Physician

John F Boggess, MD

According to 2025 Medicare claims, John Boggess, MD (NPI: 1952499345) practices gynecologist/oncologist in the Raleigh-Cary, NC market, with the plurality of this provider's patient population coming from Wake, NC. This provider's primary affiliated billing organization is REX HOSPITAL INC (NPI: 1386206951; TIN: 561509260) and primary practice location at 27607-7505.

Boggess' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 150 traditional Medicare patients, billed 273 HCPCS/CPT codes, and received $44,765 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 102 prescription claims across 49 beneficiaries totaling $1,994 in drug costs, led by Estradiol (Estradiol). 2015 DME data shows 118 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 up and down with repeated peaks and valleys, starting at $25,549 and ending at $1,994. 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$44K$87K2015 Medicare payment: $55,049 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $72,066 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $61,630 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $55,107 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $87,378 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $67,103 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $73,060 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $78,477 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $65,990 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $44,765 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015211489$55,049
2016247582$72,066
2017227502$61,630
2018200432$55,107
2019223496$87,378
2020192414$67,103
2021184434$73,060
2022212436$78,477
2023183352$65,990
2024150273$44,765

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$116K$232K2015 Drug cost: $25,549 (USD; Tot_Drug_Cst)2016 Drug cost: $9,203 (USD; Tot_Drug_Cst)2017 Drug cost: $33,344 (USD; Tot_Drug_Cst)2018 Drug cost: $231,971 (USD; Tot_Drug_Cst)2019 Drug cost: $38,448 (USD; Tot_Drug_Cst)2020 Drug cost: $75,738 (USD; Tot_Drug_Cst)2021 Drug cost: $6,305 (USD; Tot_Drug_Cst)2022 Drug cost: $5,087 (USD; Tot_Drug_Cst)2023 Drug cost: $3,922 (USD; Tot_Drug_Cst)2024 Drug cost: $1,994 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201530123$25,549
201655206$9,203
201754194$33,344
201855136$231,971
201945104$38,448
202043111$75,738
202159147$6,305
2022103206$5,087
202385178$3,922
202449102$1,994

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$12K$24K2015 Medicare payment: $24,267 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R118$24,267
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
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
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more3434$163
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more3039$127
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more5363$77
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more4453$53

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EstradiolEstradiol14663$970
IbuprofenIbuprofen36715$152
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen2450$52

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 John F. Boggess, MD?

Tedicare shows public-source Medicare data for John F. Boggess, MD (NPI 1952499345), 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 John F. Boggess, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to John F. Boggess, MD?

John F. Boggess, MD is linked to REX HOSPITAL INC (billing NPI 1386206951) in the available physician profile data.

Does John F. Boggess, 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.