Physician

James Robert Toothman, D.O.

According to 2025 Medicare claims, James Toothman, D.O. (NPI: 1992758411) practices internal medicine in the Parkersburg-Vienna, WV market, with the plurality of this provider's patient population coming from Wood, WV. This provider's primary affiliated billing organization is ALIGNMED MEDICAL GROUP WV, PC (NPI: 1003647462) and primary practice location at 25701-1653. Toothman is affiliated with the LTC ACO (ACO ID: A2973) and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Toothman's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,167 traditional Medicare patients, billed 6,463 HCPCS/CPT codes, and received $539,891 in Medicare payments. The top billing code was G0438 (Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit). Part D data shows 65,906 prescription claims across 1,493 beneficiaries totaling $4,499,777 in drug costs, led by Eliquis (Apixaban). DME data shows 1,475 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 from a lower plateau to a higher plateau, from $216,223 to $539,891. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $1,568,928 to $4,499,777. For DME billing, reported payments rose steadily, from $42,884 to $149,629.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	886	3,978	$216,223
2016	1,084	4,540	$245,426
2017	1,137	5,917	$278,239
2018	1,057	5,292	$272,558
2019	910	5,861	$360,819
2020	828	7,133	$508,770
2021	1,055	8,105	$593,904
2022	978	6,901	$497,313
2023	1,001	6,325	$530,559
2024	1,167	6,463	$539,891

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	691	31,597	$1,568,928
2016	730	30,892	$1,401,174
2017	785	39,483	$2,023,580
2018	782	40,865	$2,338,300
2019	779	45,240	$2,566,217
2020	746	40,551	$2,285,023
2021	935	44,701	$2,749,344
2022	1,064	50,093	$3,299,687
2023	1,241	58,707	$3,997,217
2024	1,493	65,906	$4,499,777

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	82	650	$50,892
2016	26	421	$25,982
2017	77	623	$78,211
2018	81	608	$44,373
2019	152	717	$59,806
2020	197	868	$55,377
2021	125	942	$63,555
2022	119	738	$61,823
2023	289	1,179	$89,779
2024	427	1,475	$138,620

* / # = 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
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	148	148	$154
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	347	347	$121
99305	Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	599	747	$98
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,087	4,398	$76
99497	Advance care planning, first 30 minutes	294	303	$58

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	2,258	30,739	$641,147
Ingrezza	Valbenazine Tosylate	30	405	$131,372
Jardiance	Empagliflozin	369	5,035	$109,848
Basaglar Kwikpen U-100	Insulin Glargine,hum.Rec.Anlog	576	6,005	$92,048
Xarelto	Rivaroxaban	328	4,306	$87,658

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
A6021	Collagen dressing, sterile, size 16 sq. in. or less, each	N	22	48	$25,847
A6196	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing	N	38	84	$19,559
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$12,157
A6010	Collagen based wound filler, dry form, sterile, per gram of collagen	N	N/R	11	$10,934
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	N	31	55	$6,764

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for James Robert Toothman, D.O.?

Tedicare shows public-source Medicare data for James Robert Toothman, D.O. (NPI 1992758411), 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 James Robert Toothman, D.O. have ACO affiliation data?

James Robert Toothman, D.O. is shown with ACO affiliation data for LTC ACO (MSSP, ACO ID A2973) and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to James Robert Toothman, D.O.?

James Robert Toothman, D.O. is linked to ALIGNMED MEDICAL GROUP WV, PC (billing NPI 1003647462) in the available physician profile data.

Does James Robert Toothman, D.O. 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.