Physician

Douglas B Kirsch, MD

According to 2025 Medicare claims, Douglas Kirsch, MD (NPI: 1841304748) practices sleep medicine in the Charlotte-Concord-Gastonia, NC-SC market, with the plurality of this provider's patient population coming from Mecklenburg, NC. This provider's primary affiliated billing organization is CAROLINAS PHYSICIANS NETWORK INC (NPI: 1558702191; TIN: 561667838) and primary practice location at 28209-7600. Kirsch is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033) and Carolinas HealthCare System ACO, LLC (ACO ID: A3675), participating under the MSSP model.

Kirsch's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 295 traditional Medicare patients, billed 648 HCPCS/CPT codes, and received $63,288 in Medicare payments. The top billing code was 95811 (Sleep study in sleep lab with continuous airway pressure (6 years or older)). Part D data shows 557 prescription claims across 86 beneficiaries totaling $24,079 in drug costs, led by Gabapentin (Gabapentin). DME data shows 1,787 claims. Open Payments data shows 5 records totaling $5,416. 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 moved up and down with repeated peaks and valleys, starting at $33,606 and ending at $63,288. Concurrently, Part D prescription costs have risen steadily, from $2,385 to $24,079. For DME billing, reported payments moved sharply higher in recent years, from $46,134 to $69,976.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	90	267	$33,606
2016	127	291	$37,402
2017	171	305	$41,143
2018	225	403	$63,027
2019	352	529	$90,373
2020	253	412	$60,826
2021	293	467	$80,769
2022	300	444	$67,449
2023	274	409	$52,905
2024	295	648	$63,288

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	18	42	$2,385
2016	31	135	$7,433
2017	26	193	$6,874
2018	36	259	$8,536
2019	44	281	$14,928
2020	46	333	$12,610
2021	65	407	$13,669
2022	69	449	$13,145
2023	71	452	$13,057
2024	86	557	$24,079

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	553	1,046	$45,932
2016	464	991	$32,598
2017	574	1,337	$33,411
2018	441	873	$21,878
2019	581	1,237	$32,648
2020	716	1,534	$44,622
2021	733	1,627	$47,533
2022	746	1,665	$57,743
2023	834	1,938	$71,472
2024	835	1,787	$69,036

* / # = 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
95811	Sleep study in sleep lab with continuous airway pressure (6 years or older)	41	42	$390
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$114
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	181	$87
G0398	Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation	57	61	$28
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	146	198	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gabapentin	Gabapentin	111	5,182	$1,339
Eszopiclone	Eszopiclone	19	750	$926
Pramipexole Dihydrochloride	Pramipexole Di-Hcl	44	2,916	$823
Dextroamphetamine-Amphetamine	Dextroamphetamine/Amphetamine	18	476	$605
Quetiapine Fumarate	Quetiapine Fumarate	29	1,454	$532

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
E0601	Continuous positive airway pressure (cpap) device	Y	50	299	$8,940
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	91	179	$8,710
A7030	Full face mask used with positive airway pressure device, each	N	48	96	$7,922
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	105	222	$7,603
A7031	Face mask interface, replacement for full face mask, each	N	48	104	$7,487

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	5	$5,416	Resmed Corp
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 Douglas B. Kirsch, MD?

Tedicare shows public-source Medicare data for Douglas B. Kirsch, MD (NPI 1841304748), 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 Douglas B. Kirsch, MD have ACO affiliation data?

Douglas B. Kirsch, MD is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033) and Carolinas HealthCare System ACO, LLC (MSSP, ACO ID A3675).

What billing organization is linked to Douglas B. Kirsch, MD?

Douglas B. Kirsch, MD is linked to CAROLINAS PHYSICIANS NETWORK INC (billing NPI 1558702191) in the available physician profile data.

Does Douglas B. Kirsch, MD have Open Payments data?

Douglas B. Kirsch, 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.