Physician

None

According to 2025 Medicare claims, NPI 1568454833 (NPI: 1568454833) practices rheumatology, with the plurality of this provider's patient population coming from Clearfield, PA. This provider's primary affiliated billing organization is DUBOIS REGIONAL MEDICAL CENTER (NPI: 1619077047; TIN: 251490707) and primary practice location at 15801-2511.

1568454833's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 249 traditional Medicare patients, billed 1,194 HCPCS/CPT codes, and received $48,581 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 2,493 prescription claims across 353 beneficiaries totaling $3,665,565 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 2 records totaling $37. 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 risen steadily, from $141,886 to $3,665,565. 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$30K$59K2015 Medicare payment: $36,610 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $56,620 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $56,888 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $57,831 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $59,125 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $46,317 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $50,727 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $44,339 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $47,737 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $48,581 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015169465$36,610
2016280915$56,620
2017283953$56,888
2018290966$57,831
20193151,049$59,125
2020266829$46,317
2021243732$50,727
2022258686$44,339
2023263773$47,737
20242491,194$48,581

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$1.8M$3.7M2015 Drug cost: $141,886 (USD; Tot_Drug_Cst)2016 Drug cost: $270,581 (USD; Tot_Drug_Cst)2017 Drug cost: $566,337 (USD; Tot_Drug_Cst)2018 Drug cost: $1,537,285 (USD; Tot_Drug_Cst)2019 Drug cost: $975,954 (USD; Tot_Drug_Cst)2020 Drug cost: $1,374,821 (USD; Tot_Drug_Cst)2021 Drug cost: $1,354,038 (USD; Tot_Drug_Cst)2022 Drug cost: $1,869,079 (USD; Tot_Drug_Cst)2023 Drug cost: $3,363,660 (USD; Tot_Drug_Cst)2024 Drug cost: $3,665,565 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015220644$141,886
20162361,516$270,581
20172531,849$566,337
20182612,158$1,537,285
20192692,198$975,954
20202772,315$1,374,821
20213082,301$1,354,038
20223042,182$1,869,079
20233362,380$3,363,660
20243532,493$3,665,565

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 more4646$89
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more236543$64
20610Aspiration and/or injection of fluid from large joint3865$37
20600Aspiration and/or injection of fluid from small joint1724$25
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's224486$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab802,548$1,108,998
Enbrel SureclickEtanercept612,660$676,005
Humira PenAdalimumab631,748$598,422
Taltz AutoinjectorIxekizumab18728$175,795
Cosentyx Sensoready (2 Pens)Secukinumab16672$173,956

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.2$37GlaxoSmithKline, LLC.
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 1568454833?

Tedicare shows public-source Medicare data for NPI 1568454833 (NPI 1568454833), 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 1568454833 have ACO affiliation data?

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

What billing organization is linked to NPI 1568454833?

NPI 1568454833 is linked to DUBOIS REGIONAL MEDICAL CENTER (billing NPI 1619077047) in the available physician profile data.

Does NPI 1568454833 have Open Payments data?

NPI 1568454833 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.