Physician

James Robert Wharton, MD

According to 2025 Medicare claims, James Wharton, MD (NPI: 1386619203) practices dermatology in the Louisville/Jefferson County, KY-IN market, with the plurality of this provider's patient population coming from Jefferson, KY. This provider's primary affiliated billing organization is VITALSKIN MEDICAL GROUP IL PLLC (NPI: 1477297083; TIN: 85-1790842) and primary practice location at 40223-4219.

Wharton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,113 traditional Medicare patients, billed 10,622 HCPCS/CPT codes, and received $929,893 in Medicare payments. The top billing code was 17311 (Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks). Part D data shows 874 prescription claims across 421 beneficiaries totaling $356,638 in drug costs, led by Otezla (Apremilast). Open Payments data shows 199 records totaling $119,379. 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 moved from a lower plateau to a higher plateau, from $478,229 to $929,893. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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.

Year	Patients	Clm Lines	Payment
2015	1,962	11,535	$478,229
2016	1,932	11,326	$482,103
2017	1,585	9,489	$430,223
2018	1,252	9,176	$370,361
2019	1,235	11,761	$749,299
2020	1,000	10,753	$842,624
2021	1,198	12,025	$977,097
2022	1,138	11,001	$873,419
2023	1,158	11,784	$969,865
2024	1,113	10,622	$929,893

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	349	833	$259,857
2016	333	763	$261,105
2017	368	862	$296,044
2018	496	1,222	$335,950
2019	546	1,424	$496,173
2020	429	1,191	$381,586
2021	552	1,403	$415,962
2022	500	1,092	$331,932
2023	447	973	$309,227
2024	421	874	$356,638

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
17311	Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	262	306	$439
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	643	859	$54
17000	Destruction of precancer skin growth, 1 growth	390	503	$34
88305	Pathology examination of tissue using a microscope, intermediate complexity	455	753	$27
17003	Destruction of precancer skin growth, 2-14 growths	308	1,572	$4

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Otezla	Apremilast	39	1,170	$191,887
Humira(Cf) Pen	Adalimumab	12	336	$95,035
Fluorouracil	Fluorouracil	79	2,341	$5,829
Clobetasol Propionate	Clobetasol Propionate	64	1,869	$2,995
Ketoconazole	Ketoconazole	74	2,224	$1,802

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	199	$119,379	SUN PHARMACEUTICAL INDUSTRIES INC.
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 James Robert Wharton, MD?

Tedicare shows public-source Medicare data for James Robert Wharton, MD (NPI 1386619203), 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 James Robert Wharton, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to James Robert Wharton, MD?

James Robert Wharton, MD is linked to VITALSKIN MEDICAL GROUP IL PLLC (billing NPI 1477297083) in the available physician profile data.

Does James Robert Wharton, MD have Open Payments data?

James Robert Wharton, MD has 199 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.