Physician

Alec A. Macaulay, MD

According to 2025 Medicare claims, Alec Macaulay, MD (NPI: 1184918179) practices orthopedic surgery in the Ithaca, NY market, with the plurality of this provider's patient population coming from Tompkins, NY. This provider's primary affiliated billing organization is CAYUGA MEDICAL ASSOCIATES, PC (NPI: 1679525455; TIN: 204356115) and primary practice location at 14850-1863. Macaulay is affiliated with the Cayuga Health Partners (ACO ID: A3195), participating under the MSSP model.

Macaulay's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 391 traditional Medicare patients, billed 2,231 HCPCS/CPT codes, and received $102,099 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). 2017 Part D data shows 17 prescription claims across 13 beneficiaries totaling $483 in drug costs. DME data shows 54 claims. Open Payments data shows 5 records totaling $261. 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 risen steadily, from $5,918 to $102,099. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. For DME billing, reported payments did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	40	62	$5,918
2017	124	246	$24,339
2018	247	890	$69,765
2019	300	1,051	$93,746
2020	346	1,258	$110,954
2021	377	1,562	$111,028
2022	359	1,868	$108,864
2023	350	1,868	$98,514
2024	391	2,231	$102,099

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	15	24	$287
2016	26	52	$2,045
2017	13	17	$483
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

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	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	24	$276
2020	N/R	N/R	N/R
2021	27	27	$4,249
2022	N/R	N/R	N/R
2023	14	14	$3,372
2024	54	54	$8,662

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	133	$92
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$71
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	181	252	$65
20610	Aspiration and/or injection of fluid from large joint	52	96	$54
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	82	717	$1

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

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
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	N	20	20	$4,961
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	N	23	23	$2,039
L4397	Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf	N	11	11	$1,662

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	5	$261	Prodigy Surgical Distribution, 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 Alec A. Macaulay, MD?

Tedicare shows public-source Medicare data for Alec A. Macaulay, MD (NPI 1184918179), 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 Alec A. Macaulay, MD have ACO affiliation data?

Alec A. Macaulay, MD is shown with ACO affiliation data for Cayuga Health Partners (MSSP, ACO ID A3195).

What billing organization is linked to Alec A. Macaulay, MD?

Alec A. Macaulay, MD is linked to CAYUGA MEDICAL ASSOCIATES, PC (billing NPI 1679525455) in the available physician profile data.

Does Alec A. Macaulay, MD have Open Payments data?

Alec A. Macaulay, MD has 5 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.