Physician

Thomas M. Waterbury, MD

According to 2025 Medicare claims, Thomas Waterbury, MD (NPI: 1225392160) practices interventional cardiology in the Sioux Falls, SD-MN market, with the plurality of this provider's patient population coming from Minnehaha, SD. This provider's primary affiliated billing organization is HEART HOSPITAL OF SOUTH DAKOTA LLC (NPI: 1407109705; TIN: 562143771) and primary practice location at 57108-8148. Waterbury is affiliated with the Prairie Vista Care Organization (ACO ID: A3578) and Avera Prairie View ACO (ACO ID: A4692), participating under the MSSP model.

Waterbury's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,746 traditional Medicare patients, billed 3,826 HCPCS/CPT codes, and received $241,371 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 4,121 prescription claims across 729 beneficiaries totaling $604,481 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 5 records totaling $149. 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 $7,851 to $241,371. Similarly, Part D prescription costs have moved sharply higher in recent years, from $13,933 to $604,481. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.