Physician

Adam Pflum, M.D.

According to 2025 Medicare claims, Adam Pflum, M.D. (NPI: 1649617416) practices cardiology in the Wilmington, NC market, with the plurality of this provider's patient population coming from Brunswick, NC. This provider's primary affiliated billing organization is NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC (NPI: 1649865791; TIN: 581728803) and primary practice location at 28401-7407. Pflum is affiliated with the Physician Quality Partners, LLC (ACO ID: A2778) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Pflum's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 818 traditional Medicare patients, billed 2,175 HCPCS/CPT codes, and received $165,709 in Medicare payments. The top billing code was 93458 (Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist). Part D data shows 1,657 prescription claims across 363 beneficiaries totaling $144,658 in drug costs, led by Eliquis (Apixaban). 2022 DME data shows 24 claims. Open Payments data shows 78 records totaling $2,546. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $7,567 to $144,658. 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.

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	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	286	620	$60,635
2022	638	1,318	$122,217
2023	948	2,060	$161,847
2024	818	2,175	$165,709

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	40	$7,567
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	32	94	$10,017
2021	71	221	$17,258
2022	170	657	$50,011
2023	259	1,128	$91,319
2024	363	1,657	$144,658

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	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	24	$1,204
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
93458	Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	107	108	$169
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	190	216	$83
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	400	429	$9
99152	Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes	153	161	$9
36415	Insertion of needle into vein for collection of blood sample	111	118	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	74	3,540	$67,665
Brilinta	Ticagrelor	17	1,230	$17,367
Farxiga	Dapagliflozin Propanediol	11	750	$13,712
Metoprolol Succinate	Metoprolol Succinate	240	15,881	$3,148
Atorvastatin Calcium	Atorvastatin Calcium	176	12,242	$1,825

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	78	$2,546	Inari Medical, 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

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FAQ

What Medicare data is available for Adam Pflum, M.D.?

Tedicare shows public-source Medicare data for Adam Pflum, M.D. (NPI 1649617416), 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 Pflum, M.D. have ACO affiliation data?

Adam Pflum, M.D. is shown with ACO affiliation data for Physician Quality Partners, LLC (MSSP, ACO ID A2778) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

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

Adam Pflum, M.D. is linked to NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC (billing NPI 1649865791) in the available physician profile data.

Does Adam Pflum, M.D. have Open Payments data?

Adam Pflum, M.D. has 78 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.