Physician

James B Macdonald, M.D.

According to 2025 Medicare claims, James Macdonald, M.D. (NPI: 1750517736) practices dermatology in the Provo-Orem-Lehi, UT market, with the plurality of this provider's patient population coming from Utah, UT. This provider's primary affiliated billing organization is REVERE HEALTH PC (NPI: 1093764805; TIN: 870281028) and primary practice location at 84043-9998. Macdonald is affiliated with the Revere Health Collaborative Network, LLC (ACO ID: D0042), participating under the REACH model.

Macdonald's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,560 traditional Medicare patients, billed 8,356 HCPCS/CPT codes, and received $411,465 in Medicare payments. The top billing code was 88321 (Surgical pathology consultation and report on referred slides prepared elsewhere). Part D data shows 992 prescription claims across 439 beneficiaries totaling $508,742 in drug costs, led by Rinvoq (Upadacitinib). Open Payments data shows 115 records totaling $22,922. 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 $163,477 to $411,465. Similarly, Part D prescription costs have risen steadily, from $56,469 to $508,742. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	850	3,528	$163,477
2016	1,130	5,634	$235,223
2017	1,425	5,501	$217,809
2018	1,582	7,336	$232,693
2019	1,668	7,393	$244,925
2020	1,926	5,662	$272,736
2021	2,511	6,848	$340,042
2022	2,723	7,806	$404,393
2023	2,758	8,259	$430,548
2024	2,560	8,356	$411,465

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	135	260	$56,469
2016	183	374	$166,405
2017	226	534	$223,002
2018	243	605	$345,621
2019	232	564	$280,065
2020	240	537	$266,085
2021	376	837	$424,855
2022	430	934	$502,929
2023	405	930	$390,365
2024	439	992	$508,742

DME Billing Trend

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

No connected DME records

* / # = 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
88321	Surgical pathology consultation and report on referred slides prepared elsewhere	527	607	$69
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	341	412	$63
17110	Destruction of skin growth, 1-14 growths	368	432	$56
88305	Pathology examination of tissue using a microscope, intermediate complexity	1,630	2,967	$50
17000	Destruction of precancer skin growth, 1 growth	543	658	$26

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Rinvoq	Upadacitinib	12	480	$105,856
Dupixent Pen	Dupilumab	26	728	$99,644
Triamcinolone Acetonide	Triamcinolone Acetonide	333	14,310	$4,770
Doxycycline Hyclate	Doxycycline Hyclate	56	4,054	$1,878
Metronidazole	Metronidazole	36	1,300	$1,726

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	104	$1,767	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	11	$21,155	ABBVIE INC.
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 B. Macdonald, M.D.?

Tedicare shows public-source Medicare data for James B. Macdonald, M.D. (NPI 1750517736), 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 B. Macdonald, M.D. have ACO affiliation data?

James B. Macdonald, M.D. is shown with ACO affiliation data for Revere Health Collaborative Network, LLC (REACH, ACO ID D0042).

What billing organization is linked to James B. Macdonald, M.D.?

James B. Macdonald, M.D. is linked to REVERE HEALTH PC (billing NPI 1093764805) in the available physician profile data.

Does James B. Macdonald, M.D. have Open Payments data?

James B. Macdonald, M.D. has 115 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.