Physician

Gregory E Sutton, MD

According to 2025 Medicare claims, Gregory Sutton, MD (NPI: 1023016656) practices ophthalmology in the Lincoln, NE market, with the plurality of this provider's patient population coming from Lancaster, NE. This provider's primary affiliated billing organization is EYE SURGICAL ASSOCIATES, LLC (NPI: 1417952995; TIN: 47-0626698) and primary practice location at 68506-1676. Sutton is affiliated with the Bryan Health Connect ACO, LLC (ACO ID: A4573), participating under the MSSP model.

Sutton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,253 traditional Medicare patients, billed 4,391 HCPCS/CPT codes, and received $465,580 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 4,231 prescription claims across 727 beneficiaries totaling $141,190 in drug costs, led by Lumigan (Bimatoprost). 2021 DME data shows 28 claims. Open Payments data shows 7 records totaling $131. 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 declined steadily, from $840,698 to $465,580. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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	2,092	6,523	$840,698
2016	2,008	6,342	$727,337
2017	1,989	7,193	$781,474
2018	2,096	7,150	$796,656
2019	2,088	6,578	$784,769
2020	1,654	5,104	$591,449
2021	1,754	5,778	$645,494
2022	1,655	5,547	$626,017
2023	1,535	5,237	$594,939
2024	1,253	4,391	$465,580

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	1,215	6,668	$256,494
2016	1,029	6,310	$224,944
2017	885	6,087	$218,830
2018	940	6,637	$232,532
2019	1,007	6,641	$251,380
2020	1,005	6,637	$285,228
2021	976	6,096	$271,395
2022	899	5,406	$244,576
2023	786	4,538	$223,998
2024	727	4,231	$141,190

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	195	212	$12,543
2016	164	180	$10,939
2017	86	109	$6,328
2018	76	77	$4,331
2019	70	75	$4,800
2020	43	45	$2,941
2021	28	28	$1,501
2022	N/R	N/R	N/R
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
66984	Removal of cataract with insertion of prosthetic lens	575	971	$201
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	353	353	$101
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	620	692	$78
92136	Measurement of corneal curvature and depth of eye	420	633	$26
92133	Imaging of optic nerve	379	399	$22

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Lumigan	Bimatoprost	57	2,501	$23,263
Restasis	Cyclosporine	20	1,125	$19,093
Latanoprost	Latanoprost	2,027	110,854	$18,229
Combigan	Brimonidine Tartrate/Timolol	34	1,454	$12,092
Levobunolol Hcl	Levobunolol Hcl	496	33,232	$10,522

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.	7	$131	ABBVIE 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 Gregory E. Sutton, MD?

Tedicare shows public-source Medicare data for Gregory E. Sutton, MD (NPI 1023016656), 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 Gregory E. Sutton, MD have ACO affiliation data?

Gregory E. Sutton, MD is shown with ACO affiliation data for Bryan Health Connect ACO, LLC (MSSP, ACO ID A4573).

What billing organization is linked to Gregory E. Sutton, MD?

Gregory E. Sutton, MD is linked to EYE SURGICAL ASSOCIATES, LLC (billing NPI 1417952995) in the available physician profile data.

Does Gregory E. Sutton, MD have Open Payments data?

Gregory E. Sutton, MD has 7 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.