Physician

Scott C Simpson, M.D.

According to 2025 Medicare claims, Scott Simpson, M.D. (NPI: 1083656334) practices ophthalmology in the Boise City, ID market, with the plurality of this provider's patient population coming from Ada, ID. This provider's primary affiliated billing organization is RETINA CONSULTANTS OF IDAHO, PLLC (NPI: 1255456323; TIN: 20-8520350) and primary practice location at 83642-8395.

Simpson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 415 traditional Medicare patients, billed 6,189 HCPCS/CPT codes, and received $404,902 in Medicare payments. The top billing code was 92004 (New patient complete exam of visual system). Part D data shows 296 prescription claims across 78 beneficiaries totaling $7,533 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). 2017 DME data shows 12 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 changed little. Concurrently, Part D prescription costs have fallen sharply in recent years, from $10,638 to $7,533. 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.

Year	Patients	Clm Lines	Payment
2015	508	4,322	$477,007
2016	510	3,945	$437,004
2017	525	4,058	$480,683
2018	544	4,091	$493,321
2019	514	3,789	$565,682
2020	427	3,291	$530,372
2021	457	3,692	$584,102
2022	432	3,631	$538,616
2023	425	5,336	$507,899
2024	415	6,189	$404,902

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	59	198	$10,638
2016	72	285	$14,710
2017	78	323	$16,709
2018	85	313	$16,566
2019	106	401	$20,044
2020	61	256	$15,397
2021	66	259	$10,659
2022	61	265	$7,439
2023	65	260	$7,643
2024	78	296	$7,533

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	12	$20
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
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
92004	New patient complete exam of visual system	105	105	$92
92014	Established patient complete exam of visual system	351	1,131	$81
67028	Injection of drug into eye	87	245	$77
J9035	Injection, bevacizumab, 10 mg	43	92	$56
92134	Imaging of retina	334	1,092	$27

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisolone Acetate	Prednisolone Acetate	102	4,451	$4,759
Ketorolac Tromethamine	Ketorolac Tromethamine	55	1,933	$1,295
Brimonidine Tartrate	Brimonidine Tartrate	18	1,057	$395
Acetazolamide	Acetazolamide	11	115	$370
Tobramycin	Tobramycin	39	873	$192

Top 5 DME services in 2024

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

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 Scott C. Simpson, M.D.?

Tedicare shows public-source Medicare data for Scott C. Simpson, M.D. (NPI 1083656334), 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 Scott C. Simpson, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Scott C. Simpson, M.D.?

Scott C. Simpson, M.D. is linked to RETINA CONSULTANTS OF IDAHO, PLLC (billing NPI 1255456323) in the available physician profile data.

Does Scott C. Simpson, M.D. 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.