Physician

James N Spychalski, M.D.

According to 2025 Medicare claims, James Spychalski, M.D. (NPI: 1689630741) practices family practice in the Parkersburg-Vienna, WV market, with the plurality of this provider's patient population coming from Wood, WV. This provider's primary affiliated billing organization is CHARLESTON AREA MEDICAL CENTER INC (NPI: 1588422547; TIN: 550526150) and primary practice location at 26101-3207. Spychalski is affiliated with the ACO West Virginia (ACO ID: A3563), participating under the MSSP model.

Spychalski's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,287 traditional Medicare patients, billed 11,429 HCPCS/CPT codes, and received $201,122 in Medicare payments. The top billing code was 84443 (Blood test, thyroid stimulating hormone (tsh)). Part D data shows 15,548 prescription claims across 791 beneficiaries totaling $1,613,106 in drug costs, led by Ozempic (Semaglutide). DME data shows 493 claims. Open Payments data shows 140 records totaling $2,310. 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 up and down with repeated peaks and valleys, starting at $181,956 and ending at $201,122. Concurrently, Part D prescription costs have risen steadily, from $947,393 to $1,613,106. In contrast, DME billing represents a smaller volume and declined steadily, from $99,319 to $33,508.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	692	3,635	$181,956
2016	638	3,595	$175,196
2017	683	4,007	$196,620
2018	778	4,442	$225,501
2019	801	4,231	$226,633
2020	747	3,327	$175,199
2021	698	3,361	$193,115
2022	1,222	7,104	$246,177
2023	1,999	22,336	$413,122
2024	1,287	11,429	$201,122

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	550	14,617	$947,393
2016	521	14,089	$926,077
2017	591	14,094	$892,221
2018	623	13,296	$1,041,385
2019	626	12,795	$1,108,040
2020	651	12,203	$1,146,481
2021	649	12,059	$1,154,765
2022	808	14,620	$1,475,997
2023	888	14,675	$1,708,757
2024	791	15,548	$1,613,106

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	197	1,122	$86,457
2016	186	1,036	$58,750
2017	182	1,033	$64,165
2018	173	782	$56,217
2019	118	699	$48,036
2020	125	628	$34,652
2021	98	495	$28,073
2022	64	600	$40,719
2023	74	617	$31,364
2024	51	493	$25,842

* / # = 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
84443	Blood test, thyroid stimulating hormone (tsh)	539	669	$16
80061	Blood test, lipids (cholesterol and triglycerides)	669	805	$13
36415	Insertion of needle into vein for collection of blood sample	1,002	1,744	$9
80048	Blood test, basic group of blood chemicals (calcium, total)	594	823	$8
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	785	1,065	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	118	5,810	$190,503
Jardiance	Empagliflozin	123	8,353	$161,285
Eliquis	Apixaban	178	8,141	$154,020
Mounjaro	Tirzepatide	78	4,174	$148,691
Xarelto	Rivaroxaban	63	3,522	$65,353

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	19	131	$10,855
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	N/R	18	$7,795
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	17	121	$2,038
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	35	$1,353
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	22	$1,048

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	140	$2,310	ABBVIE 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 James N. Spychalski, M.D.?

Tedicare shows public-source Medicare data for James N. Spychalski, M.D. (NPI 1689630741), 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 N. Spychalski, M.D. have ACO affiliation data?

James N. Spychalski, M.D. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563).

What billing organization is linked to James N. Spychalski, M.D.?

James N. Spychalski, M.D. is linked to CHARLESTON AREA MEDICAL CENTER INC (billing NPI 1588422547) in the available physician profile data.

Does James N. Spychalski, M.D. have Open Payments data?

James N. Spychalski, M.D. has 140 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.