Physician

None

According to 2025 Medicare claims, NPI 1508869579 (NPI: 1508869579) practices vascular surgery in the Philadelphia, PA market, with the plurality of this provider's patient population coming from Delaware, PA. This provider's primary affiliated billing organization is MAIN LINE HEALTHCARE (NPI: 1922077643; TIN: 232359401) and primary practice location at 19096-3450. 1508869579 is affiliated with the Delaware Valley ACO (ACO ID: A2024), participating under the MSSP model.

1508869579's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 769 traditional Medicare patients, billed 1,252 HCPCS/CPT codes, and received $156,005 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 33 prescription claims across 15 beneficiaries totaling $5,285 in drug costs. Open Payments data shows 50 records totaling $13,408. 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 up and down with repeated peaks and valleys, starting at $5,563 and ending at $5,285. 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$124K$248K2015 Medicare payment: $218,647 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $239,083 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $244,717 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $238,217 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $247,570 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $193,527 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $215,807 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $192,825 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $174,592 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $156,005 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20158731,499$218,647
20169111,824$239,083
20171,0201,983$244,717
20189311,746$238,217
20199331,754$247,570
20207521,408$193,527
20218831,540$215,807
20227861,405$192,825
20237791,352$174,592
20247691,252$156,005

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$4.0K$7.9K2015 Drug cost: $5,563 (USD; Tot_Drug_Cst)2016 Drug cost: $4,144 (USD; Tot_Drug_Cst)2017 Drug cost: $1,721 (USD; Tot_Drug_Cst)2018 Drug cost: $6,104 (USD; Tot_Drug_Cst)2019 Drug cost: $7,913 (USD; Tot_Drug_Cst)2020 Drug cost: $3,225 (USD; Tot_Drug_Cst)2021 Drug cost: $2,061 (USD; Tot_Drug_Cst)2022 Drug cost: $5,076 (USD; Tot_Drug_Cst)2023 Drug cost: $5,062 (USD; Tot_Drug_Cst)2024 Drug cost: $5,285 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201541104$5,563
201653102$4,144
201745104$1,721
201853105$6,104
20195592$7,913
20203261$3,225
20211733$2,061
20222443$5,076
20232151$5,062
20241533$5,285

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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more8686$127
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more202260$98
93880Ultrasound of both sides of head and neck blood flow6464$53
93922Ultrasound study of arm and leg arteries6773$21
93971Ultrasound study of one arm or leg veins with compression and maneuvers7179$15

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

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.50$13,408Bolton Medical 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 NPI 1508869579?

Tedicare shows public-source Medicare data for NPI 1508869579 (NPI 1508869579), 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 NPI 1508869579 have ACO affiliation data?

NPI 1508869579 is shown with ACO affiliation data for Delaware Valley ACO (MSSP, ACO ID A2024).

What billing organization is linked to NPI 1508869579?

NPI 1508869579 is linked to MAIN LINE HEALTHCARE (billing NPI 1922077643) in the available physician profile data.

Does NPI 1508869579 have Open Payments data?

NPI 1508869579 has 50 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.