Physician

James Todd Douglas, M.D.

According to 2025 Medicare claims, James Douglas, M.D. (NPI: 1790785954) practices family practice in the Bowling Green, KY market, with the plurality of this provider's patient population coming from Warren, KY. This provider's primary affiliated billing organization is GRAVES GILBERT CLINIC PLLC (NPI: 1114948288; TIN: 610700826) and primary practice location at 42101-1759. Douglas is affiliated with the Caravan Health ACO 50 LLC (ACO ID: A5160) and GGC ValueCare LLC (ACO ID: A5611), participating under the MSSP model.

Douglas' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 967 traditional Medicare patients, billed 17,926 HCPCS/CPT codes, and received $181,469 in Medicare payments. The top billing code was 84443 (Blood test, thyroid stimulating hormone (tsh)). Part D data shows 19,771 prescription claims across 1,022 beneficiaries totaling $1,718,582 in drug costs, led by Jardiance (Empagliflozin). DME data shows 343 claims. Open Payments data shows 93 records totaling $1,427. 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 $77,683 to $181,469. Similarly, Part D prescription costs have risen steadily, from $1,029,198 to $1,718,582. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $30,896 and ending at $21,398.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	341	12,648	$77,683
2016	347	12,959	$75,953
2017	329	11,696	$76,072
2018	336	8,296	$85,949
2019	330	10,996	$78,521
2020	344	4,424	$79,051
2021	454	6,927	$95,285
2022	425	12,272	$120,235
2023	377	14,989	$106,963
2024	967	17,926	$181,469

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	471	16,750	$1,029,198
2016	496	15,807	$939,598
2017	497	15,823	$1,037,652
2018	541	16,469	$1,107,314
2019	569	16,293	$1,347,551
2020	618	16,429	$1,353,846
2021	878	18,142	$1,467,856
2022	957	19,488	$1,518,821
2023	918	20,107	$1,849,387
2024	1,022	19,771	$1,718,582

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	134	579	$23,129
2016	116	462	$13,504
2017	133	585	$17,275
2018	114	600	$17,935
2019	102	499	$14,307
2020	78	345	$11,503
2021	94	416	$16,602
2022	60	395	$20,797
2023	39	306	$13,928
2024	35	343	$25,374

* / # = 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
84443	Blood test, thyroid stimulating hormone (tsh)	654	772	$16
80061	Blood test, lipids (cholesterol and triglycerides)	784	924	$13
80053	Blood test, comprehensive group of blood chemicals	839	1,100	$10
83036	Hemoglobin a1c level	498	633	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	761	962	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	206	10,441	$199,985
Ozempic	Semaglutide	177	5,838	$188,360
Eliquis	Apixaban	176	7,151	$136,581
Mounjaro	Tirzepatide	108	3,416	$124,697
Farxiga	Dapagliflozin Propanediol	61	3,450	$63,552

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	36	$10,211
A5057	Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each	N	N/R	15	$6,162
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	37	$3,117
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	N	N/R	14	$1,526
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	46	$1,090

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	93	$1,427	PFIZER 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

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FAQ

What Medicare data is available for James Todd Douglas, M.D.?

Tedicare shows public-source Medicare data for James Todd Douglas, M.D. (NPI 1790785954), 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 Todd Douglas, M.D. have ACO affiliation data?

James Todd Douglas, M.D. is shown with ACO affiliation data for Caravan Health ACO 50 LLC (MSSP, ACO ID A5160) and GGC ValueCare LLC (MSSP, ACO ID A5611).

What billing organization is linked to James Todd Douglas, M.D.?

James Todd Douglas, M.D. is linked to GRAVES GILBERT CLINIC PLLC (billing NPI 1114948288) in the available physician profile data.

Does James Todd Douglas, M.D. have Open Payments data?

James Todd Douglas, M.D. has 93 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.