Physician

Elizabeth A Toms, MD

According to 2025 Medicare claims, Elizabeth Toms, MD (NPI: 1912958554) practices internal medicine in the Clarksville, TN-KY market, with the plurality of this provider's patient population coming from Christian, KY. This provider's primary affiliated billing organization is GENERATIONS LONG TERM CARE INC (NPI: 1073970463; TIN: 475241262) and primary practice location at 42240-8725. Toms is affiliated with the LTC ACO (ACO ID: A2973), participating under the MSSP model.

Toms' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 166 traditional Medicare patients, billed 1,179 HCPCS/CPT codes, and received $74,127 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 9,526 prescription claims across 266 beneficiaries totaling $519,769 in drug costs, led by Eliquis (Apixaban). DME data shows 74 claims. 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 declined steadily, from $189,000 to $74,127. Similarly, Part D prescription costs have moved from a higher plateau to a lower plateau, from $894,050 to $519,769. In contrast, DME billing represents a smaller volume and moved from a lower plateau to a higher plateau, from $14,139 to $12,764.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	625	3,811	$189,000
2016	514	3,380	$157,012
2017	494	3,166	$146,405
2018	205	1,952	$94,618
2019	228	1,877	$97,640
2020	159	1,689	$88,168
2021	259	1,729	$96,616
2022	183	1,622	$81,311
2023	197	1,602	$96,646
2024	166	1,179	$74,127

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	557	21,588	$894,050
2016	531	26,632	$1,002,108
2017	543	23,857	$1,009,398
2018	426	17,277	$750,222
2019	216	12,116	$537,489
2020	168	10,304	$468,872
2021	285	13,546	$614,967
2022	254	11,937	$570,030
2023	261	9,698	$512,587
2024	266	9,526	$519,769

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	118	440	$21,159
2016	81	414	$17,153
2017	43	267	$7,058
2018	11	311	$9,504
2019	12	383	$15,763
2020	11	304	$27,771
2021	37	215	$13,461
2022	N/R	146	$15,652
2023	N/R	90	$8,030
2024	N/R	74	$2,689

* / # = 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
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	52	55	$133
99305	Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	25	27	$90
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	81	203	$75
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	138	668	$49
99348	Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	25	81	$40

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	374	6,126	$129,203
Januvia	Sitagliptin Phosphate	101	1,576	$32,075
Xarelto	Rivaroxaban	60	1,092	$22,331
Arexvy	Rsvpref3 Antigen/As01e/Pf	62	68	$18,847
Entresto	Sacubitril/Valsartan	33	669	$16,071

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
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	50	$2,163
K0001	Standard wheelchair	Y	N/R	24	$526

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 Elizabeth A. Toms, MD?

Tedicare shows public-source Medicare data for Elizabeth A. Toms, MD (NPI 1912958554), 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 Elizabeth A. Toms, MD have ACO affiliation data?

Elizabeth A. Toms, MD is shown with ACO affiliation data for LTC ACO (MSSP, ACO ID A2973).

What billing organization is linked to Elizabeth A. Toms, MD?

Elizabeth A. Toms, MD is linked to GENERATIONS LONG TERM CARE INC (billing NPI 1073970463) in the available physician profile data.

Does Elizabeth A. Toms, MD 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.