Physician

Franklin Li, MD

According to 2025 Medicare claims, Franklin Li, MD (NPI: 1457499089) practices ophthalmology in the Durham-Chapel Hill, NC market, with the plurality of this provider's patient population coming from Person, NC. This provider's primary affiliated billing organization is DUKE HEALTH INTEGRATED PRACTICE, INC. (NPI: 1205553369; TIN: 862109896) and primary practice location at 27704-2122. Li is affiliated with the Duke Connected Care, LLC (ACO ID: A2419), participating under the MSSP model.

Li's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 683 traditional Medicare patients, billed 2,426 HCPCS/CPT codes, and received $186,094 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 2,645 prescription claims across 782 beneficiaries totaling $147,697 in drug costs, led by Restasis (Cyclosporine). Open Payments data shows 1 records totaling $79. 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 $71,396 to $186,094. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $60,252 to $147,697. 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	360	676	$71,396
2016	475	1,045	$101,124
2017	528	1,210	$113,241
2018	360	812	$100,510
2019	601	1,339	$143,574
2020	546	1,140	$119,639
2021	654	1,596	$179,747
2022	774	1,931	$216,174
2023	680	1,838	$200,554
2024	683	2,426	$186,094

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	195	631	$60,252
2016	309	1,072	$91,779
2017	333	1,136	$85,968
2018	319	731	$51,938
2019	396	1,339	$103,529
2020	428	1,250	$116,056
2021	580	1,903	$166,663
2022	709	2,282	$156,466
2023	698	2,344	$156,056
2024	782	2,645	$147,697

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
66984	Removal of cataract with insertion of prosthetic lens	95	219	$224
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$99
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	375	418	$81
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	94	109	$49
92285	Photography of content of eyes	98	99	$14

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Restasis	Cyclosporine	69	3,510	$70,258
Lumigan	Bimatoprost	31	1,348	$13,410
Prednisolone Acetate	Prednisolone Acetate	358	9,458	$9,148
Moxifloxacin	Moxifloxacin Hcl	317	5,385	$7,008
Ketorolac Tromethamine	Ketorolac Tromethamine	320	7,923	$5,357

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.	1	$79	Amgen 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 Franklin Li, MD?

Tedicare shows public-source Medicare data for Franklin Li, MD (NPI 1457499089), 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 Franklin Li, MD have ACO affiliation data?

Franklin Li, MD is shown with ACO affiliation data for Duke Connected Care, LLC (MSSP, ACO ID A2419).

What billing organization is linked to Franklin Li, MD?

Franklin Li, MD is linked to DUKE HEALTH INTEGRATED PRACTICE, INC. (billing NPI 1205553369) in the available physician profile data.

Does Franklin Li, MD have Open Payments data?

Franklin Li, MD has 1 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.