Physician

Darren Paul Hathaway, M.D.

According to 2025 Medicare claims, Darren Hathaway, M.D. (NPI: 1518028018) practices ophthalmology in the Battle Creek, MI market, with the plurality of this provider's patient population coming from Calhoun, MI. This provider's primary affiliated billing organization is SOUTH MICHIGAN OPHTHALMOLOGY P C (NPI: 1629224514; TIN: 30-0036235) and primary practice location at 49068-1446.

Hathaway's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 684 traditional Medicare patients, billed 1,952 HCPCS/CPT codes, and received $176,810 in Medicare payments. The top billing code was 66821 (Removal of recurring cataract in lens capsule using a laser). Part D data shows 803 prescription claims across 263 beneficiaries totaling $133,000 in drug costs, led by Restasis (Cyclosporine). DME data shows 42 claims. Open Payments data shows 4 records totaling $93. 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 declined steadily, from $321,559 to $176,810. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	780	3,360	$321,559
2016	863	3,296	$273,957
2017	825	2,890	$261,116
2018	974	3,207	$273,539
2019	1,149	3,612	$344,863
2020	740	2,149	$191,861
2021	779	2,482	$248,466
2022	677	2,068	$186,164
2023	706	2,072	$205,099
2024	684	1,952	$176,810

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	336	1,589	$135,833
2016	281	1,357	$133,053
2017	254	1,257	$136,044
2018	287	1,332	$171,210
2019	400	1,827	$238,119
2020	232	1,100	$173,995
2021	186	790	$143,165
2022	189	793	$157,084
2023	300	889	$148,326
2024	263	803	$133,000

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	89	91	$6,032
2016	50	50	$3,164
2017	72	72	$4,735
2018	43	45	$3,218
2019	142	142	$10,129
2020	36	36	$2,684
2021	13	13	$572
2022	41	42	$3,109
2023	53	53	$3,845
2024	42	42	$2,665

* / # = 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
66821	Removal of recurring cataract in lens capsule using a laser	99	128	$209
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$100
92014	Established patient complete exam of visual system	520	575	$67
92012	Established patient problem focused exam of visual system	121	234	$54
92136	Measurement of corneal curvature and depth of eye	96	154	$25

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Restasis	Cyclosporine	21	1,410	$28,044
Lumigan	Bimatoprost	43	3,120	$27,256
Prednisolone Acetate	Prednisolone Acetate	168	8,703	$9,999
Combigan	Brimonidine Tartrate/Timolol	28	1,407	$9,852
Tyrvaya	Varenicline Tartrate	12	360	$7,880

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
V2020	Frames, purchases	N	28	28	$1,379
V2301	Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens	N	14	14	$1,286

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$93	Ocular Therapeutix, 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 Darren Paul Hathaway, M.D.?

Tedicare shows public-source Medicare data for Darren Paul Hathaway, M.D. (NPI 1518028018), 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 Darren Paul Hathaway, 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 Darren Paul Hathaway, M.D.?

Darren Paul Hathaway, M.D. is linked to SOUTH MICHIGAN OPHTHALMOLOGY P C (billing NPI 1629224514) in the available physician profile data.

Does Darren Paul Hathaway, M.D. have Open Payments data?

Darren Paul Hathaway, M.D. has 4 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.