Physician

Darron B Locke, MD

According to 2025 Medicare claims, Darron Locke, MD (NPI: 1073507943) practices family practice in the Altoona, PA market, with the plurality of this provider's patient population coming from Blair, PA. This provider's primary affiliated billing organization is COVE FAMILY PRACTICE, INC. (NPI: 1023081429; TIN: 25-1778728) and primary practice location at 16673-1212. Locke is affiliated with the AdvantagePoint Health Alliance - Laurel Highlands, LLC (ACO ID: A4657), participating under the MSSP model.

Locke's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 520 traditional Medicare patients, billed 3,066 HCPCS/CPT codes, and received $188,832 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 16,483 prescription claims across 808 beneficiaries totaling $1,103,327 in drug costs, led by Eliquis (Apixaban). DME data shows 134 claims. Open Payments data shows 10 records totaling $188. 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 $97,910 to $188,832. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $12,170 and ending at $8,061.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	479	2,011	$97,910
2016	495	2,138	$99,252
2017	537	2,297	$107,737
2018	670	3,598	$173,917
2019	693	4,160	$199,660
2020	465	1,839	$107,874
2021	579	2,973	$183,915
2022	606	3,677	$235,447
2023	562	3,025	$194,563
2024	520	3,066	$188,832

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	694	19,212	$1,096,184
2016	749	19,489	$1,035,371
2017	726	18,844	$1,050,454
2018	932	20,132	$1,064,729
2019	894	18,203	$958,892
2020	802	16,386	$901,164
2021	693	15,410	$958,208
2022	744	14,694	$987,005
2023	841	15,404	$1,009,913
2024	808	16,483	$1,103,327

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	53	435	$19,778
2016	63	451	$9,156
2017	18	442	$6,567
2018	75	372	$5,827
2019	50	319	$5,968
2020	N/R	256	$7,521
2021	N/R	142	$6,040
2022	13	367	$13,674
2023	N/R	230	$9,536
2024	N/R	134	$4,150

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	277	277	$122
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	361	780	$82
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	125	201	$62
G0444	Annual depression screening, 5 to 15 minutes	275	275	$18
G0442	Annual alcohol misuse screening, 5 to 15 minutes	288	288	$18

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	453	9,737	$191,961
Nuplazid	Pimavanserin Tartrate	25	378	$67,111
Xarelto	Rivaroxaban	170	3,368	$65,591
Jardiance	Empagliflozin	131	2,687	$55,478
Ozempic	Semaglutide	58	1,682	$51,255

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	18	$1,347
A4409	Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each	N	N/R	12	$979
A5063	Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each	N	N/R	14	$492
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	17	$348
A4406	Ostomy skin barrier, pectin-based, paste, per ounce	N	N/R	15	$318

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	10	$188	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 Darron B. Locke, MD?

Tedicare shows public-source Medicare data for Darron B. Locke, MD (NPI 1073507943), 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 Darron B. Locke, MD have ACO affiliation data?

Darron B. Locke, MD is shown with ACO affiliation data for AdvantagePoint Health Alliance - Laurel Highlands, LLC (MSSP, ACO ID A4657).

What billing organization is linked to Darron B. Locke, MD?

Darron B. Locke, MD is linked to COVE FAMILY PRACTICE, INC. (billing NPI 1023081429) in the available physician profile data.

Does Darron B. Locke, MD have Open Payments data?

Darron B. Locke, MD has 10 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.