Physician

Amy K Macdougall, MD

According to 2025 Medicare claims, Amy Macdougall, MD (NPI: 1578734836) practices sports medicine in the Champaign-Urbana, IL market, with the plurality of this provider's patient population coming from Champaign, IL. This provider's primary affiliated billing organization is CARLE HEALTH CARE INCORPORATED (NPI: 1154653947; TIN: 371140016) and primary practice location at 61820-7661.

Macdougall's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 25 traditional Medicare patients, billed 63 HCPCS/CPT codes, and received $2,713 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). 2023 Part D data shows 21 prescription claims across 14 beneficiaries totaling $111 in drug costs. No Open Payments records. 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 up and down with repeated peaks and valleys, starting at $53 and ending at $111. 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$2.6K$5.2K2015 Medicare payment: $1,960 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $3,019 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $3,233 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $4,130 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $5,178 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $4,939 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $4,583 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $4,341 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $4,413 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,713 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151952$1,960
20162477$3,019
20172583$3,233
201838105$4,130
201945120$5,178
202062122$4,939
20213894$4,583
20224083$4,341
20234497$4,413
20242563$2,713

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$264$5272015 Drug cost: $53 (USD; Tot_Drug_Cst)2016 Drug cost: $139 (USD; Tot_Drug_Cst)2018 Drug cost: $213 (USD; Tot_Drug_Cst)2019 Drug cost: $115 (USD; Tot_Drug_Cst)2020 Drug cost: $527 (USD; Tot_Drug_Cst)2021 Drug cost: $93 (USD; Tot_Drug_Cst)2022 Drug cost: $19 (USD; Tot_Drug_Cst)2023 Drug cost: $111 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/R11$53
2016N/R18$139
2017N/RN/RN/R
20181326$213
20191417$115
20201930$527
2021N/R12$93
2022N/R12$19
20231421$111
2024N/RN/RN/R

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
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1626$48
20610Aspiration and/or injection of fluid from large joint1323$33

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Amy K. Macdougall, MD?

Tedicare shows public-source Medicare data for Amy K. Macdougall, MD (NPI 1578734836), 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 Amy K. Macdougall, MD have ACO affiliation data?

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

What billing organization is linked to Amy K. Macdougall, MD?

Amy K. Macdougall, MD is linked to CARLE HEALTH CARE INCORPORATED (billing NPI 1154653947) in the available physician profile data.

Does Amy K. Macdougall, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.