Physician

Adam Martin Kapler, D.O.

According to 2025 Medicare claims, Adam Kapler, D.O. (NPI: 1942542196) practices neurology in the Sandusky, OH market, with the plurality of this provider's patient population coming from Erie, OH. This provider's primary affiliated billing organization is NORTH COAST PROFESSIONAL COMPANY, LLC (NPI: 1881648210; TIN: 341608091) and primary practice location at 44870-3323. Kapler is affiliated with the Physician Leaders Direct Contracting Entity, LLC (ACO ID: D0171) and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under the REACH model.

Kapler's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 352 traditional Medicare patients, billed 698 HCPCS/CPT codes, and received $69,910 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). 2023 Part D data shows 45 prescription claims across 29 beneficiaries totaling $4,418 in drug costs. 2021 DME data shows 12 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $2,119 to $4,418. 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$77K$154K2017 Medicare payment: $35,926 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $81,438 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $124,099 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $124,508 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $154,427 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $117,763 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $83,460 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $69,910 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017191340$35,926
20184471,037$81,438
20196601,423$124,099
20206541,531$124,508
20217061,707$154,427
20226251,374$117,763
2023377830$83,460
2024352698$69,910

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$486K$971K2015 Drug cost: $2,119 (USD; Tot_Drug_Cst)2017 Drug cost: $7,034 (USD; Tot_Drug_Cst)2018 Drug cost: $114,308 (USD; Tot_Drug_Cst)2019 Drug cost: $237,550 (USD; Tot_Drug_Cst)2020 Drug cost: $452,625 (USD; Tot_Drug_Cst)2021 Drug cost: $971,159 (USD; Tot_Drug_Cst)2022 Drug cost: $843,641 (USD; Tot_Drug_Cst)2023 Drug cost: $4,418 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/R31$2,119
2016N/RN/RN/R
201755193$7,034
20182231,527$114,308
20193292,471$237,550
20203632,995$452,625
20214523,167$971,159
20223972,357$843,641
20232945$4,418
2024N/RN/RN/R

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$281$5622021 Medicare payment: $562 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/R12$562
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes308331$127
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1616$95
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes146207$89
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6476$60
95816Measurement of brain wave activity (eeg), awake and drowsy5657$43

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

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.

FAQ

What Medicare data is available for Adam Martin Kapler, D.O.?

Tedicare shows public-source Medicare data for Adam Martin Kapler, D.O. (NPI 1942542196), 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 Martin Kapler, D.O. have ACO affiliation data?

Adam Martin Kapler, D.O. is shown with ACO affiliation data for Physician Leaders Direct Contracting Entity, LLC (REACH, ACO ID D0171) and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Adam Martin Kapler, D.O.?

Adam Martin Kapler, D.O. is linked to NORTH COAST PROFESSIONAL COMPANY, LLC (billing NPI 1881648210) in the available physician profile data.

Does Adam Martin Kapler, D.O. 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.