Physician

William J. Adair, M.D.

According to 2025 Medicare claims, William Adair, M.D. (NPI: 1750407854) practices family practice in the Gettysburg, PA market, with the plurality of this provider's patient population coming from Adams, PA. This provider's primary affiliated billing organization is GETTYSBURG FAMILY PRACTICE INC (NPI: 1194727180; TIN: 232707038) and primary practice location at 17325-2594. Adair is affiliated with the WellSpan Population Health Services (ACO ID: A2500), participating under the MSSP model.

Adair's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 832 traditional Medicare patients, billed 21,821 HCPCS/CPT codes, and received $562,653 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 10,521 prescription claims across 876 beneficiaries totaling $809,383 in drug costs, led by Eliquis (Apixaban). DME data shows 426 claims. Open Payments data shows 11 records totaling $209. 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 lower plateau to a higher plateau, from $196,890 to $562,653. Similarly, Part D prescription costs have risen steadily, from $441,258 to $809,383. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $4,366 to $30,425.

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$281K$563K2015 Medicare payment: $196,890 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $183,667 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $209,638 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $234,849 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $340,780 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $320,199 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $387,943 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $426,951 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $480,565 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $562,653 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155696,516$196,890
20165676,419$183,667
20176146,981$209,638
20185179,297$234,849
201964115,082$340,780
202064514,672$320,199
202168516,051$387,943
202263117,572$426,951
202369818,867$480,565
202483221,821$562,653

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$405K$809K2015 Drug cost: $441,258 (USD; Tot_Drug_Cst)2016 Drug cost: $475,092 (USD; Tot_Drug_Cst)2017 Drug cost: $505,157 (USD; Tot_Drug_Cst)2018 Drug cost: $556,045 (USD; Tot_Drug_Cst)2019 Drug cost: $661,040 (USD; Tot_Drug_Cst)2020 Drug cost: $755,050 (USD; Tot_Drug_Cst)2021 Drug cost: $678,291 (USD; Tot_Drug_Cst)2022 Drug cost: $674,558 (USD; Tot_Drug_Cst)2023 Drug cost: $730,436 (USD; Tot_Drug_Cst)2024 Drug cost: $809,383 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155048,155$441,258
20165048,785$475,092
20175728,870$505,157
20185468,334$556,045
20196639,770$661,040
202062410,698$755,050
20215969,874$678,291
20225909,616$674,558
20236409,630$730,436
202487610,521$809,383

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$13K$25K2015 Medicare payment: $2,801 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $2,460 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $9,045 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $9,132 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $12,186 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $15,923 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $17,913 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $15,496 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $24,500 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $25,194 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201541150$2,801
201634156$2,460
201714151$9,045
201820148$9,132
201917236$12,186
202016354$15,923
202114297$17,913
202224314$15,496
202324454$24,500
202414426$25,194

* / # = 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 more4671,067$82
80053Blood test, comprehensive group of blood chemicals561957$10
83721Ldl cholesterol level494791$10
36415Insertion of needle into vein for collection of blood sample6231,429$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count5591,031$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban1318,382$155,760
RybelsusSemaglutide532,130$64,547
XareltoRivaroxaban393,328$58,736
ArexvyRsvpref3 Antigen/As01e/Pf1712,288$53,806
JardianceEmpagliflozin402,340$35,542

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 serviceNN/R20$10,864
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R87$5,519
K0821Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 poundsYN/R11$1,508
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapNN/R18$908
J7605Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 microgramsNN/R12$890

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.11$209GlaxoSmithKline, LLC.
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 William J. Adair, M.D.?

Tedicare shows public-source Medicare data for William J. Adair, M.D. (NPI 1750407854), 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 William J. Adair, M.D. have ACO affiliation data?

William J. Adair, M.D. is shown with ACO affiliation data for WellSpan Population Health Services (MSSP, ACO ID A2500).

What billing organization is linked to William J. Adair, M.D.?

William J. Adair, M.D. is linked to GETTYSBURG FAMILY PRACTICE INC (billing NPI 1194727180) in the available physician profile data.

Does William J. Adair, M.D. have Open Payments data?

William J. Adair, M.D. has 11 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.