Physician

None

According to 2025 Medicare claims, NPI 1962454967 (NPI: 1962454967) practices internal medicine in the Newark, NJ market, with the plurality of this provider's patient population coming from Morris, NJ. This provider's primary affiliated billing organization is PRIMARY CARE PARTNERS LLC (NPI: 1083900526; TIN: 274980253) and primary practice location at 07405-2351. 1962454967 is affiliated with the Atlantic ACO (ACO ID: A1026), participating under the MSSP model.

1962454967's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 236 traditional Medicare patients, billed 1,030 HCPCS/CPT codes, and received $76,690 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 3,647 prescription claims across 331 beneficiaries totaling $844,895 in drug costs, led by Mounjaro (Tirzepatide). DME data shows 213 claims. Open Payments data shows 59 records totaling $879. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $639,757 to $844,895. For DME billing, reported payments moved from a lower plateau to a higher plateau, from $7,553 to $69,716.

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$72K$144K2015 Medicare payment: $135,617 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $124,409 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $125,720 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $136,887 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $118,728 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $125,213 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $144,088 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $134,032 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $127,719 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $76,690 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153391,797$135,617
20163621,727$124,409
20173431,747$125,720
20183562,040$136,887
20193251,597$118,728
20203001,609$125,213
20212911,616$144,088
20222881,544$134,032
20232511,427$127,719
20242361,030$76,690

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$561K$1.1M2015 Drug cost: $639,757 (USD; Tot_Drug_Cst)2016 Drug cost: $788,689 (USD; Tot_Drug_Cst)2017 Drug cost: $904,468 (USD; Tot_Drug_Cst)2018 Drug cost: $865,346 (USD; Tot_Drug_Cst)2019 Drug cost: $1,006,848 (USD; Tot_Drug_Cst)2020 Drug cost: $1,046,615 (USD; Tot_Drug_Cst)2021 Drug cost: $1,085,549 (USD; Tot_Drug_Cst)2022 Drug cost: $1,122,975 (USD; Tot_Drug_Cst)2023 Drug cost: $1,116,214 (USD; Tot_Drug_Cst)2024 Drug cost: $844,895 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152903,614$639,757
20163103,933$788,689
20173324,371$904,468
20183654,247$865,346
20193674,252$1,006,848
20203574,265$1,046,615
20213654,226$1,085,549
20223734,195$1,122,975
20233454,024$1,116,214
20243313,647$844,895

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$35K$71K2015 Medicare payment: $14,023 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $14,304 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $10,662 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $21,798 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $32,681 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $38,568 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $66,863 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $54,763 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $70,911 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $69,806 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015220487$14,023
2016205470$14,304
201789229$10,662
2018133306$21,798
2019124383$32,681
2020127346$38,568
202193442$66,863
202277403$54,763
202349396$70,911
202447213$69,806

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more229549$94
90662Influenza vaccine split virus, preservative free4646$82
G0008Administration of influenza virus vaccine4545$36
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report46115$28
G2211Visit 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's107133$14

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MounjaroTirzepatide1064,686$167,157
OzempicSemaglutide934,630$137,402
JardianceEmpagliflozin423,480$65,432
FarxigaDapagliflozin Propanediol422,760$50,870
TrulicityDulaglutide181,067$35,358

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceN32136$59,917
J1817Insulin for administration through dme (i.e., insulin pump) per 50 unitsNN/R15$5,295
A4224Supplies for maintenance of insulin infusion catheter, per weekNN/R12$2,942
A4225Supplies for external insulin infusion pump, syringe type cartridge, sterile, eachNN/R12$926
A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 stripsN1538$726

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.59$879Lilly USA, LLC
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 NPI 1962454967?

Tedicare shows public-source Medicare data for NPI 1962454967 (NPI 1962454967), 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 NPI 1962454967 have ACO affiliation data?

NPI 1962454967 is shown with ACO affiliation data for Atlantic ACO (MSSP, ACO ID A1026).

What billing organization is linked to NPI 1962454967?

NPI 1962454967 is linked to PRIMARY CARE PARTNERS LLC (billing NPI 1083900526) in the available physician profile data.

Does NPI 1962454967 have Open Payments data?

NPI 1962454967 has 59 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.