Physician

Timothy A Vanfleet, MD

According to 2025 Medicare claims, Timothy Vanfleet, MD (NPI: 1629057419) practices orthopedic surgery in the Springfield, IL market, with the plurality of this provider's patient population coming from Sangamon, IL. This provider's primary affiliated billing organization is ORTHOPAEDIC CENTER OF IL (NPI: 1154300572; TIN: 364156469) and primary practice location at 62702-4949. Vanfleet is affiliated with the IRCCO (ACO ID: A2619) and SBL accountable care organization (ACO ID: A5147), participating under the MSSP model.

Vanfleet's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 584 traditional Medicare patients, billed 2,406 HCPCS/CPT codes, and received $382,589 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 203 prescription claims across 90 beneficiaries totaling $2,100 in drug costs, led by Gabapentin (Gabapentin). DME data shows 19 claims. Open Payments data shows 2 records totaling $59. 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 up and down with repeated peaks and valleys, starting at $13,081 and ending at $2,100. For DME billing, reported payments fell sharply in recent years, from $4,686 to $633.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	719	2,911	$455,464
2016	711	2,901	$414,984
2017	625	2,398	$299,176
2018	598	2,619	$388,710
2019	587	2,512	$393,932
2020	572	2,508	$357,663
2021	685	3,435	$448,891
2022	633	2,460	$347,743
2023	558	2,245	$326,789
2024	584	2,406	$382,589

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	207	542	$13,081
2016	193	499	$10,123
2017	188	449	$7,548
2018	195	411	$12,695
2019	208	487	$13,743
2020	210	494	$5,699
2021	270	641	$16,971
2022	168	386	$5,855
2023	123	259	$3,115
2024	90	203	$2,100

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	11	11	$929
2016	21	21	$1,131
2017	13	13	$4,022
2018	N/R	N/R	N/R
2019	25	25	$4,698
2020	21	21	$6,911
2021	21	32	$5,533
2022	21	21	$5,250
2023	N/R	N/R	N/R
2024	19	19	$4,860

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	169	169	$116
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	215	221	$84
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	229	277	$65
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	220	293	$39
72100	X-ray of lower and sacral spine, 2-3 views	269	395	$26

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gabapentin	Gabapentin	119	3,823	$1,226
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	22	302	$57
Tramadol Hcl	Tramadol Hcl	14	225	$45

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L0642	Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf	N	19	19	$4,859

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$59	Baxter Healthcare
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Timothy A. Vanfleet, MD?

Tedicare shows public-source Medicare data for Timothy A. Vanfleet, MD (NPI 1629057419), 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 Timothy A. Vanfleet, MD have ACO affiliation data?

Timothy A. Vanfleet, MD is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619) and SBL accountable care organization (MSSP, ACO ID A5147).

What billing organization is linked to Timothy A. Vanfleet, MD?

Timothy A. Vanfleet, MD is linked to ORTHOPAEDIC CENTER OF IL (billing NPI 1154300572) in the available physician profile data.

Does Timothy A. Vanfleet, MD have Open Payments data?

Timothy A. Vanfleet, MD has 2 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.