Physician

Adam James Tosh, M.D.

According to 2025 Medicare claims, Adam Tosh, M.D. (NPI: 1639582059) practices hospitalist in the Durham-Chapel Hill, NC market, with the plurality of this provider's patient population coming from Durham, NC. This provider's primary affiliated billing organization is DUKE UNIVERSITY HEALTH SYSTEM, INC. (NPI: 1376574798; TIN: 562070036) and primary practice location at 27705-4699. Tosh is affiliated with the Duke Connected Care, LLC (ACO ID: A2419), participating under the MSSP model.

Tosh's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 142 traditional Medicare patients, billed 521 HCPCS/CPT codes, and received $40,909 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 142 prescription claims across 37 beneficiaries totaling $50,260 in drug costs, led by Zerbaxa (Ceftolozane/Tazobactam). 2023 DME data shows 14 claims. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $12,629 and ending at $50,260. In contrast, DME billing represents a smaller volume and moved from a lower plateau to a higher plateau, from $1,420 to $1,499.

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$31K$63K2017 Medicare payment: $15,921 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $53,621 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $62,884 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $38,729 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $43,923 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $38,575 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $36,020 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $40,909 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
201777223$15,921
2018227710$53,621
2019287792$62,884
2020136489$38,729
2021169569$43,923
2022127509$38,575
2023115436$36,020
2024142521$40,909

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$25K$50K2015 Drug cost: $12,629 (USD; Tot_Drug_Cst)2016 Drug cost: $17,018 (USD; Tot_Drug_Cst)2017 Drug cost: $4,122 (USD; Tot_Drug_Cst)2018 Drug cost: $18,232 (USD; Tot_Drug_Cst)2019 Drug cost: $7,682 (USD; Tot_Drug_Cst)2020 Drug cost: $8,585 (USD; Tot_Drug_Cst)2021 Drug cost: $15,132 (USD; Tot_Drug_Cst)2022 Drug cost: $4,223 (USD; Tot_Drug_Cst)2023 Drug cost: $12,169 (USD; Tot_Drug_Cst)2024 Drug cost: $50,260 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201542123$12,629
201667231$17,018
201758141$4,122
201869155$18,232
201959131$7,682
20202255$8,585
20212688$15,132
20222159$4,223
20232574$12,169
202437142$50,260

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$1.5K$3.0K2018 Medicare payment: $267 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $775 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $2,961 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $1,716 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R24$267
2019N/RN/RN/R
2020N/RN/RN/R
2021N/R22$775
2022N/R36$2,961
2023N/R14$1,716
2024N/RN/RN/R

* / # = 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3131$127
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes93279$85
99239Hospital discharge day management, more than 30 minutes3131$82
99238Hospital discharge day management, 30 minutes or less3939$59
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes56138$58

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
ZerbaxaCeftolozane/Tazobactam1279$39,127
Atorvastatin CalciumAtorvastatin Calcium11300$55

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 Adam James Tosh, M.D.?

Tedicare shows public-source Medicare data for Adam James Tosh, M.D. (NPI 1639582059), 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 Adam James Tosh, M.D. have ACO affiliation data?

Adam James Tosh, M.D. is shown with ACO affiliation data for Duke Connected Care, LLC (MSSP, ACO ID A2419).

What billing organization is linked to Adam James Tosh, M.D.?

Adam James Tosh, M.D. is linked to DUKE UNIVERSITY HEALTH SYSTEM, INC. (billing NPI 1376574798) in the available physician profile data.

Does Adam James Tosh, M.D. 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.