Physician

Donald William Scott, MD

According to 2025 Medicare claims, Donald Scott, MD (NPI: 1346229390) practices rheumatology in the Gainesville, FL market, with the plurality of this provider's patient population coming from Alachua, FL. This provider's primary affiliated billing organization is SIMEDHEALTH LLC (NPI: 1639680127; TIN: 823017080) and primary practice location at 32607-2824. Scott is affiliated with the PBACO Holding, LLC (ACO ID: A1001), participating under the MSSP model.

Scott's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,045 traditional Medicare patients, billed 89,819 HCPCS/CPT codes, and received $1,198,520 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 5,002 prescription claims across 711 beneficiaries totaling $2,032,549 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2023 DME data shows 14 claims. Open Payments data shows 5 records totaling $101. 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. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $469,561 to $2,032,549. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $5,142 to $1,631.

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$599K$1.2M2015 Medicare payment: $805,588 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $955,832 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $930,375 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,040,509 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,037,793 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,026,252 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,089,318 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,174,723 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,062,418 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,198,520 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201580648,846$805,588
201691050,628$955,832
201792557,109$930,375
20181,08259,994$1,040,509
20191,04853,321$1,037,793
202094944,402$1,026,252
20211,06353,610$1,089,318
20221,02768,990$1,174,723
202399169,401$1,062,418
20241,04589,819$1,198,520

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$1.0M$2.0M2015 Drug cost: $469,561 (USD; Tot_Drug_Cst)2016 Drug cost: $562,225 (USD; Tot_Drug_Cst)2017 Drug cost: $691,541 (USD; Tot_Drug_Cst)2018 Drug cost: $1,008,515 (USD; Tot_Drug_Cst)2019 Drug cost: $1,198,663 (USD; Tot_Drug_Cst)2020 Drug cost: $1,243,089 (USD; Tot_Drug_Cst)2021 Drug cost: $1,858,663 (USD; Tot_Drug_Cst)2022 Drug cost: $1,684,750 (USD; Tot_Drug_Cst)2023 Drug cost: $1,704,551 (USD; Tot_Drug_Cst)2024 Drug cost: $2,032,549 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154113,059$469,561
20164653,928$562,225
20174984,153$691,541
20185504,337$1,008,515
20196184,735$1,198,663
20206084,806$1,243,089
20216645,157$1,858,663
20226834,854$1,684,750
20236865,004$1,704,551
20247115,002$2,032,549

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$1.4K$2.8K2015 Medicare payment: $2,264 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $112 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $2,040 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $2,832 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $2,537 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $1,713 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $888 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R11$2,264
2016N/R11$112
2017N/R18$2,040
2018N/RN/RN/R
2019N/R20$2,832
2020N/R21$2,537
2021N/RN/RN/R
2022N/R29$1,713
2023N/R14$888
2024N/RN/RN/R

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more7721,864$89
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more487805$62
G2211Visit 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's654997$13
80053Blood test, comprehensive group of blood chemicals368568$10
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count342535$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab501,680$409,197
RinvoqUpadacitinib531,590$347,585
Enbrel SureclickEtanercept371,036$301,241
ForteoTeriparatide26728$117,684
TeriparatideTeriparatide521,456$114,964

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.5$101ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Donald William Scott, MD?

Tedicare shows public-source Medicare data for Donald William Scott, MD (NPI 1346229390), 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 Donald William Scott, MD have ACO affiliation data?

Donald William Scott, MD is shown with ACO affiliation data for PBACO Holding, LLC (MSSP, ACO ID A1001).

What billing organization is linked to Donald William Scott, MD?

Donald William Scott, MD is linked to SIMEDHEALTH LLC (billing NPI 1639680127) in the available physician profile data.

Does Donald William Scott, MD have Open Payments data?

Donald William Scott, MD has 5 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.