Physician

Michael Keith Toms, MD

According to 2025 Medicare claims, Michael Toms, MD (NPI: 1710939558) practices internal medicine in the Clarksville, TN-KY market, with the plurality of this provider's patient population coming from Christian, KY. This provider's primary affiliated billing organization is GENERATIONS PRIMARY CARE PSC (NPI: 1831412519; TIN: 270702287) and primary practice location at 42240-8725. Toms is affiliated with the Imperium Clinical Partners (ACO ID: A4945), participating under the MSSP model.

Toms' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 113 traditional Medicare patients, billed 893 HCPCS/CPT codes, and received $41,543 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 4,404 prescription claims across 273 beneficiaries totaling $537,954 in drug costs, led by Mounjaro (Tirzepatide). DME data shows 63 claims. Open Payments data shows 1 records totaling $25. 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 from a higher plateau to a lower plateau, from $110,777 to $41,543. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $676,535 and ending at $537,954. In contrast, DME billing represents a smaller volume and moved from a higher plateau to a lower plateau, from $25,010 to $8,295.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	784	2,912	$110,777
2016	569	1,991	$78,635
2017	742	3,018	$118,965
2018	906	5,494	$187,285
2019	713	3,062	$101,108
2020	303	677	$26,153
2021	1,501	3,628	$61,231
2022	323	1,029	$40,104
2023	207	593	$27,160
2024	113	893	$41,543

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	677	11,082	$676,535
2016	682	10,802	$651,486
2017	787	11,252	$743,449
2018	757	11,208	$864,045
2019	672	8,136	$639,812
2020	353	2,833	$303,787
2021	265	2,942	$378,148
2022	346	3,302	$399,175
2023	232	3,794	$550,845
2024	273	4,404	$537,954

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	104	562	$23,688
2016	115	506	$16,029
2017	92	397	$12,715
2018	144	560	$19,256
2019	121	512	$16,985
2020	45	259	$10,731
2021	N/R	71	$4,765
2022	N/R	94	$7,765
2023	N/R	161	$10,729
2024	N/R	63	$3,770

* / # = 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	54	54	$119
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	84	$74
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	68	104	$50
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	33	161	$43
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	44	82	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mounjaro	Tirzepatide	83	2,470	$87,501
Ozempic	Semaglutide	69	2,700	$84,038
Trulicity	Dulaglutide	23	1,036	$33,105
Jardiance	Empagliflozin	41	1,643	$31,400
Eliquis	Apixaban	33	1,620	$30,726

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	N/R	31	$2,720
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	20	$870
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	12	$181

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$25	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 Michael Keith Toms, MD?

Tedicare shows public-source Medicare data for Michael Keith Toms, MD (NPI 1710939558), 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 Michael Keith Toms, MD have ACO affiliation data?

Michael Keith Toms, MD is shown with ACO affiliation data for Imperium Clinical Partners (MSSP, ACO ID A4945).

What billing organization is linked to Michael Keith Toms, MD?

Michael Keith Toms, MD is linked to GENERATIONS PRIMARY CARE PSC (billing NPI 1831412519) in the available physician profile data.

Does Michael Keith Toms, MD have Open Payments data?

Michael Keith Toms, MD has 1 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.