Physician

Kenneth Richard Taylor, MD

According to 2025 Medicare claims, Kenneth Taylor, MD (NPI: 1225457534) practices ophthalmology in the Sheboygan, WI market, with the plurality of this provider's patient population coming from Sheboygan, WI. This provider's primary affiliated billing organization is AURORA MEDICAL GROUP, INC. (NPI: 1427271378; TIN: 391678306) and primary practice location at 53081-3129. Taylor is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (ACO ID: D0260), participating under both the MSSP and REACH models.

Taylor's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 251 traditional Medicare patients, billed 2,394 HCPCS/CPT codes, and received $291,353 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 1,179 prescription claims across 341 beneficiaries totaling $159,859 in drug costs, led by Xdemvy (Lotilaner). 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have risen steadily, from $5,327 to $159,859. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$146K$291K2022 Medicare payment: $20,068 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $125,033 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $291,353 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
202252187$20,068
20231861,218$125,033
20242512,394$291,353

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$80K$160K2015 Drug cost: $5,327 (USD; Tot_Drug_Cst)2016 Drug cost: $261 (USD; Tot_Drug_Cst)2019 Drug cost: $563 (USD; Tot_Drug_Cst)2020 Drug cost: $6,485 (USD; Tot_Drug_Cst)2021 Drug cost: $4,600 (USD; Tot_Drug_Cst)2022 Drug cost: $18,229 (USD; Tot_Drug_Cst)2023 Drug cost: $96,109 (USD; Tot_Drug_Cst)2024 Drug cost: $159,859 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201525109$5,327
2016N/R17$261
2017N/RN/RN/R
2018N/RN/RN/R
20191217$563
202089164$6,485
202150105$4,600
202286176$18,229
2023243847$96,109
20243411,179$159,859

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more134134$112
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more105201$85
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more86117$63
92134Imaging of retina84245$29
92136Measurement of corneal curvature and depth of eye91161$27

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
XdemvyLotilaner16680$33,104
RestasisCyclosporine471,515$29,441
XiidraLifitegrast25750$17,629
Bromfenac SodiumBromfenac Sodium682,312$8,738
Prednisolone AcetatePrednisolone Acetate2799,195$8,133

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.

FAQ

What Medicare data is available for Kenneth Richard Taylor, MD?

Tedicare shows public-source Medicare data for Kenneth Richard Taylor, MD (NPI 1225457534), 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 Kenneth Richard Taylor, MD have ACO affiliation data?

Kenneth Richard Taylor, MD is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (REACH, ACO ID D0260).

What billing organization is linked to Kenneth Richard Taylor, MD?

Kenneth Richard Taylor, MD is linked to AURORA MEDICAL GROUP, INC. (billing NPI 1427271378) in the available physician profile data.

Does Kenneth Richard Taylor, MD 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.