Physician

Adam Klugman, MD

According to 2025 Medicare claims, Adam Klugman, MD (NPI: 1588630669) practices gastroenterology in the Chicago-Naperville-Schaumburg, IL market, with the plurality of this provider's patient population coming from Du Page, IL. This provider's primary affiliated billing organization is DUPAGE MEDICAL GROUP LTD (NPI: 1801833983; TIN: 36-2657618) and primary practice location at 60540-7430. Klugman is affiliated with the Northwestern Medicine Health Network ACO LLC (ACO ID: A5444) and DULY HEALTH AND CARE ACCOUNTABLE CARE ORGANIZATION (ACO ID: D0265), participating under both the MSSP and REACH models.

Klugman's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 553 traditional Medicare patients, billed 1,310 HCPCS/CPT codes, and received $133,373 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 1,354 prescription claims across 608 beneficiaries totaling $791,583 in drug costs, led by Stelara (Ustekinumab). Open Payments data shows 6 records totaling $259. 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 sharply higher in recent years, from $135,477 to $791,583. 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$80K$160K2015 Medicare payment: $151,616 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $136,710 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $148,732 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $131,600 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $160,251 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $150,561 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $155,407 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $134,903 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $127,038 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $133,373 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20156631,450$151,616
20166831,505$136,710
20177682,058$148,732
20186561,696$131,600
20197191,947$160,251
20206101,834$150,561
20215732,118$155,407
20225611,809$134,903
20235521,439$127,038
20245531,310$133,373

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$408K$817K2015 Drug cost: $135,477 (USD; Tot_Drug_Cst)2016 Drug cost: $118,243 (USD; Tot_Drug_Cst)2017 Drug cost: $179,158 (USD; Tot_Drug_Cst)2018 Drug cost: $277,014 (USD; Tot_Drug_Cst)2019 Drug cost: $354,619 (USD; Tot_Drug_Cst)2020 Drug cost: $399,086 (USD; Tot_Drug_Cst)2021 Drug cost: $380,511 (USD; Tot_Drug_Cst)2022 Drug cost: $625,016 (USD; Tot_Drug_Cst)2023 Drug cost: $816,715 (USD; Tot_Drug_Cst)2024 Drug cost: $791,583 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154891,232$135,477
20165041,266$118,243
20175541,305$179,158
20185111,185$277,014
20195861,331$354,619
20205141,347$399,086
20214381,333$380,511
20226141,361$625,016
20236761,399$816,715
20246081,354$791,583

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 snare8283$261
45380Biopsy of large bowel using a flexible endoscope110111$172
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more102102$122
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more151173$95
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope8182$92

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
StelaraUstekinumab21784$585,468
XeljanzTofacitinib Citrate12360$81,030
MesalamineMesalamine23973$26,635
ZenpepLipase/Protease/Amylase11537$20,258
Pantoprazole SodiumPantoprazole Sodium20918,315$4,315

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.6$259AIMMUNE THERAPEUTICS, 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 Klugman, MD?

Tedicare shows public-source Medicare data for Adam Klugman, MD (NPI 1588630669), 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 Klugman, MD have ACO affiliation data?

Adam Klugman, MD is shown with ACO affiliation data for Northwestern Medicine Health Network ACO LLC (MSSP, ACO ID A5444) and DULY HEALTH AND CARE ACCOUNTABLE CARE ORGANIZATION (REACH, ACO ID D0265).

What billing organization is linked to Adam Klugman, MD?

Adam Klugman, MD is linked to DUPAGE MEDICAL GROUP LTD (billing NPI 1801833983) in the available physician profile data.

Does Adam Klugman, MD have Open Payments data?

Adam Klugman, MD has 6 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.