Physician

Adair M. Bowlby, MD

According to 2025 Medicare claims, Adair Bowlby, MD (NPI: 1487730768) practices family practice, with the plurality of this provider's patient population coming from Park, WY. This provider's primary affiliated billing organization is BILLINGS CLINIC (NPI: 1346288347; TIN: 810231784) and primary practice location at 82414-8725. Bowlby is affiliated with the Billings Clinic (ACO ID: A1652), Collaborative ACO 30, LLC (ACO ID: A5483), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Bowlby's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 554 traditional Medicare patients, billed 4,135 HCPCS/CPT codes, and received $192,429 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 7,394 prescription claims across 576 beneficiaries totaling $629,499 in drug costs, led by Eliquis (Apixaban). DME data shows 1,140 claims. Open Payments data shows 2 records totaling $54. 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 $136,221 and ending at $192,429. Concurrently, Part D prescription costs have risen steadily, from $302,431 to $629,499. For DME billing, reported payments moved from a lower plateau to a higher plateau, from $30,589 to $86,684.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	555	5,786	$136,221
2016	592	4,716	$148,582
2017	682	4,347	$153,315
2018	705	11,424	$247,011
2019	610	10,446	$266,660
2020	503	5,217	$144,216
2021	567	10,361	$195,026
2022	584	9,311	$218,390
2023	692	6,430	$233,380
2024	554	4,135	$192,429

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	344	4,490	$302,431
2016	455	5,603	$382,675
2017	440	5,890	$404,532
2018	487	6,289	$410,419
2019	441	6,507	$444,783
2020	418	6,460	$502,145
2021	422	6,214	$491,325
2022	433	6,131	$564,290
2023	513	6,249	$611,563
2024	576	7,394	$629,499

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	87	649	$44,823
2016	127	984	$49,554
2017	170	838	$37,461
2018	293	1,183	$56,095
2019	235	1,053	$66,211
2020	229	965	$58,100
2021	221	844	$64,105
2022	236	950	$62,511
2023	316	1,132	$79,245
2024	293	1,140	$85,410

* / # = 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
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	210	275	$125
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	231	231	$124
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	401	632	$76
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	111	127	$51
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	221	309	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	117	6,152	$116,244
Jardiance	Empagliflozin	95	4,025	$73,704
Ozempic	Semaglutide	64	2,632	$73,226
Tresiba Flextouch U-100	Insulin Degludec	41	2,431	$22,746
Keppra	Levetiracetam	13	390	$22,066

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	19	145	$17,918
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	35	$15,507
A7030	Full face mask used with positive airway pressure device, each	N	21	49	$6,367
A7031	Face mask interface, replacement for full face mask, each	N	22	56	$5,546
A7032	Cushion for use on nasal mask interface, replacement only, each	N	15	39	$5,397

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$54	Novo Nordisk 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 Adair M. Bowlby, MD?

Tedicare shows public-source Medicare data for Adair M. Bowlby, MD (NPI 1487730768), 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 Adair M. Bowlby, MD have ACO affiliation data?

Adair M. Bowlby, MD is shown with ACO affiliation data for Billings Clinic (MSSP, ACO ID A1652), Collaborative ACO 30, LLC (MSSP, ACO ID A5483), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Adair M. Bowlby, MD?

Adair M. Bowlby, MD is linked to BILLINGS CLINIC (billing NPI 1346288347) in the available physician profile data.

Does Adair M. Bowlby, MD have Open Payments data?

Adair M. Bowlby, 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.