Physician

James William Gast, MD

According to 2025 Medicare claims, James Gast, MD (NPI: 1710961529) practices family practice in the Green Bay, WI market, with the plurality of this provider's patient population coming from Brown, WI. This provider's primary affiliated billing organization is BELLIN MEMORIAL HOSPITAL INC (NPI: 1033172390; TIN: 390884478) and primary practice location at 54313-5373. Gast is affiliated with the Bellin Health Partners, Inc. (ACO ID: A4977) and THEDACARE ACO (ACO ID: A4988), participating under the MSSP model.

Gast's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 3,746 traditional Medicare patients, billed 25,724 HCPCS/CPT codes, and received $348,097 in Medicare payments. The top billing code was 80061 (Blood test, lipids (cholesterol and triglycerides)). Part D data shows 10,821 prescription claims across 812 beneficiaries totaling $754,760 in drug costs, led by Eliquis (Apixaban). DME data shows 60 claims. Open Payments data shows 1 records totaling $98. 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 risen steadily, from $79,995 to $348,097. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $217,333 to $754,760. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $3,411 and ending at $7,296.

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$644K$1.3M2015 Medicare payment: $79,995 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $88,896 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $152,946 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $220,155 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $222,027 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $274,290 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,288,095 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $317,314 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $288,353 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $348,097 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20158955,665$79,995
20161,0546,080$88,896
20172,00610,686$152,946
20182,66916,445$220,155
20193,15119,432$222,027
20203,80525,371$274,290
202118,10658,868$1,288,095
20223,95322,781$317,314
20233,76421,641$288,353
20243,74625,724$348,097

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$380K$759K2015 Drug cost: $217,333 (USD; Tot_Drug_Cst)2016 Drug cost: $282,281 (USD; Tot_Drug_Cst)2017 Drug cost: $340,352 (USD; Tot_Drug_Cst)2018 Drug cost: $352,325 (USD; Tot_Drug_Cst)2019 Drug cost: $434,080 (USD; Tot_Drug_Cst)2020 Drug cost: $565,088 (USD; Tot_Drug_Cst)2021 Drug cost: $675,680 (USD; Tot_Drug_Cst)2022 Drug cost: $712,905 (USD; Tot_Drug_Cst)2023 Drug cost: $759,285 (USD; Tot_Drug_Cst)2024 Drug cost: $754,760 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152964,364$217,333
20163244,417$282,281
20174204,354$340,352
20184725,291$352,325
20195046,013$434,080
20205666,907$565,088
20216347,626$675,680
20227538,862$712,905
20237739,926$759,285
202481210,821$754,760

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$2.5K$5.1K2015 Medicare payment: $1,918 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $2,324 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $3,365 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $2,144 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $4,418 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $2,870 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $3,069 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $5,065 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $1,761 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $2,239 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R69$1,918
2016N/R77$2,324
2017N/R105$3,365
20181196$2,144
201913155$4,418
202036116$2,870
202136129$3,069
202273174$5,065
2023N/R75$1,761
2024N/R60$2,239

* / # = 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
80061Blood test, lipids (cholesterol and triglycerides)2,1192,551$13
80053Blood test, comprehensive group of blood chemicals2,2193,248$10
83036Hemoglobin a1c level1,1391,828$9
36415Insertion of needle into vein for collection of blood sample3,0856,296$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1,2531,903$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban926,263$119,884
JardianceEmpagliflozin956,058$117,191
JanuviaSitagliptin Phosphate231,884$28,993
OzempicSemaglutide23840$28,471
FarxigaDapagliflozin Propanediol221,563$27,628

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R19$1,274
E0601Continuous positive airway pressure (cpap) deviceYN/R16$468
E1392Portable oxygen concentrator, rentalYN/R12$377
A7038Filter, disposable, used with positive airway pressure deviceNN/R13$120

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$98Axsome Therapeutics, Inc.
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 James William Gast, MD?

Tedicare shows public-source Medicare data for James William Gast, MD (NPI 1710961529), 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 William Gast, MD have ACO affiliation data?

James William Gast, MD is shown with ACO affiliation data for Bellin Health Partners, Inc. (MSSP, ACO ID A4977) and THEDACARE ACO (MSSP, ACO ID A4988).

What billing organization is linked to James William Gast, MD?

James William Gast, MD is linked to BELLIN MEMORIAL HOSPITAL INC (billing NPI 1033172390) in the available physician profile data.

Does James William Gast, MD have Open Payments data?

James William Gast, 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.