Physician

Shawn C Zeto, MD

According to 2025 Medicare claims, Shawn Zeto, MD (NPI: 1306800040) practices internal medicine in the Erie, PA market, with the plurality of this provider's patient population coming from Erie, PA. This provider's primary affiliated billing organization is OB-GYN ASSOCIATES OF ERIE, PC (NPI: 1497702294; TIN: 25-1653555) and primary practice location at 16501-1758. Zeto is affiliated with the Physician Partners of Western PA LLC (ACO ID: A3547), participating under the MSSP model.

Zeto's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 221 traditional Medicare patients, billed 1,516 HCPCS/CPT codes, and received $108,735 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 5,122 prescription claims across 401 beneficiaries totaling $527,960 in drug costs, led by Eliquis (Apixaban). DME data shows 110 claims. Open Payments data shows 37 records totaling $653. 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 changed little. Similarly, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved from a higher plateau to a lower plateau, from $20,185 to $8,703.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	279	2,062	$134,518
2016	291	1,891	$115,389
2017	305	1,928	$116,927
2018	355	2,151	$131,930
2019	362	2,445	$162,162
2020	276	2,343	$159,072
2021	291	1,953	$138,416
2022	253	1,548	$111,721
2023	278	1,870	$143,002
2024	221	1,516	$108,735

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	355	5,634	$486,654
2016	352	5,653	$465,387
2017	380	5,685	$380,028
2018	440	5,921	$418,670
2019	450	5,566	$412,286
2020	380	5,597	$431,180
2021	381	5,493	$426,262
2022	370	5,001	$404,102
2023	429	5,552	$548,735
2024	401	5,122	$527,960

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	14	124	$5,770
2016	30	172	$4,340
2017	15	270	$11,779
2018	13	97	$1,753
2019	11	24	$301
2020	16	82	$3,747
2021	N/R	84	$3,096
2022	N/R	76	$2,274
2023	12	78	$2,557
2024	12	110	$2,811

* / # = 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	99	99	$127
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	178	$84
G0008	Administration of influenza virus vaccine	50	50	$31
G0444	Annual depression screening, 5 to 15 minutes	74	74	$18
36415	Insertion of needle into vein for collection of blood sample	51	61	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	93	5,938	$113,209
Xarelto	Rivaroxaban	66	3,960	$72,104
Jardiance	Empagliflozin	43	2,610	$50,283
Ozempic	Semaglutide	35	1,122	$35,621
Oxycontin	Oxycodone Hcl	24	720	$28,100

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
E0600	Respiratory suction pump, home model, portable or stationary, electric	Y	N/R	21	$820
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	15	$667
E0565	Compressor, air power source for equipment which is not self-contained or cylinder driven	Y	N/R	16	$553
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	12	28	$384
A7000	Canister, disposable, used with suction pump, each	N	N/R	15	$258

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	37	$653	Novartis Pharmaceuticals Corporation
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 Shawn C. Zeto, MD?

Tedicare shows public-source Medicare data for Shawn C. Zeto, MD (NPI 1306800040), 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 Shawn C. Zeto, MD have ACO affiliation data?

Shawn C. Zeto, MD is shown with ACO affiliation data for Physician Partners of Western PA LLC (MSSP, ACO ID A3547).

What billing organization is linked to Shawn C. Zeto, MD?

Shawn C. Zeto, MD is linked to OB-GYN ASSOCIATES OF ERIE, PC (billing NPI 1497702294) in the available physician profile data.

Does Shawn C. Zeto, MD have Open Payments data?

Shawn C. Zeto, MD has 37 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.