Physician

Irina Gershman, MD

According to 2025 Medicare claims, Irina Gershman, MD (NPI: 1750819470) practices sleep medicine in the Newark, NJ market, with the plurality of this provider's patient population coming from Union, NJ. This provider's primary affiliated billing organization is SUMMIT MEDICAL GROUP PA (NPI: 1942254347; TIN: 223487984) and primary practice location at 07012-1647. Gershman is affiliated with the Summit Health ACO (ACO ID: A5049), participating under the MSSP model.

Gershman's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 129 traditional Medicare patients, billed 245 HCPCS/CPT codes, and received $29,437 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 55 prescription claims across 12 beneficiaries totaling $770 in drug costs, led by Trazodone Hcl (Trazodone Hcl). DME data shows 1,260 claims. Open Payments data shows 3 records totaling $129. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $890 to $770. 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	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	25	63	$4,420
2022	146	474	$35,744
2023	201	462	$60,257
2024	129	245	$29,437

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	11	23	$890
2019	N/R	25	$1,897
2020	N/R	15	$2,153
2021	11	19	$505
2022	51	168	$5,938
2023	17	37	$3,301
2024	12	55	$770

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	N/R	N/R
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	102	236	$8,226
2023	607	1,256	$50,152
2024	521	1,260	$53,883

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$145
95800	Sleep study including heart rate, breathing, and sleep time	31	32	$122
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	133	$103
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	17	21	$71

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Trazodone Hcl	Trazodone Hcl	36	1,440	$569

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
E0471	Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	Y	N/R	57	$9,931
A7030	Full face mask used with positive airway pressure device, each	N	41	100	$7,412
E0601	Continuous positive airway pressure (cpap) device	Y	42	227	$5,754
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	77	164	$5,576
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	52	106	$5,064

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$129	Inspire Medical Systems, 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

Explore More Providers

FAQ

What Medicare data is available for Irina Gershman, MD?

Tedicare shows public-source Medicare data for Irina Gershman, MD (NPI 1750819470), 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 Irina Gershman, MD have ACO affiliation data?

Irina Gershman, MD is shown with ACO affiliation data for Summit Health ACO (MSSP, ACO ID A5049).

What billing organization is linked to Irina Gershman, MD?

Irina Gershman, MD is linked to SUMMIT MEDICAL GROUP PA (billing NPI 1942254347) in the available physician profile data.

Does Irina Gershman, MD have Open Payments data?

Irina Gershman, MD has 3 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.