Physician

None

According to 2025 Medicare claims, NPI 1972598530 (NPI: 1972598530) practices geriatric medicine in the Toledo, OH market, with the plurality of this provider's patient population coming from Lucas, OH. This provider's primary affiliated billing organization is UNIVERSITY OF TOLEDO PHYSICIANS LLC (NPI: 1942296033; TIN: 341127097) and primary practice location at 43614-8004. 1972598530 is affiliated with the Mercy Health Select, LLC (ACO ID: A1215), participating under the MSSP model.

1972598530's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 389 traditional Medicare patients, billed 1,552 HCPCS/CPT codes, and received $122,675 in Medicare payments. The top billing code was 99305 (Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes). Part D data shows 20,986 prescription claims across 592 beneficiaries totaling $1,357,720 in drug costs, led by Eliquis (Apixaban). DME data shows 15 claims. Open Payments data shows 2 records totaling $44. 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 $788,771 to $1,357,720. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $8,614 and ending at $1,429.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	613	2,321	$139,385
2016	598	2,378	$140,535
2017	570	2,361	$141,904
2018	686	2,323	$159,259
2019	577	2,043	$140,042
2020	389	1,698	$114,053
2021	388	1,661	$118,602
2022	418	1,790	$127,076
2023	429	1,843	$157,310
2024	389	1,552	$122,675

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	427	12,913	$788,771
2016	470	12,614	$779,123
2017	477	14,324	$851,795
2018	574	17,130	$984,401
2019	560	17,819	$1,044,980
2020	438	14,993	$863,206
2021	485	13,666	$872,533
2022	556	15,982	$1,106,193
2023	561	20,034	$1,499,285
2024	592	20,986	$1,357,720

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	33	180	$7,099
2016	11	161	$5,211
2017	N/R	72	$2,069
2018	N/R	138	$2,980
2019	N/R	127	$2,900
2020	N/R	145	$4,208
2021	N/R	154	$6,361
2022	N/R	101	$5,457
2023	N/R	63	$2,602
2024	N/R	15	$135

* / # = 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
99305	Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	171	201	$105
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	29	$87
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	168	577	$83
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	544	$64
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	56	$64

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	742	12,772	$267,236
Jardiance	Empagliflozin	107	1,999	$41,678
Xarelto	Rivaroxaban	130	2,057	$41,130
Januvia	Sitagliptin Phosphate	61	1,343	$26,937
Rytary	Carbidopa/Levodopa	31	261	$23,341

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
K0195	Elevating leg rests, pair (for use with capped rental wheelchair base)	Y	N/R	15	$135

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$44	Otsuka America Pharmaceutical, Inc.
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

Explore More Providers

FAQ

What Medicare data is available for NPI 1972598530?

Tedicare shows public-source Medicare data for NPI 1972598530 (NPI 1972598530), 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 1972598530 have ACO affiliation data?

NPI 1972598530 is shown with ACO affiliation data for Mercy Health Select, LLC (MSSP, ACO ID A1215).

What billing organization is linked to NPI 1972598530?

NPI 1972598530 is linked to UNIVERSITY OF TOLEDO PHYSICIANS LLC (billing NPI 1942296033) in the available physician profile data.

Does NPI 1972598530 have Open Payments data?

NPI 1972598530 has 2 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.