Physician

Adam D Wagshul, MD

According to 2025 Medicare claims, Adam Wagshul, MD (NPI: 1831164300) practices orthopedic surgery in the Lakewood-New Brunswick, NJ market, with the plurality of this provider's patient population coming from Somerset, NJ. This provider's primary affiliated billing organization is SUMMIT MEDICAL GROUP PA (NPI: 1942254347; TIN: 223487984) and primary practice location at 07960-6092. Wagshul is affiliated with the Summit Health ACO (ACO ID: A5049), participating under the MSSP model.

Wagshul's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 306 traditional Medicare patients, billed 2,881 HCPCS/CPT codes, and received $108,826 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 106 prescription claims across 70 beneficiaries totaling $3,456 in drug costs, led by Oxycodone Hcl (Oxycodone Hcl). 2020 DME data shows 44 claims. Open Payments data shows 3 records totaling $185. 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 up and down with repeated peaks and valleys, starting at $4,341 and ending at $3,456. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $3,909 and ending at $4,234.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	303	1,142	$105,921
2016	305	1,193	$100,269
2017	339	1,298	$116,315
2018	391	1,699	$134,031
2019	397	1,532	$139,518
2020	341	1,449	$137,466
2021	339	1,563	$123,897
2022	312	1,633	$121,353
2023	347	1,460	$148,160
2024	306	2,881	$108,826

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	57	84	$4,341
2016	57	79	$2,857
2017	78	123	$3,342
2018	88	145	$4,947
2019	74	100	$1,921
2020	80	123	$2,603
2021	89	121	$2,177
2022	68	98	$2,973
2023	81	124	$3,250
2024	70	106	$3,456

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	11	$667
2016	35	37	$4,796
2017	33	33	$4,633
2018	55	57	$7,413
2019	30	30	$5,778
2020	43	44	$7,301
2021	N/R	N/R	N/R
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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	102	$105
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	110	160	$73
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	136	$49
73610	X-ray of ankle, minimum of 3 views	67	120	$30
73630	X-ray of foot, minimum of 3 views	81	129	$30

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Oxycodone Hcl	Oxycodone Hcl	17	84	$69
Meloxicam	Meloxicam	16	480	$38
Tramadol Hcl	Tramadol Hcl	11	60	$14

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.	3	$185	Stryker Corporation
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 Adam D. Wagshul, MD?

Tedicare shows public-source Medicare data for Adam D. Wagshul, MD (NPI 1831164300), 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 Adam D. Wagshul, MD have ACO affiliation data?

Adam D. Wagshul, MD is shown with ACO affiliation data for Summit Health ACO (MSSP, ACO ID A5049).

What billing organization is linked to Adam D. Wagshul, MD?

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

Does Adam D. Wagshul, MD have Open Payments data?

Adam D. Wagshul, 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.