Physician

Todd A Sponsler, M.D.

According to 2025 Medicare claims, Todd Sponsler, M.D. (NPI: 1497728935) practices ophthalmology in the Altoona, PA market, with the plurality of this provider's patient population coming from Blair, PA. This provider's primary affiliated billing organization is ALTOONA OPHTHALMOLOGY ASSOCIATES PC (NPI: 1114966090; TIN: 251234309) and primary practice location at 16602-5530.

Sponsler's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 608 traditional Medicare patients, billed 1,269 HCPCS/CPT codes, and received $127,868 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 2,217 prescription claims across 653 beneficiaries totaling $116,923 in drug costs, led by Restasis (Cyclosporine). Open Payments data shows 5 records totaling $120. 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. Similarly, Part D prescription costs have changed little. 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	790	1,611	$144,905
2016	809	1,656	$140,695
2017	762	1,479	$121,138
2018	758	1,536	$143,974
2019	765	1,658	$163,362
2020	610	1,179	$106,094
2021	599	1,239	$131,114
2022	611	1,266	$129,142
2023	664	1,453	$153,616
2024	608	1,269	$127,868

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	508	1,718	$148,898
2016	484	1,585	$135,714
2017	469	1,563	$140,731
2018	441	1,551	$153,886
2019	460	1,625	$155,373
2020	473	1,598	$143,425
2021	482	1,629	$141,000
2022	490	1,701	$130,880
2023	668	2,191	$157,783
2024	653	2,217	$116,923

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	96	135	$398
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	472	534	$81
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	134	159	$58
92136	Measurement of corneal curvature and depth of eye	103	149	$32
92134	Imaging of retina	132	134	$28

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Restasis	Cyclosporine	21	990	$19,918
Lumigan	Bimatoprost	21	1,785	$14,384
Prednisolone Acetate	Prednisolone Acetate	456	11,237	$13,514
Cyclosporine	Cyclosporine	18	675	$7,346
Difluprednate	Difluprednate	58	2,236	$6,115

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.	5	$120	ABBVIE 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 Todd A. Sponsler, M.D.?

Tedicare shows public-source Medicare data for Todd A. Sponsler, M.D. (NPI 1497728935), 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 Todd A. Sponsler, M.D. have ACO affiliation data?

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

What billing organization is linked to Todd A. Sponsler, M.D.?

Todd A. Sponsler, M.D. is linked to ALTOONA OPHTHALMOLOGY ASSOCIATES PC (billing NPI 1114966090) in the available physician profile data.

Does Todd A. Sponsler, M.D. have Open Payments data?

Todd A. Sponsler, M.D. has 5 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.