Physician

William J Berghoff, MD

According to 2025 Medicare claims, William Berghoff, MD (NPI: 1811995970) practices orthopedic surgery in the Fort Wayne, IN market, with the plurality of this provider's patient population coming from Allen, IN. This provider's primary affiliated billing organization is ORTHOPAEDICS NORTHEAST PC (NPI: 1740268796; TIN: 35-1496097) and primary practice location at 46845-1705. Berghoff is affiliated with the Caravan Health ACO 43 LLC (ACO ID: A4974), Main Street Rural Health Cedar ACO LLC (ACO ID: A5502), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Berghoff's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 464 traditional Medicare patients, billed 1,777 HCPCS/CPT codes, and received $238,703 in Medicare payments. The top billing code was 27447 (Replacement of knee joint, both sides of knee). Part D data shows 1,618 prescription claims across 830 beneficiaries totaling $11,640 in drug costs, led by Mupirocin (Mupirocin). 2021 DME data shows 65 claims. Open Payments data shows 2 records totaling $49. 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 changed little. Concurrently, Part D prescription costs have moved from a higher plateau to a lower plateau, from $21,180 to $11,640. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $2,876 and ending at $1,118.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	660	2,811	$311,274
2016	662	2,684	$297,803
2017	745	2,754	$308,520
2018	663	2,707	$285,293
2019	672	2,749	$296,814
2020	575	2,543	$247,503
2021	607	2,650	$293,204
2022	489	1,906	$258,968
2023	448	1,673	$220,728
2024	464	1,777	$238,703

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	419	1,017	$21,180
2016	460	1,094	$24,729
2017	448	1,229	$28,859
2018	550	1,589	$29,422
2019	619	1,793	$20,046
2020	523	1,410	$14,325
2021	453	996	$8,786
2022	666	1,292	$8,364
2023	725	1,416	$10,846
2024	830	1,618	$11,640

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	23	23	$1,630
2016	33	44	$2,674
2017	29	29	$1,098
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	14	65	$4,958
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
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
27447	Replacement of knee joint, both sides of knee	131	134	$962
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	129	$81
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	98	106	$62
73502	X-ray of hip, 2-3 views	124	145	$29
73562	X-ray of knee, 3 views	278	393	$27

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mupirocin	Mupirocin	501	6,860	$3,571
Celecoxib	Celecoxib	117	3,517	$3,074
Cephalexin	Cephalexin	589	726	$993
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	70	339	$676
Tramadol Hcl	Tramadol Hcl	66	299	$225

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.	2	$49	Zimmer Biomet Holdings, 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 William J. Berghoff, MD?

Tedicare shows public-source Medicare data for William J. Berghoff, MD (NPI 1811995970), 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. Berghoff, MD have ACO affiliation data?

William J. Berghoff, MD is shown with ACO affiliation data for Caravan Health ACO 43 LLC (MSSP, ACO ID A4974), Main Street Rural Health Cedar ACO LLC (MSSP, ACO ID A5502), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to William J. Berghoff, MD?

William J. Berghoff, MD is linked to ORTHOPAEDICS NORTHEAST PC (billing NPI 1740268796) in the available physician profile data.

Does William J. Berghoff, MD have Open Payments data?

William J. Berghoff, MD has 2 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.