Physician

Manish Nepal, MD

According to 2025 Medicare claims, Manish Nepal, MD (NPI: 1982862751) practices nephrology in the Bangor, ME market, with the plurality of this provider's patient population coming from Penobscot, ME. This provider's primary affiliated billing organization is NORTHEAST NEPHROLOGY PA (NPI: 1336145200; TIN: 01-0521643) and primary practice location at 04401-6614. Nepal is affiliated with the Community Care Partnership of Maine, LLC (ACO ID: A2831) and Beacon Rural Health, LLC (ACO ID: A5614), participating under the MSSP model.

Nepal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 348 traditional Medicare patients, billed 935 HCPCS/CPT codes, and received $93,936 in Medicare payments. The top billing code was 90960 (Dialysis services, 4 or more physician visits per month (20 years or older)). Part D data shows 957 prescription claims across 248 beneficiaries totaling $210,737 in drug costs, led by Farxiga (Dapagliflozin Propanediol). 2023 DME data shows 33 claims. Open Payments data shows 1 records totaling $60. 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 $356,240 and ending at $210,737. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	652	1,963	$149,953
2016	668	2,028	$184,307
2017	635	1,687	$158,839
2018	622	1,796	$198,022
2019	687	2,077	$199,073
2020	588	2,074	$207,083
2021	534	1,799	$179,485
2022	445	1,410	$140,031
2023	372	1,058	$110,580
2024	348	935	$93,936

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	268	1,556	$356,240
2016	278	1,454	$366,803
2017	261	1,279	$288,057
2018	274	1,167	$215,002
2019	275	1,040	$144,643
2020	260	1,102	$156,005
2021	270	1,051	$172,037
2022	246	815	$253,536
2023	245	909	$284,216
2024	248	957	$210,737

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	N/R	N/R
2017	N/R	28	$663
2018	N/R	96	$5,079
2019	N/R	N/R	N/R
2020	N/R	30	$3,487
2021	N/R	75	$7,260
2022	N/R	56	$2,652
2023	N/R	33	$1,198
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
90960	Dialysis services, 4 or more physician visits per month (20 years or older)	69	90	$260
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	48	$96
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	169	$79
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	111	343	$58
90935	Hemodialysis procedure with physician evaluation	49	114	$52

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Farxiga	Dapagliflozin Propanediol	54	3,520	$64,787
Jardiance	Empagliflozin	38	2,940	$53,173
Lokelma	Sodium Zirconium Cyclosilicate	22	1,601	$17,956
Sevelamer Carbonate	Sevelamer Carbonate	38	2,831	$7,783
Potassium Chloride	Potassium Chloride	57	4,439	$1,722

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$60	Outset Medical 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

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FAQ

What Medicare data is available for Manish Nepal, MD?

Tedicare shows public-source Medicare data for Manish Nepal, MD (NPI 1982862751), 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 Manish Nepal, MD have ACO affiliation data?

Manish Nepal, MD is shown with ACO affiliation data for Community Care Partnership of Maine, LLC (MSSP, ACO ID A2831) and Beacon Rural Health, LLC (MSSP, ACO ID A5614).

What billing organization is linked to Manish Nepal, MD?

Manish Nepal, MD is linked to NORTHEAST NEPHROLOGY PA (billing NPI 1336145200) in the available physician profile data.

Does Manish Nepal, MD have Open Payments data?

Manish Nepal, MD has 1 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.