Physician

Donald W Blair, MD

According to 2025 Medicare claims, Donald Blair, MD (NPI: 1609894104) practices sleep medicine in the Springfield, MA market, with the plurality of this provider's patient population coming from Hampden, MA. This provider's primary affiliated billing organization is SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC (NPI: 1750332771; TIN: 202826299) and primary practice location at 01107-1192.

Blair's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 22 traditional Medicare patients, billed 22 HCPCS/CPT codes, and received $2,145 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). 2023 Part D data shows 31 prescription claims totaling $1,078 in drug costs. DME data shows 409 claims. Open Payments data shows 1 records totaling $25. 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 declined steadily, from $36,969 to $2,145. Similarly, Part D prescription costs have fallen sharply in recent years, from $140,949 to $1,078. For DME billing, reported payments did not follow a clear longitudinal pattern.

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$19K$38K2015 Medicare payment: $36,969 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $38,186 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $30,628 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $37,650 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $36,956 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $21,537 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $29,382 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,145 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015381690$36,969
2016435751$38,186
2017366616$30,628
2018433760$37,650
2019472814$36,956
2020377628$21,537
2021341611$29,382
2022N/RN/RN/R
2023N/RN/RN/R
20242222$2,145

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$131K$262K2015 Drug cost: $140,949 (USD; Tot_Drug_Cst)2016 Drug cost: $228,407 (USD; Tot_Drug_Cst)2017 Drug cost: $217,177 (USD; Tot_Drug_Cst)2018 Drug cost: $239,394 (USD; Tot_Drug_Cst)2019 Drug cost: $177,130 (USD; Tot_Drug_Cst)2020 Drug cost: $184,743 (USD; Tot_Drug_Cst)2021 Drug cost: $261,524 (USD; Tot_Drug_Cst)2022 Drug cost: $41,956 (USD; Tot_Drug_Cst)2023 Drug cost: $1,078 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151791,875$140,949
20162272,458$228,407
20172392,603$217,177
20182282,339$239,394
20192182,026$177,130
20202192,004$184,743
20212262,144$261,524
2022123407$41,956
2023N/R31$1,078
2024N/RN/RN/R

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$30K$59K2015 Medicare payment: $15,081 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $12,522 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $20,570 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $26,935 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $49,201 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $59,278 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $54,090 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $42,878 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $22,298 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $16,759 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201575267$15,081
2016169368$12,522
2017312690$20,570
2018389847$26,935
20195711,350$49,201
20206501,570$59,278
20216881,560$54,090
20225021,248$42,878
2023278585$22,298
2024157409$16,759

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more1717$87

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

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A7030Full face mask used with positive airway pressure device, eachN1952$4,079
A7031Face mask interface, replacement for full face mask, eachN1844$3,856
A4604Tubing with integrated heating element for use with positive airway pressure deviceN2162$2,292
A7032Cushion for use on nasal mask interface, replacement only, eachNN/R19$1,674
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapN1133$1,409

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$25HARMONY BIOSCIENCES 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 Donald W. Blair, MD?

Tedicare shows public-source Medicare data for Donald W. Blair, MD (NPI 1609894104), 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 Donald W. Blair, 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 Donald W. Blair, MD?

Donald W. Blair, MD is linked to SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC (billing NPI 1750332771) in the available physician profile data.

Does Donald W. Blair, MD have Open Payments data?

Donald W. Blair, MD has 1 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.