Physician

Michael J Ziegele, MD

According to 2025 Medicare claims, Michael Ziegele, MD (NPI: 1831553825) practices orthopedic surgery in the Appleton, WI market, with the plurality of this provider's patient population coming from Outagamie, WI. This provider's primary affiliated billing organization is THEDACARE, INCORPORATED (NPI: 1376656959; TIN: 391509362) and primary practice location at 54911-8728. Ziegele is affiliated with the THEDACARE ACO (ACO ID: A4988), participating under the MSSP model.

Ziegele's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 214 traditional Medicare patients, billed 1,137 HCPCS/CPT codes, and received $118,600 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 236 prescription claims across 130 beneficiaries totaling $1,156 in drug costs, led by Amoxicillin (Amoxicillin). Open Payments data shows 5 records totaling $441. 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 $413 to $1,156. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$59K$119K2021 Medicare payment: $8,967 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $23,578 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $80,075 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $118,600 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021115296$8,967
2022109525$23,578
20231571,729$80,075
20242141,137$118,600

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$5.5K$11K2018 Drug cost: $413 (USD; Tot_Drug_Cst)2019 Drug cost: $346 (USD; Tot_Drug_Cst)2021 Drug cost: $8,416 (USD; Tot_Drug_Cst)2022 Drug cost: $11,100 (USD; Tot_Drug_Cst)2023 Drug cost: $1,311 (USD; Tot_Drug_Cst)2024 Drug cost: $1,156 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20182129$413
20191313$346
2020N/RN/RN/R
2021122440$8,416
2022169559$11,100
2023108259$1,311
2024130236$1,156

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more5959$108
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more8193$86
73564X-ray of knee, 4 or more views82114$38
73502X-ray of hip, 2-3 views5499$32
73562X-ray of knee, 3 views5592$28

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
AmoxicillinAmoxicillin82299$182
MeloxicamMeloxicam702,310$143
GabapentinGabapentin14382$83
Tramadol HclTramadol Hcl13113$33

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.5$441Zimmer Biomet Holdings, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Michael J. Ziegele, MD?

Tedicare shows public-source Medicare data for Michael J. Ziegele, MD (NPI 1831553825), 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 Michael J. Ziegele, MD have ACO affiliation data?

Michael J. Ziegele, MD is shown with ACO affiliation data for THEDACARE ACO (MSSP, ACO ID A4988).

What billing organization is linked to Michael J. Ziegele, MD?

Michael J. Ziegele, MD is linked to THEDACARE, INCORPORATED (billing NPI 1376656959) in the available physician profile data.

Does Michael J. Ziegele, MD have Open Payments data?

Michael J. Ziegele, MD has 5 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.