Physician

Marilyn Joy Hepperle, M.D, FRCP

According to 2025 Medicare claims, Marilyn Hepperle, M.D, FRCP (NPI: 1215086111) practices internal medicine in the Montgomery, AL market, with the plurality of this provider's patient population coming from Autauga, AL. This provider's primary affiliated billing organization is MEDICAL CARE ASSOCIATES PRATTVILLE (NPI: 1588178735; TIN: 823329995) and primary practice location at 36067-3620. Hepperle is affiliated with the Aledade A3047 MS MSSP Enhanced (ACO ID: A3047), participating under the MSSP model.

Hepperle's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 315 traditional Medicare patients, billed 2,771 HCPCS/CPT codes, and received $158,902 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 6,560 prescription claims across 481 beneficiaries totaling $448,522 in drug costs, led by Nucynta Er (Tapentadol Hcl). DME data shows 171 claims. Open Payments data shows 23 records totaling $411. 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 up and down with repeated peaks and valleys, starting at $183,622 and ending at $158,902. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $1,442,808 to $448,522. In contrast, DME billing represents a smaller volume and declined steadily, from $57,873 to $28,132.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	398	5,267	$183,622
2016	377	4,716	$195,370
2017	329	3,076	$163,043
2018	277	2,081	$118,935
2019	282	2,761	$178,327
2020	302	2,257	$108,362
2021	311	2,251	$188,113
2022	287	2,054	$164,357
2023	247	1,719	$135,008
2024	315	2,771	$158,902

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	542	17,417	$1,442,808
2016	495	14,715	$1,138,074
2017	435	7,039	$492,833
2018	494	9,493	$790,835
2019	483	6,327	$564,455
2020	472	5,815	$402,990
2021	475	7,508	$494,659
2022	499	7,860	$588,373
2023	499	7,911	$699,919
2024	481	6,560	$448,522

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	189	711	$56,749
2016	202	951	$42,393
2017	106	678	$41,281
2018	40	515	$33,435
2019	14	347	$33,282
2020	N/R	295	$31,580
2021	13	351	$24,122
2022	24	381	$24,096
2023	N/R	187	$24,715
2024	N/R	171	$33,217

* / # = 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	219	219	$107
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	163	290	$105
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	972	$73
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	123	318	$50
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	228	765	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Nucynta Er	Tapentadol Hcl	30	900	$41,483
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	1,248	37,042	$39,379
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	41	1,590	$32,657
Linzess	Linaclotide	26	1,860	$32,117
Eliquis	Apixaban	25	1,470	$27,747

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$10,415
J7677	Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram	N	N/R	12	$9,091
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	24	$7,615
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	43	$3,388
J7605	Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms	N	N/R	13	$890

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	23	$411	Amgen 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 Marilyn Joy Hepperle, M.D, FRCP?

Tedicare shows public-source Medicare data for Marilyn Joy Hepperle, M.D, FRCP (NPI 1215086111), 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 Marilyn Joy Hepperle, M.D, FRCP have ACO affiliation data?

Marilyn Joy Hepperle, M.D, FRCP is shown with ACO affiliation data for Aledade A3047 MS MSSP Enhanced (MSSP, ACO ID A3047).

What billing organization is linked to Marilyn Joy Hepperle, M.D, FRCP?

Marilyn Joy Hepperle, M.D, FRCP is linked to MEDICAL CARE ASSOCIATES PRATTVILLE (billing NPI 1588178735) in the available physician profile data.

Does Marilyn Joy Hepperle, M.D, FRCP have Open Payments data?

Marilyn Joy Hepperle, M.D, FRCP has 23 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.