Physician

Marcus L Scarbrough, M.D.

According to 2025 Medicare claims, Marcus Scarbrough, M.D. (NPI: 1225069404) practices hospitalist in the Lawrence, KS market, with the plurality of this provider's patient population coming from Douglas, KS. This provider's primary affiliated billing organization is REED MEDICAL GROUP MDVIP AFFILIATE CORPORATION (NPI: 1215467584; TIN: 471216616) and primary practice location at 66044-2249. Scarbrough is affiliated with the Sound Physicians Long Term Care Management, LLC (ACO ID: A5220), participating under the MSSP model.

Scarbrough's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 241 traditional Medicare patients, billed 12,567 HCPCS/CPT codes, and received $275,789 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 5,991 prescription claims across 309 beneficiaries totaling $665,898 in drug costs, led by Eliquis (Apixaban). DME data shows 376 claims. Open Payments data shows 14 records totaling $320. 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 sharply higher in recent years, from $93,532 to $275,789. Similarly, Part D prescription costs have moved sharply higher in recent years, from $41,703 to $665,898. In contrast, DME billing represents a smaller volume and 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	481	1,226	$93,532
2016	486	1,352	$104,815
2017	340	779	$61,081
2018	403	725	$64,527
2019	341	691	$59,444
2020	422	995	$79,988
2021	409	904	$81,797
2022	291	4,688	$142,513
2023	262	9,021	$187,320
2024	241	12,567	$275,789

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	165	611	$41,703
2016	169	472	$26,739
2017	127	379	$21,365
2018	107	265	$19,004
2019	102	309	$19,541
2020	129	346	$26,023
2021	133	377	$22,649
2022	303	3,503	$294,179
2023	285	5,691	$478,534
2024	309	5,991	$665,898

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	16	150	$16,740
2016	19	190	$12,460
2017	N/R	118	$4,370
2018	N/R	18	$878
2019	N/R	14	$804
2020	16	140	$7,711
2021	17	172	$10,054
2022	N/R	91	$4,521
2023	40	177	$6,319
2024	114	376	$13,219

* / # = 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	179	179	$121
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	163	300	$120
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	445	$82
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	203	535	$12
36415	Insertion of needle into vein for collection of blood sample	200	348	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	118	5,981	$115,862
Jardiance	Empagliflozin	88	4,917	$93,588
Ozempic	Semaglutide	60	1,750	$57,717
Mounjaro	Tirzepatide	50	1,400	$50,255
Xarelto	Rivaroxaban	29	2,250	$42,088

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
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	20	47	$2,349
E0471	Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	Y	N/R	11	$2,252
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	21	$1,364
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	Y	N/R	17	$1,358
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	13	32	$1,169

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	14	$320	Nevro Corp.
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 Marcus L. Scarbrough, M.D.?

Tedicare shows public-source Medicare data for Marcus L. Scarbrough, M.D. (NPI 1225069404), 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 Marcus L. Scarbrough, M.D. have ACO affiliation data?

Marcus L. Scarbrough, M.D. is shown with ACO affiliation data for Sound Physicians Long Term Care Management, LLC (MSSP, ACO ID A5220).

What billing organization is linked to Marcus L. Scarbrough, M.D.?

Marcus L. Scarbrough, M.D. is linked to REED MEDICAL GROUP MDVIP AFFILIATE CORPORATION (billing NPI 1215467584) in the available physician profile data.

Does Marcus L. Scarbrough, M.D. have Open Payments data?

Marcus L. Scarbrough, M.D. has 14 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.