Physician

Thomas L. O'Connell, MD

According to 2025 Medicare claims, Thomas O'Connell, MD (NPI: 1710047311) practices endocrinology in the Burlington, NC market, with the plurality of this provider's patient population coming from Alamance, NC. This provider's primary affiliated billing organization is DUKE HEALTH INTEGRATED PRACTICE, INC. (NPI: 1205553369; TIN: 862109896) and primary practice location at 27215-8700. O'Connell is affiliated with the Duke Connected Care, LLC (ACO ID: A2419) and Triad HealthCare Network, LLC. (ACO ID: D0209), participating under both the MSSP and REACH models.

O'Connell's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 517 traditional Medicare patients, billed 8,747 HCPCS/CPT codes, and received $176,814 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 8,135 prescription claims across 764 beneficiaries totaling $3,503,480 in drug costs, led by Ozempic (Semaglutide). DME data shows 797 claims. Open Payments data shows 246 records totaling $112,397. 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 $45,234 to $176,814. Similarly, Part D prescription costs have moved sharply higher in recent years, from $276,282 to $3,503,480. For DME billing, reported payments rose steadily, from $8,761 to $196,993.

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$88K$177K2015 Medicare payment: $45,234 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $65,664 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $68,284 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $56,889 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $85,646 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $92,892 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $112,829 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $129,581 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $159,070 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $176,814 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151861,280$45,234
20162631,828$65,664
20172961,907$68,284
20183691,717$56,889
20194063,059$85,646
20204073,493$92,892
20214893,938$112,829
20224515,261$129,581
20235447,423$159,070
20245178,747$176,814

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$2.0M$4.1M2015 Drug cost: $276,282 (USD; Tot_Drug_Cst)2016 Drug cost: $522,699 (USD; Tot_Drug_Cst)2017 Drug cost: $703,381 (USD; Tot_Drug_Cst)2018 Drug cost: $977,839 (USD; Tot_Drug_Cst)2019 Drug cost: $1,566,544 (USD; Tot_Drug_Cst)2020 Drug cost: $1,988,930 (USD; Tot_Drug_Cst)2021 Drug cost: $2,366,754 (USD; Tot_Drug_Cst)2022 Drug cost: $3,021,186 (USD; Tot_Drug_Cst)2023 Drug cost: $4,053,908 (USD; Tot_Drug_Cst)2024 Drug cost: $3,503,480 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151521,543$276,282
20162332,555$522,699
20172702,970$703,381
20184013,167$977,839
20195274,174$1,566,544
20205245,247$1,988,930
20215705,757$2,366,754
20227236,384$3,021,186
20237907,630$4,053,908
20247648,135$3,503,480

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$112K$225K2015 Medicare payment: $16,937 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $37,401 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $84,462 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $121,791 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $162,415 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $209,330 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $208,039 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $224,036 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $211,882 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $224,712 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201588277$16,937
2016121395$37,401
2017118412$84,462
2018162564$121,791
2019197732$162,415
2020199987$209,330
2021196982$208,039
20221781,036$224,036
2023174971$211,882
2024190797$224,712

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more328588$81
77080Dxa bone density measurement of hip, pelvis, spine170170$14
G2211Visit 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's302454$11
83036Hemoglobin a1c level179327$9
36415Insertion of needle into vein for collection of blood sample227331$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide77825,576$831,809
MounjaroTirzepatide39112,968$479,997
JardianceEmpagliflozin50920,693$372,289
TrulicityDulaglutide1726,538$220,564
Tresiba Flextouch U-200Insulin Degludec1798,763$208,047

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceN77478$155,305
J1817Insulin for administration through dme (i.e., insulin pump) per 50 unitsN1365$27,749
A4224Supplies for maintenance of insulin infusion catheter, per weekN2673$17,662
E0784External ambulatory infusion pump, insulinYN/R32$11,624
A4225Supplies for external insulin infusion pump, syringe type cartridge, sterile, eachN2672$5,998

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.246$112,397Insulet Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Thomas L. O'Connell, MD?

Tedicare shows public-source Medicare data for Thomas L. O'Connell, MD (NPI 1710047311), 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 Thomas L. O'Connell, MD have ACO affiliation data?

Thomas L. O'Connell, MD is shown with ACO affiliation data for Duke Connected Care, LLC (MSSP, ACO ID A2419) and Triad HealthCare Network, LLC. (REACH, ACO ID D0209).

What billing organization is linked to Thomas L. O'Connell, MD?

Thomas L. O'Connell, MD is linked to DUKE HEALTH INTEGRATED PRACTICE, INC. (billing NPI 1205553369) in the available physician profile data.

Does Thomas L. O'Connell, MD have Open Payments data?

Thomas L. O'Connell, MD has 246 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.