Physician

Lance A Sherley, DO

According to 2025 Medicare claims, Lance Sherley, DO (NPI: 1518958966) practices family practice in the Clarksville, TN-KY market, with the plurality of this provider's patient population coming from Montgomery, TN. This provider's primary affiliated billing organization is PREMIER MEDICAL GROUP PC (NPI: 1740242957; TIN: 621586159) and primary practice location at 37040-5007. Sherley is affiliated with the CHSPSC ACO 15, LLC (ACO ID: A3692), participating under the MSSP model.

Sherley's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 417 traditional Medicare patients, billed 18,470 HCPCS/CPT codes, and received $166,820 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 8,695 prescription claims across 512 beneficiaries totaling $707,685 in drug costs, led by Ozempic (Semaglutide). DME data shows 309 claims. No Open Payments records. 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 $106,476 to $166,820. Similarly, Part D prescription costs have risen steadily, from $410,054 to $707,685. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $53,654 and ending at $18,668.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	351	11,306	$106,476
2016	385	9,618	$98,759
2017	405	12,591	$102,630
2018	517	12,966	$112,862
2019	682	14,713	$152,059
2020	553	15,113	$121,722
2021	552	16,510	$136,199
2022	471	16,755	$148,168
2023	431	14,630	$155,081
2024	417	18,470	$166,820

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	329	6,666	$410,054
2016	289	6,141	$399,792
2017	280	6,359	$399,298
2018	290	6,456	$390,994
2019	316	6,522	$397,500
2020	334	7,116	$429,566
2021	399	7,235	$526,928
2022	426	7,461	$568,963
2023	475	7,665	$654,318
2024	512	8,695	$707,685

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	99	336	$19,184
2016	129	478	$27,294
2017	135	549	$17,458
2018	156	621	$20,705
2019	139	709	$22,100
2020	150	575	$28,039
2021	80	421	$17,388
2022	99	396	$16,972
2023	92	368	$19,726
2024	68	309	$15,163

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	223	223	$119
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	277	447	$69
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	216	388	$52
36415	Insertion of needle into vein for collection of blood sample	295	557	$9
80048	Blood test, basic group of blood chemicals (calcium, total)	255	386	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	91	3,944	$121,152
Trulicity	Dulaglutide	49	1,484	$49,141
Eliquis	Apixaban	64	2,351	$44,104
Mounjaro	Tirzepatide	34	1,204	$43,646
Jardiance	Empagliflozin	54	2,428	$42,352

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	11	$3,810
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	11	$1,359
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	21	$1,347
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	N/R	25	$1,199
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	11	$981

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

Explore More Providers

FAQ

What Medicare data is available for Lance A. Sherley, DO?

Tedicare shows public-source Medicare data for Lance A. Sherley, DO (NPI 1518958966), 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 Lance A. Sherley, DO have ACO affiliation data?

Lance A. Sherley, DO is shown with ACO affiliation data for CHSPSC ACO 15, LLC (MSSP, ACO ID A3692).

What billing organization is linked to Lance A. Sherley, DO?

Lance A. Sherley, DO is linked to PREMIER MEDICAL GROUP PC (billing NPI 1740242957) in the available physician profile data.

Does Lance A. Sherley, DO have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.