Physician

None

According to 2025 Medicare claims, NPI 1609259084 (NPI: 1609259084) practices dentist in the Chicago-Naperville-Schaumburg, IL market, with the plurality of this provider's patient population coming from Cook, IL. This provider's primary affiliated billing organization is LOYOLA UNIVERSITY MEDICAL CENTER (NPI: 1336159961; TIN: 364015560) and primary practice location at 60153-3328. 1609259084 is affiliated with the Trinity Health Integrated Care (ACO ID: A3454), participating under the MSSP model.

1609259084's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 59 traditional Medicare patients, billed 149 HCPCS/CPT codes, and received $34,010 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). Part D data shows 99 prescription claims across 36 beneficiaries totaling $880 in drug costs, led by Chlorhexidine Gluconate (Chlorhexidine Gluconate). 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 has moved up and down with repeated peaks and valleys, starting at $11,877 and ending at $34,010. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $583 and ending at $880. 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$24K$48K2017 Medicare payment: $11,877 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $48,497 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $37,789 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $37,919 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $13,930 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $11,370 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $34,069 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $34,010 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
20173084$11,877
201872220$48,497
201987210$37,789
202098241$37,919
20213160$13,930
20223872$11,370
202358137$34,069
202459149$34,010

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$926$1.9K2016 Drug cost: $583 (USD; Tot_Drug_Cst)2017 Drug cost: $1,852 (USD; Tot_Drug_Cst)2018 Drug cost: $840 (USD; Tot_Drug_Cst)2019 Drug cost: $1,001 (USD; Tot_Drug_Cst)2020 Drug cost: $828 (USD; Tot_Drug_Cst)2021 Drug cost: $547 (USD; Tot_Drug_Cst)2022 Drug cost: $149 (USD; Tot_Drug_Cst)2023 Drug cost: $643 (USD; Tot_Drug_Cst)2024 Drug cost: $880 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
20161829$583
20173096$1,852
20182160$840
20194091$1,001
20203380$828
20211437$547
2022N/R13$149
20232855$643
20243699$880

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 more4058$73
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more1220$44
70355X-ray of lower jaws, upper jaws and teeth2021$15

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Chlorhexidine GluconateChlorhexidine Gluconate44771$233
Sodium Fluoride 5000 Dry MouthFluoride (Sodium)16500$168
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav11138$109

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 NPI 1609259084?

Tedicare shows public-source Medicare data for NPI 1609259084 (NPI 1609259084), 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 1609259084 have ACO affiliation data?

NPI 1609259084 is shown with ACO affiliation data for Trinity Health Integrated Care (MSSP, ACO ID A3454).

What billing organization is linked to NPI 1609259084?

NPI 1609259084 is linked to LOYOLA UNIVERSITY MEDICAL CENTER (billing NPI 1336159961) in the available physician profile data.

Does NPI 1609259084 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.