Physician

Brett Michael Spain, D.O.

According to 2025 Medicare claims, Brett Spain, D.O. (NPI: 1750542064) practices sports medicine in the Nassau County-Suffolk County, NY market, with the plurality of this provider's patient population coming from Nassau, NY. This provider's primary affiliated billing organization is ORTHOPAEDICS SPINE AND SPORTS MEDICINE LLC (NPI: 1548490063; TIN: 205290355) and primary practice location at 11758-6231.

Spain's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 444 traditional Medicare patients, billed 9,769 HCPCS/CPT codes, and received $262,824 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 302 prescription claims across 128 beneficiaries totaling $2,802 in drug costs, led by Celecoxib (Celecoxib). 2023 DME data shows 12 claims. Open Payments data shows 4 records totaling $100. 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 $124,843 to $262,824. In contrast, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $4,698 to $2,802. 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	211	1,964	$124,843
2016	303	2,320	$147,688
2017	324	3,059	$156,696
2018	317	3,089	$164,275
2019	345	3,428	$178,776
2020	308	3,288	$162,073
2021	369	4,824	$227,181
2022	381	5,739	$211,112
2023	450	10,412	$287,707
2024	444	9,769	$262,824

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	79	142	$4,698
2016	68	130	$27,748
2017	67	137	$16,180
2018	75	160	$9,235
2019	83	202	$11,182
2020	98	241	$17,614
2021	92	224	$8,424
2022	89	233	$17,402
2023	104	259	$4,085
2024	128	302	$2,802

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	12	$138
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	11	$759
2023	12	12	$1,609
2024	N/R	N/R	N/R

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	393	$107
20611	Aspiration and/or injection of fluid large joint using ultrasound guidance	154	512	$90
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	134	134	$89
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	285	648	$79
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	77	409	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Celecoxib	Celecoxib	31	945	$467
Gabapentin	Gabapentin	32	990	$343
Baclofen	Baclofen	41	1,260	$252
Meloxicam	Meloxicam	65	1,904	$188
Methylprednisolone	Methylprednisolone	25	150	$162

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.	4	$100	Bioventus LLC
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 Brett Michael Spain, D.O.?

Tedicare shows public-source Medicare data for Brett Michael Spain, D.O. (NPI 1750542064), 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 Brett Michael Spain, D.O. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Brett Michael Spain, D.O.?

Brett Michael Spain, D.O. is linked to ORTHOPAEDICS SPINE AND SPORTS MEDICINE LLC (billing NPI 1548490063) in the available physician profile data.

Does Brett Michael Spain, D.O. have Open Payments data?

Brett Michael Spain, D.O. has 4 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.