Physician

James F Flaherty, DO

According to 2025 Medicare claims, James Flaherty, DO (NPI: 1639148331) practices obstetrics/gynecology in the Wildwood-The Villages, FL market, with the plurality of this provider's patient population coming from Sumter, FL. This provider's primary affiliated billing organization is THE VILLAGES HEALTH SYSTEM LLC (NPI: 1699012922; TIN: 38-3876436) and primary practice location at 32163-2032.

Flaherty's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 117 traditional Medicare patients, billed 1,590 HCPCS/CPT codes, and received $37,999 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). Part D data shows 868 prescription claims across 248 beneficiaries totaling $345,562 in drug costs, led by Gemtesa (Vibegron). Open Payments data shows 5 records totaling $112. 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 from a higher plateau to a lower plateau, from $125,466 to $37,999. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $144,078 to $345,562. 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$63K$125K2015 Medicare payment: $125,466 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $116,398 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $70,265 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $66,233 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $80,670 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $52,628 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $59,651 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $43,709 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $32,880 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $37,999 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152801,802$125,466
20163032,327$116,398
20172361,770$70,265
20182592,034$66,233
20192553,391$80,670
20201832,727$52,628
20211862,893$59,651
20221601,558$43,709
20231291,366$32,880
20241171,590$37,999

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$201K$402K2015 Drug cost: $144,078 (USD; Tot_Drug_Cst)2016 Drug cost: $157,829 (USD; Tot_Drug_Cst)2017 Drug cost: $224,129 (USD; Tot_Drug_Cst)2018 Drug cost: $264,216 (USD; Tot_Drug_Cst)2019 Drug cost: $334,772 (USD; Tot_Drug_Cst)2020 Drug cost: $401,613 (USD; Tot_Drug_Cst)2021 Drug cost: $260,656 (USD; Tot_Drug_Cst)2022 Drug cost: $320,400 (USD; Tot_Drug_Cst)2023 Drug cost: $343,083 (USD; Tot_Drug_Cst)2024 Drug cost: $345,562 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015260665$144,078
2016264720$157,829
2017317902$224,129
2018329923$264,216
20193251,056$334,772
20203031,148$401,613
2021212668$260,656
2022211786$320,400
2023229816$343,083
2024248868$345,562

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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more97161$96
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more4469$72
81003Automated urinalysis test2862$2

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
GemtesaVibegron20611,537$184,780
MyrbetriqMirabegron1006,957$103,271
EstradiolEstradiol22419,117$15,845
PremarinEstrogens, Conjugated201,680$8,948
ImvexxyEstradiol12616$4,979

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.5$112Sumitomo Pharma America, 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 James F. Flaherty, DO?

Tedicare shows public-source Medicare data for James F. Flaherty, DO (NPI 1639148331), 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 James F. Flaherty, DO have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to James F. Flaherty, DO?

James F. Flaherty, DO is linked to THE VILLAGES HEALTH SYSTEM LLC (billing NPI 1699012922) in the available physician profile data.

Does James F. Flaherty, DO have Open Payments data?

James F. Flaherty, DO has 5 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.