Physician

Brenon Abernathie, MD

According to 2025 Medicare claims, Brenon Abernathie, MD (NPI: 1497916977) practices plastic and reconstructive surgery in the St. Louis, MO-IL market, with the plurality of this provider's patient population coming from Madison, IL. This provider's primary affiliated billing organization is ANDERSON MEDICAL GROUP, LLC (NPI: 1700807716; TIN: 200802394) and primary practice location at 62062-8500. Abernathie is affiliated with the WESTMED Medical Group (ACO ID: A1199) and IRCCO (ACO ID: A2619), participating under the MSSP model.

Abernathie's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 300 traditional Medicare patients, billed 1,157 HCPCS/CPT codes, and received $121,649 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 23 prescription claims across 19 beneficiaries totaling $135 in drug costs. Open Payments data shows 8 records totaling $278. 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 up and down with repeated peaks and valleys, starting at $76,737 and ending at $121,649. Concurrently, Part D prescription costs have fallen sharply in recent years, from $1,512 to $135. 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	205	584	$76,737
2016	268	966	$97,830
2017	321	1,231	$124,826
2018	339	1,379	$139,802
2019	348	1,158	$125,453
2020	227	1,051	$96,749
2021	217	656	$96,443
2022	281	966	$132,110
2023	282	904	$95,511
2024	300	1,157	$121,649

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	33	58	$1,512
2016	27	39	$386
2017	14	23	$176
2018	39	45	$18,563
2019	50	66	$24,402
2020	48	60	$80,660
2021	31	47	$16,411
2022	37	50	$465
2023	41	59	$281
2024	19	23	$135

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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	143	143	$119
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	90	$95
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$83
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	78	104	$67
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	86	249	$5

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

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.	8	$278	Integra LifeSciences Corporation
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 Brenon Abernathie, MD?

Tedicare shows public-source Medicare data for Brenon Abernathie, MD (NPI 1497916977), 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 Brenon Abernathie, MD have ACO affiliation data?

Brenon Abernathie, MD is shown with ACO affiliation data for WESTMED Medical Group (MSSP, ACO ID A1199) and IRCCO (MSSP, ACO ID A2619).

What billing organization is linked to Brenon Abernathie, MD?

Brenon Abernathie, MD is linked to ANDERSON MEDICAL GROUP, LLC (billing NPI 1700807716) in the available physician profile data.

Does Brenon Abernathie, MD have Open Payments data?

Brenon Abernathie, MD has 8 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.