Physician

Zachary S Ripley, D.O.

According to 2025 Medicare claims, Zachary Ripley, D.O. (NPI: 1629450218) practices family practice in the Lewiston, ID-WA market, with the plurality of this provider's patient population coming from Nez Perce, ID. This provider's primary affiliated billing organization is VANNVEI LLC (NPI: 1881200517; TIN: 832881716) and primary practice location at 83501-4719. Ripley is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), AdvantagePoint Health Alliance - Northwest, LLC (ACO ID: A5025), and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Ripley's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 481 traditional Medicare patients, billed 6,999 HCPCS/CPT codes, and received $131,491 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 9,829 prescription claims across 921 beneficiaries totaling $793,483 in drug costs, led by Ozempic (Semaglutide). DME data shows 249 claims. Open Payments data shows 19 records totaling $372. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $3,287 to $793,483. In contrast, DME billing represents a smaller volume and rose steadily, from $4,982 to $19,172.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	164	1,702	$47,380
2020	299	4,500	$129,589
2021	376	5,055	$155,712
2022	431	6,127	$187,700
2023	433	5,255	$143,890
2024	481	6,999	$131,491

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	11	18	$3,287
2016	N/R	16	$437
2017	11	59	$831
2018	35	200	$5,247
2019	161	869	$47,442
2020	350	4,071	$253,200
2021	499	5,672	$374,030
2022	636	6,985	$557,313
2023	668	8,649	$671,227
2024	921	9,829	$793,483

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	13	79	$2,890
2021	14	130	$6,390
2022	N/R	215	$10,832
2023	12	233	$12,602
2024	26	249	$11,832

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	208	208	$118
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	370	775	$74
G0444	Annual depression screening, 5 to 15 minutes	171	171	$17
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	226	284	$12
36415	Insertion of needle into vein for collection of blood sample	184	258	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	92	3,346	$105,104
Eliquis	Apixaban	90	4,432	$81,352
Nuplazid	Pimavanserin Tartrate	12	360	$61,884
Januvia	Sitagliptin Phosphate	84	3,228	$59,070
Jardiance	Empagliflozin	44	2,554	$48,779

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	18	$6,154
J7605	Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms	N	N/R	13	$830
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	12	$767
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	24	$688
Q0513	Pharmacy dispensing fee for inhalation drug(s); per 30 days	N	N/R	24	$595

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	19	$372	PFIZER INC.
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

Explore More Providers

FAQ

What Medicare data is available for Zachary S. Ripley, D.O.?

Tedicare shows public-source Medicare data for Zachary S. Ripley, D.O. (NPI 1629450218), 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 Zachary S. Ripley, D.O. have ACO affiliation data?

Zachary S. Ripley, D.O. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), AdvantagePoint Health Alliance - Northwest, LLC (MSSP, ACO ID A5025), and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Zachary S. Ripley, D.O.?

Zachary S. Ripley, D.O. is linked to VANNVEI LLC (billing NPI 1881200517) in the available physician profile data.

Does Zachary S. Ripley, D.O. have Open Payments data?

Zachary S. Ripley, D.O. has 19 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.