Physician

John Peter O'Laughlin, M.D.

According to 2025 Medicare claims, John O'Laughlin, M.D. (NPI: 1356761894) practices internal medicine in the Utica-Rome, NY market, with the plurality of this provider's patient population coming from Oneida, NY. This provider's primary affiliated billing organization is CENTRAL NEW YORK CARDIOLOGY, PC (NPI: 1750339412; TIN: 161225773) and primary practice location at 13502-4208. O'Laughlin is affiliated with the Northwell Health ACO (ACO ID: A3030) and Trinity Health Integrated Care (ACO ID: A3454), participating under the MSSP model.

O'Laughlin's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,618 traditional Medicare patients, billed 3,439 HCPCS/CPT codes, and received $312,085 in Medicare payments. The top billing code was 93306 (Ultrasound of heart with color-depicted blood flow, rate, direction and valve function). Part D data shows 3,571 prescription claims across 766 beneficiaries totaling $710,371 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 25 records totaling $630. 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 $16,165 to $710,371. 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$156K$312K2021 Medicare payment: $90,314 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $202,416 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $226,729 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $312,085 (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
2021590851$90,314
20221,3251,949$202,416
20231,3542,564$226,729
20241,6183,439$312,085

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$355K$710K2015 Drug cost: $16,165 (USD; Tot_Drug_Cst)2016 Drug cost: $42,190 (USD; Tot_Drug_Cst)2017 Drug cost: $75,532 (USD; Tot_Drug_Cst)2018 Drug cost: $27,027 (USD; Tot_Drug_Cst)2019 Drug cost: $43,237 (USD; Tot_Drug_Cst)2020 Drug cost: $18,859 (USD; Tot_Drug_Cst)2021 Drug cost: $48,970 (USD; Tot_Drug_Cst)2022 Drug cost: $300,710 (USD; Tot_Drug_Cst)2023 Drug cost: $555,987 (USD; Tot_Drug_Cst)2024 Drug cost: $710,371 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201551332$16,165
201675566$42,190
201792523$75,532
201868417$27,027
201956365$43,237
202046242$18,859
2021137320$48,970
20224911,945$300,710
20236343,031$555,987
20247663,571$710,371

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
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function517521$97
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more343382$85
93015Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician150150$49
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only224272$6
J2785Injection, regadenoson, 0.1 mg147588$4

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban26216,272$303,155
EntrestoSacubitril/Valsartan905,530$111,602
BrilintaTicagrelor1456,033$86,329
XareltoRivaroxaban754,170$73,751
JardianceEmpagliflozin372,040$38,238

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.25$630ABIOMED
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 John Peter O'Laughlin, M.D.?

Tedicare shows public-source Medicare data for John Peter O'Laughlin, M.D. (NPI 1356761894), 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 John Peter O'Laughlin, M.D. have ACO affiliation data?

John Peter O'Laughlin, M.D. is shown with ACO affiliation data for Northwell Health ACO (MSSP, ACO ID A3030) and Trinity Health Integrated Care (MSSP, ACO ID A3454).

What billing organization is linked to John Peter O'Laughlin, M.D.?

John Peter O'Laughlin, M.D. is linked to CENTRAL NEW YORK CARDIOLOGY, PC (billing NPI 1750339412) in the available physician profile data.

Does John Peter O'Laughlin, M.D. have Open Payments data?

John Peter O'Laughlin, M.D. has 25 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.