Physician

James Robinson, MD

According to 2025 Medicare claims, James Robinson, MD (NPI: 1649237835) practices family practice in the Gadsden, AL market, with the plurality of this provider's patient population coming from Etowah, AL. This provider's primary affiliated billing organization is PRIME HEALTHCARE SERVICES-GADSDEN PHYSICIAN MANAGEMENT LLC (NPI: 1356731467; TIN: 47-2253254) and primary practice location at 35901-5203. Robinson is affiliated with the Physicians First ACO LLC (ACO ID: A5509), participating under the MSSP model.

Robinson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 390 traditional Medicare patients, billed 2,810 HCPCS/CPT codes, and received $114,291 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 20,238 prescription claims across 1,059 beneficiaries totaling $1,694,353 in drug costs, led by Eliquis (Apixaban). DME data shows 143 claims. Open Payments data shows 32 records totaling $664. 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 declined steadily, from $181,621 to $114,291. In contrast, Part D prescription costs have risen steadily, from $1,012,315 to $1,694,353. For DME billing, reported payments rose steadily, from $9,458 to $31,707.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	608	5,825	$181,621
2016	588	6,036	$184,153
2017	492	4,955	$147,641
2018	469	3,754	$110,433
2019	481	4,179	$164,606
2020	476	3,569	$163,969
2021	475	2,870	$147,255
2022	438	2,689	$118,731
2023	395	2,062	$106,206
2024	390	2,810	$114,291

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	851	15,176	$1,012,315
2016	834	15,795	$936,885
2017	890	17,487	$986,631
2018	900	18,725	$1,151,285
2019	956	18,398	$1,264,893
2020	904	18,708	$1,241,552
2021	932	19,110	$1,357,952
2022	964	19,489	$1,624,767
2023	979	18,958	$1,892,728
2024	1,059	20,238	$1,694,353

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	132	465	$9,902
2016	124	411	$7,689
2017	69	177	$4,024
2018	55	173	$1,847
2019	60	168	$2,062
2020	56	176	$3,798
2021	56	179	$4,617
2022	39	209	$14,048
2023	16	184	$18,932
2024	24	143	$27,453

* / # = 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	136	136	$115
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	364	898	$72
G0442	Annual alcohol misuse screening, 5 to 15 minutes	121	121	$17
G0444	Annual depression screening, 5 to 15 minutes	129	129	$16
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	293	552	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	246	10,684	$200,596
Ozempic	Semaglutide	134	4,496	$139,867
Januvia	Sitagliptin Phosphate	142	7,290	$129,745
Mounjaro	Tirzepatide	79	3,028	$111,694
Tresiba Flextouch U-200	Insulin Degludec	33	2,468	$81,190

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	11	53	$23,918
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	35	$2,376
E1392	Portable oxygen concentrator, rental	Y	N/R	18	$640
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	13	23	$339
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	14	$181

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	32	$664	AstraZeneca Pharmaceuticals LP
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 James Robinson, MD?

Tedicare shows public-source Medicare data for James Robinson, MD (NPI 1649237835), 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 Robinson, MD have ACO affiliation data?

James Robinson, MD is shown with ACO affiliation data for Physicians First ACO LLC (MSSP, ACO ID A5509).

What billing organization is linked to James Robinson, MD?

James Robinson, MD is linked to PRIME HEALTHCARE SERVICES-GADSDEN PHYSICIAN MANAGEMENT LLC (billing NPI 1356731467) in the available physician profile data.

Does James Robinson, MD have Open Payments data?

James Robinson, MD has 32 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.