Physician

Scott M. Seaton, M.D.

According to 2025 Medicare claims, Scott Seaton, M.D. (NPI: 1528088036) practices internal medicine in the Staunton-Stuarts Draft, VA market, with the plurality of this provider's patient population coming from Waynesboro City, VA. This provider's primary affiliated billing organization is UNIVERSITY OF VIRGINIA PHYSICIANS GROUP (NPI: 1033138250; TIN: 541124769) and primary practice location at 22980-3237.

Seaton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 901 traditional Medicare patients, billed 5,376 HCPCS/CPT codes, and received $233,638 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 19,835 prescription claims across 1,187 beneficiaries totaling $1,534,004 in drug costs, led by Eliquis (Apixaban). DME data shows 576 claims. Open Payments data shows 2 records totaling $134. 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. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $69,998 and ending at $37,416.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,019	8,144	$368,355
2016	1,050	7,780	$340,910
2017	1,048	7,175	$311,438
2018	1,131	7,217	$315,248
2019	1,053	6,620	$295,217
2020	949	5,784	$249,589
2021	1,055	5,911	$295,195
2022	1,084	6,071	$292,858
2023	961	5,482	$270,045
2024	901	5,376	$233,638

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	978	18,556	$1,402,050
2016	1,046	18,859	$1,446,860
2017	1,058	17,312	$1,335,872
2018	1,163	18,416	$1,454,383
2019	1,194	17,783	$1,514,811
2020	1,067	17,436	$1,478,968
2021	1,151	17,149	$1,582,806
2022	1,312	18,464	$1,663,382
2023	1,223	18,502	$1,677,800
2024	1,187	19,835	$1,534,004

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	509	1,645	$74,104
2016	435	1,526	$46,401
2017	333	1,483	$36,683
2018	335	1,306	$29,719
2019	306	1,173	$34,771
2020	246	822	$19,660
2021	144	692	$23,630
2022	131	709	$29,348
2023	92	594	$33,888
2024	84	576	$34,514

* / # = 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	291	291	$126
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	705	1,509	$83
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	277	325	$56
G0008	Administration of influenza virus vaccine	284	290	$20
36415	Insertion of needle into vein for collection of blood sample	621	825	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	271	13,990	$265,134
Ozempic	Semaglutide	111	4,380	$141,677
Trulicity	Dulaglutide	85	3,780	$127,200
Jardiance	Empagliflozin	95	5,810	$112,130
Xarelto	Rivaroxaban	72	4,163	$75,857

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	40	$16,759
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	11	97	$6,958
A7031	Face mask interface, replacement for full face mask, each	N	N/R	19	$1,501
A7030	Full face mask used with positive airway pressure device, each	N	N/R	17	$1,415
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	43	105	$1,212

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$134	Otsuka America Pharmaceutical, 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 Scott M. Seaton, M.D.?

Tedicare shows public-source Medicare data for Scott M. Seaton, M.D. (NPI 1528088036), 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 Scott M. Seaton, 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 Scott M. Seaton, M.D.?

Scott M. Seaton, M.D. is linked to UNIVERSITY OF VIRGINIA PHYSICIANS GROUP (billing NPI 1033138250) in the available physician profile data.

Does Scott M. Seaton, M.D. have Open Payments data?

Scott M. Seaton, M.D. has 2 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.