLC (MSSP, ACO ID A5645), and CareConnectMD DCE LLC (REACH, ACO ID D0131).

What billing organization is linked to Travis John Ptacek, M.D.?

Travis John Ptacek, M.D. is linked to TRAVIS J PTACEK MD PLLC (billing NPI 1265113260) in the available physician profile data.

Does Travis John Ptacek, M.D. have Open Payments data?

Travis John Ptacek, M.D. has 4 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.