Physician

Scott F. Avery, D.O.

According to 2025 Medicare claims, Scott Avery, D.O. (NPI: 1427230069) practices family practice in the St. Joseph, MO-KS market, with the plurality of this provider's patient population coming from Buchanan, MO. This provider's primary affiliated billing organization is BLUE HAIR HEALTH CARE (NPI: 1235709015; TIN: 86-3010694) and primary practice location at 64079-9360. Avery is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Sound Physicians Long Term Care Management, LLC (ACO ID: A5220), VBLTC (ACO ID: A5330), and Vytalize Health KS 25 LLC (ACO ID: A5671), participating under the MSSP model.

Avery's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 454 traditional Medicare patients, billed 4,801 HCPCS/CPT codes, and received $269,701 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 26,917 prescription claims across 650 beneficiaries totaling $3,202,833 in drug costs, led by Rexulti (Brexpiprazole). DME data shows 85 claims. Open Payments data shows 122 records totaling $73,080. 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 risen steadily, from $3,428 to $269,701. Similarly, Part D prescription costs have risen steadily, from $453,500 to $3,202,833. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $5,469 and ending at $29,796.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	92	227	$3,428
2016	28	71	$3,484
2017	196	358	$26,969
2018	499	910	$88,319
2019	718	1,913	$122,897
2020	405	1,344	$67,553
2021	356	1,923	$107,161
2022	309	2,140	$137,628
2023	490	4,993	$311,676
2024	454	4,801	$269,701

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	430	6,460	$453,500
2016	211	2,959	$219,514
2017	458	8,679	$523,386
2018	538	10,816	$945,031
2019	282	4,754	$467,577
2020	258	5,301	$441,486
2021	182	3,523	$501,220
2022	323	11,454	$1,126,470
2023	558	21,653	$2,251,280
2024	650	26,917	$3,202,833

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	49	170	$5,188
2016	N/R	13	$268
2017	17	154	$2,660
2018	N/R	27	$786
2019	15	61	$3,023
2020	N/R	58	$1,587
2021	N/R	112	$5,785
2022	N/R	32	$494
2023	N/R	47	$783
2024	N/R	85	$26,367

* / # = 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
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	206	235	$119
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$108
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	343	1,198	$69
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	374	1,939	$48
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	155	794	$32

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Rexulti	Brexpiprazole	363	4,836	$269,772
Eliquis	Apixaban	804	11,141	$237,669
Austedo Xr	Deutetrabenazine	38	707	$217,154
Austedo	Deutetrabenazine	41	609	$163,344
Ingrezza	Valbenazine Tosylate	28	562	$158,621

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
A6010	Collagen based wound filler, dry form, sterile, per gram of collagen	N	N/R	19	$25,346
A4314	Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)	N	N/R	26	$703
A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	N	N/R	21	$218
A4334	Urinary catheter anchoring device, leg strap, each	N	N/R	19	$100

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	122	$73,080	Teva Pharmaceuticals USA, 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 Scott F. Avery, D.O.?

Tedicare shows public-source Medicare data for Scott F. Avery, D.O. (NPI 1427230069), 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 Scott F. Avery, D.O. have ACO affiliation data?

Scott F. Avery, D.O. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Sound Physicians Long Term Care Management, LLC (MSSP, ACO ID A5220), VBLTC (MSSP, ACO ID A5330), and Vytalize Health KS 25 LLC (MSSP, ACO ID A5671).

What billing organization is linked to Scott F. Avery, D.O.?

Scott F. Avery, D.O. is linked to BLUE HAIR HEALTH CARE (billing NPI 1235709015) in the available physician profile data.

Does Scott F. Avery, D.O. have Open Payments data?

Scott F. Avery, D.O. has 122 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.