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Physician

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According to 2025 Medicare claims, NPI 1639614886 (NPI: 1639614886) practices centralized flu in the Jacksonville, FL market, with the plurality of this provider's patient population coming from Clay, FL. 1639614886 uses personal NPI as billing NPI and primary practice location at 32207-8426.

1639614886's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 29 traditional Medicare patients, billed 78 HCPCS/CPT codes, and received $6,937 in Medicare payments. The top billing code was 90653 (Influenza vaccine, inactivated). 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 has moved sharply higher in recent years, from $1,093 to $6,937. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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$3.5K$6.9K2019 Medicare payment: $1,093 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,430 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $3,985 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $4,542 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $6,937 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
20191430$1,093
20201636$1,430
20217298$3,985
2022N/RN/RN/R
20232363$4,542
20242978$6,937

Part D Events Trend

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

No connected Part D records

No connected Part D records

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
90653Influenza vaccine, inactivated1515$82
90480Admn sarscov2 vacc 1 dose1617$41
G0008Administration of influenza virus vaccine1515$19

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

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 NPI 1639614886?

Tedicare shows public-source Medicare data for NPI 1639614886 (NPI 1639614886), 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 NPI 1639614886 have ACO affiliation data?

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

What billing organization is linked to NPI 1639614886?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does NPI 1639614886 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.