Physician

Adam Buckholz, M.D.

According to 2025 Medicare claims, Adam Buckholz, M.D. (NPI: 1588026876) practices gastroenterology in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from New York, NY. This provider's primary affiliated billing organization is WEILL MEDICAL COLLEGE OF CORNELL (NPI: 1447502547) and primary practice location at 10065-4870. Buckholz is affiliated with the MaineHealth Accountable Care Organization (ACO ID: A1290) and NewYork Quality Care (ACO ID: A2571), participating under the MSSP model.

Buckholz's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 144 traditional Medicare patients, billed 224 HCPCS/CPT codes, and received $21,898 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 98 prescription claims across 44 beneficiaries totaling $39,309 in drug costs, led by Ursodiol (Ursodiol). Open Payments data shows 12 records totaling $331. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have risen steadily, from $9,112 to $39,309. 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$16K$31K2022 Medicare payment: $10,801 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $31,361 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $21,898 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
20226595$10,801
2023178285$31,361
2024144224$21,898

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$32K$64K2016 Drug cost: $9,112 (USD; Tot_Drug_Cst)2017 Drug cost: $6,693 (USD; Tot_Drug_Cst)2018 Drug cost: $14,324 (USD; Tot_Drug_Cst)2019 Drug cost: $3,892 (USD; Tot_Drug_Cst)2021 Drug cost: $5,169 (USD; Tot_Drug_Cst)2022 Drug cost: $55,788 (USD; Tot_Drug_Cst)2023 Drug cost: $64,283 (USD; Tot_Drug_Cst)2024 Drug cost: $39,309 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
20161853$9,112
20172546$6,693
20182658$14,324
20192449$3,892
2020N/RN/RN/R
20211226$5,169
202236107$55,788
202342101$64,283
20244498$39,309

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare3232$233
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more1619$114
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more1520$80
45380Biopsy of large bowel using a flexible endoscope1515$59
91200Measurement of liver stiffness3232$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
UrsodiolUrsodiol12480$3,393
CarvedilolCarvedilol141,260$132
FamotidineFamotidine12570$90

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.12$331ABBVIE 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 Adam Buckholz, M.D.?

Tedicare shows public-source Medicare data for Adam Buckholz, M.D. (NPI 1588026876), 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 Adam Buckholz, M.D. have ACO affiliation data?

Adam Buckholz, M.D. is shown with ACO affiliation data for MaineHealth Accountable Care Organization (MSSP, ACO ID A1290) and NewYork Quality Care (MSSP, ACO ID A2571).

What billing organization is linked to Adam Buckholz, M.D.?

Adam Buckholz, M.D. is linked to WEILL MEDICAL COLLEGE OF CORNELL (billing NPI 1447502547) in the available physician profile data.

Does Adam Buckholz, M.D. have Open Payments data?

Adam Buckholz, M.D. has 12 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.