Physician

Stephen Legrande Vance, M.D.

According to 2025 Medicare claims, Stephen Vance, M.D. (NPI: 1821403247) practices micrographic dermatologic surgery in the Harrisonburg, VA market, with the plurality of this provider's patient population coming from Rockingham, VA. This provider's primary affiliated billing organization is SHENANDOAH DERMATOLOGY, P.C. (NPI: 1023484219; TIN: 47-4620471) and primary practice location at 24401-9504. Vance is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Vance's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,085 traditional Medicare patients, billed 4,237 HCPCS/CPT codes, and received $1,047,484 in Medicare payments. The top billing code was 17311 (Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks). Part D data shows 1,619 prescription claims across 988 beneficiaries totaling $14,824 in drug costs, led by Mupirocin (Mupirocin). No Open Payments records. 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 $126,886 to $1,047,484. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $11,749 and ending at $14,824. 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	112	553	$126,886
2020	453	2,508	$571,556
2021	702	3,329	$831,604
2022	810	3,491	$897,315
2023	927	3,728	$953,834
2024	1,085	4,237	$1,047,484

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	56	146	$11,749
2016	55	139	$10,135
2017	79	305	$67,149
2018	68	206	$119,075
2019	53	78	$1,766
2020	339	538	$6,988
2021	470	721	$12,684
2022	576	994	$10,803
2023	780	1,330	$15,975
2024	988	1,619	$14,824

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
17311	Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	833	1,016	$453
17312	Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	399	523	$317
13132	Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	259	271	$181
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	571	947	$67
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	220	256	$38

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mupirocin	Mupirocin	677	13,232	$7,797
Doxycycline Hyclate	Doxycycline Hyclate	811	4,046	$4,479
Gentamicin Sulfate	Gentamicin Sulfate	26	561	$1,486
Cephalexin	Cephalexin	46	132	$356
Tramadol Hcl	Tramadol Hcl	33	66	$42

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Stephen Legrande Vance, M.D.?

Tedicare shows public-source Medicare data for Stephen Legrande Vance, M.D. (NPI 1821403247), 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 Stephen Legrande Vance, M.D. have ACO affiliation data?

Stephen Legrande Vance, M.D. is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Stephen Legrande Vance, M.D.?

Stephen Legrande Vance, M.D. is linked to SHENANDOAH DERMATOLOGY, P.C. (billing NPI 1023484219) in the available physician profile data.

Does Stephen Legrande Vance, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.