Physician

Lawrence Scott Wilner, D.O.

According to 2025 Medicare claims, Lawrence Wilner, D.O. (NPI: 1518068709) practices family practice in the Pueblo, CO market, with the plurality of this provider's patient population coming from Pueblo, CO. This provider's primary affiliated billing organization is SUMMIT PRIMARY CARE (NPI: 1285256818; TIN: 850942718) and primary practice location at 81004-3734. Wilner is affiliated with the Aledade 201 National MSSP (ACO ID: A5522), participating under the MSSP model.

Wilner's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 287 traditional Medicare patients, billed 1,270 HCPCS/CPT codes, and received $79,967 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 1,017 prescription claims across 197 beneficiaries totaling $126,247 in drug costs, led by Ozempic (Semaglutide). 2017 DME data shows 39 claims. Open Payments data shows 14 records totaling $316. 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 risen steadily, from $38,410 to $79,967. Similarly, Part D prescription costs have moved sharply higher in recent years, from $50,652 to $126,247. In contrast, DME billing represents a smaller volume and moved from a higher plateau to a lower plateau, from $1,900 to $1,684.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$424K$847K2015 Medicare payment: $38,410 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $45,606 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $52,612 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $59,918 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $33,809 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $532,179 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $847,402 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $69,008 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $89,747 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $79,967 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015231831$38,410
20163201,115$45,606
20173741,303$52,612
20183591,511$59,918
2019255757$33,809
20204264,813$532,179
20214127,989$847,402
20221811,036$69,008
20232131,311$89,747
20242871,270$79,967

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$87K$174K2015 Drug cost: $50,652 (USD; Tot_Drug_Cst)2016 Drug cost: $74,030 (USD; Tot_Drug_Cst)2017 Drug cost: $69,191 (USD; Tot_Drug_Cst)2018 Drug cost: $79,509 (USD; Tot_Drug_Cst)2019 Drug cost: $55,431 (USD; Tot_Drug_Cst)2020 Drug cost: $44,782 (USD; Tot_Drug_Cst)2021 Drug cost: $49,638 (USD; Tot_Drug_Cst)2022 Drug cost: $174,291 (USD; Tot_Drug_Cst)2023 Drug cost: $101,679 (USD; Tot_Drug_Cst)2024 Drug cost: $126,247 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015104852$50,652
2016941,035$74,030
2017106903$69,191
20181091,042$79,509
20191121,038$55,431
2020217693$44,782
2021159534$49,638
20223201,854$174,291
20231681,063$101,679
20241971,017$126,247

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$664$1.3K2015 Medicare payment: $1,100 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $1,328 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $1,194 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R25$1,100
2016N/R20$1,328
2017N/R39$1,194
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more6060$153
G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms78153$112
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more185338$96
82075Measurement of alcohol level in breath specimen5895$29
96127Assessment of emotional or behavioral problems210410$3

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide14702$23,679
TrulicityDulaglutide11420$14,944
Oxycodone HclOxycodone Hcl732,019$1,239
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen19570$878
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen20577$796

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.14$316ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Lawrence Scott Wilner, D.O.?

Tedicare shows public-source Medicare data for Lawrence Scott Wilner, D.O. (NPI 1518068709), 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 Lawrence Scott Wilner, D.O. have ACO affiliation data?

Lawrence Scott Wilner, D.O. is shown with ACO affiliation data for Aledade 201 National MSSP (MSSP, ACO ID A5522).

What billing organization is linked to Lawrence Scott Wilner, D.O.?

Lawrence Scott Wilner, D.O. is linked to SUMMIT PRIMARY CARE (billing NPI 1285256818) in the available physician profile data.

Does Lawrence Scott Wilner, D.O. have Open Payments data?

Lawrence Scott Wilner, D.O. has 14 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.