Physician

Richard J Sears, M.D.

According to 2025 Medicare claims, Richard Sears, M.D. (NPI: 1467400424) practices gastroenterology in the Winchester, VA-WV market, with the plurality of this provider's patient population coming from Winchester City, VA. This provider's primary affiliated billing organization is WINCHESTER GASTROENTEROLOGY ASSOCIATES (NPI: 1740248525; TIN: 541519210) and primary practice location at 22601-2872. Sears is affiliated with the ACO West Virginia (ACO ID: A3563) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Sears' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 796 traditional Medicare patients, billed 13,139 HCPCS/CPT codes, and received $329,897 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 622 prescription claims across 177 beneficiaries totaling $201,554 in drug costs, led by Linzess (Linaclotide). 2019 DME data shows 24 claims. Open Payments data shows 41 records totaling $601. 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 $98,150 to $201,554. 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	1,014	2,299	$262,820
2016	1,013	5,061	$264,554
2017	868	3,888	$226,677
2018	979	4,326	$283,458
2019	1,016	5,497	$293,642
2020	912	7,592	$302,728
2021	912	9,176	$316,856
2022	902	10,254	$321,056
2023	881	10,640	$310,487
2024	796	13,139	$329,897

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	98	417	$98,150
2016	116	420	$104,027
2017	120	423	$73,605
2018	142	578	$137,506
2019	173	629	$202,895
2020	194	744	$215,737
2021	189	702	$323,564
2022	169	697	$182,383
2023	153	612	$114,901
2024	177	622	$201,554

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	24	$3,536
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	192	193	$210
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	129	129	$187
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	101	103	$105
43235	Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	168	171	$79
43450	Dilation of esophagus	99	99	$30

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Linzess	Linaclotide	19	810	$13,702
Dexlansoprazole Dr	Dexlansoprazole	29	1,350	$8,416
Mesalamine	Mesalamine	17	810	$7,001
Azathioprine	Azathioprine	11	945	$3,796
Omeprazole	Omeprazole	211	14,243	$3,233

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.	41	$601	Salix Pharmaceuticals, a division of Bausch Health US, LLC
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 Richard J. Sears, M.D.?

Tedicare shows public-source Medicare data for Richard J. Sears, M.D. (NPI 1467400424), 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 Richard J. Sears, M.D. have ACO affiliation data?

Richard J. Sears, M.D. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Richard J. Sears, M.D.?

Richard J. Sears, M.D. is linked to WINCHESTER GASTROENTEROLOGY ASSOCIATES (billing NPI 1740248525) in the available physician profile data.

Does Richard J. Sears, M.D. have Open Payments data?

Richard J. Sears, M.D. has 41 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.