Physician

Andrew Edward Coles, MD

According to 2025 Medicare claims, Andrew Coles, MD (NPI: 1982721106) practices internal medicine in the Ogden, UT market, with the plurality of this provider's patient population coming from Davis, UT. This provider's primary affiliated billing organization is TANNER MEMORIAL CLINIC (NPI: 1447239355; TIN: 870218917) and primary practice location at 84041-8803. Coles is affiliated with the Aledade 57 Western Sky MSSP Enhanced (ACO ID: A4756), participating under the MSSP model.

Coles' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 262 traditional Medicare patients, billed 4,155 HCPCS/CPT codes, and received $353,128 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 415 prescription claims across 156 beneficiaries totaling $21,590 in drug costs, led by Botox (Onabotulinumtoxina). 2018 DME data shows 16 claims. Open Payments data shows 5 records totaling $79. 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 from a lower plateau to a higher plateau, from $210,173 to $353,128. In contrast, Part D prescription costs have declined steadily, from $248,711 to $21,590. 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$353K$705K2015 Medicare payment: $210,173 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $258,925 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $294,897 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $338,804 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $421,444 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $566,174 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $705,066 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $590,383 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $391,160 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $353,128 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152684,990$210,173
20162995,734$258,925
20173054,923$294,897
20183476,224$338,804
20193757,003$421,444
20203437,730$566,174
20213207,350$705,066
20222805,344$590,383
20232463,829$391,160
20242624,155$353,128

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$124K$249K2015 Drug cost: $248,711 (USD; Tot_Drug_Cst)2016 Drug cost: $186,042 (USD; Tot_Drug_Cst)2017 Drug cost: $148,678 (USD; Tot_Drug_Cst)2018 Drug cost: $126,960 (USD; Tot_Drug_Cst)2019 Drug cost: $157,954 (USD; Tot_Drug_Cst)2020 Drug cost: $134,747 (USD; Tot_Drug_Cst)2021 Drug cost: $98,021 (USD; Tot_Drug_Cst)2022 Drug cost: $92,847 (USD; Tot_Drug_Cst)2023 Drug cost: $48,684 (USD; Tot_Drug_Cst)2024 Drug cost: $21,590 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152432,752$248,711
20162542,343$186,042
20172912,279$148,678
20182851,805$126,960
20193102,096$157,954
20203443,026$134,747
20213261,804$98,021
20222471,559$92,847
2023231953$48,684
2024156415$21,590

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$2.2K$4.4K2015 Medicare payment: $4,412 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $1,868 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $883 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $587 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R52$4,412
2016N/R61$1,868
2017N/R31$883
2018N/R16$587
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 more1919$162
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more150390$132
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more3737$117
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more2392,944$89
80307Testing for presence of drug, by chemistry analyzers195456$59

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
BotoxOnabotulinumtoxina13786$8,561
BuprenorphineBuprenorphine22595$4,002
BelbucaBuprenorphine Hcl19120$2,057
Tramadol Hcl ErTramadol Hcl29231$543
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen50364$494

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.5$79Merz Pharmaceuticals, 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 Andrew Edward Coles, MD?

Tedicare shows public-source Medicare data for Andrew Edward Coles, MD (NPI 1982721106), 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 Andrew Edward Coles, MD have ACO affiliation data?

Andrew Edward Coles, MD is shown with ACO affiliation data for Aledade 57 Western Sky MSSP Enhanced (MSSP, ACO ID A4756).

What billing organization is linked to Andrew Edward Coles, MD?

Andrew Edward Coles, MD is linked to TANNER MEMORIAL CLINIC (billing NPI 1447239355) in the available physician profile data.

Does Andrew Edward Coles, MD have Open Payments data?

Andrew Edward Coles, MD has 5 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.