Physician

Kimberly A. Sikule, M.D.

According to 2025 Medicare claims, Kimberly Sikule, M.D. (NPI: 1972943629) practices family practice in the Burlington-South Burlington, VT market, with the plurality of this provider's patient population coming from Chittenden, VT. This provider's primary affiliated billing organization is EVERGREEN FAMILY HEALTH PARTNERS (NPI: 1588790562; TIN: 030371968) and primary practice location at 05495-4449.

Sikule's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 172 traditional Medicare patients, billed 1,597 HCPCS/CPT codes, and received $22,831 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 910 prescription claims across 202 beneficiaries totaling $91,454 in drug costs, led by Gabapentin (Gabapentin). 2022 DME data shows 23 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 moved up and down with repeated peaks and valleys, starting at $9,927 and ending at $22,831. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $41,726 and ending at $91,454. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $658 and ending at $4,167.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	128	200	$9,927
2018	315	701	$37,666
2019	326	789	$38,539
2020	304	685	$30,310
2021	295	715	$40,842
2022	212	462	$25,812
2023	199	450	$23,283
2024	172	1,597	$22,831

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	129	854	$41,726
2016	106	793	$44,967
2017	90	268	$21,459
2018	241	2,244	$181,057
2019	254	3,541	$365,887
2020	292	3,430	$305,054
2021	310	3,382	$360,460
2022	276	2,276	$282,188
2023	312	1,644	$180,890
2024	202	910	$91,454

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	30	$436
2017	N/R	N/R	N/R
2018	N/R	23	$454
2019	13	44	$536
2020	13	65	$1,073
2021	13	33	$572
2022	N/R	23	$397
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$85
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	109	$72
20611	Aspiration and/or injection of fluid large joint using ultrasound guidance	44	58	$52
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	70	87	$47
20610	Aspiration and/or injection of fluid from large joint	30	40	$31

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gabapentin	Gabapentin	31	998	$924
Atorvastatin Calcium	Atorvastatin Calcium	51	4,483	$850
Omeprazole	Omeprazole	41	3,122	$727
Pantoprazole Sodium	Pantoprazole Sodium	15	1,060	$356
Rosuvastatin Calcium	Rosuvastatin Calcium	11	1,000	$277

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.

Explore More Providers

FAQ

What Medicare data is available for Kimberly A. Sikule, M.D.?

Tedicare shows public-source Medicare data for Kimberly A. Sikule, M.D. (NPI 1972943629), 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 Kimberly A. Sikule, M.D. have ACO affiliation data?

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

What billing organization is linked to Kimberly A. Sikule, M.D.?

Kimberly A. Sikule, M.D. is linked to EVERGREEN FAMILY HEALTH PARTNERS (billing NPI 1588790562) in the available physician profile data.

Does Kimberly A. Sikule, M.D. 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.