Physician

Roger Karl Pons, MD

According to 2025 Medicare claims, Roger Pons, MD (NPI: 1548217383) practices undersea and hyperbaric medicine, with the plurality of this provider's patient population coming from Jackson, IL. This provider's primary affiliated billing organization is SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (NPI: 1770656837; TIN: 205521741) and primary practice location at 62948-3631. Pons is affiliated with the Quality Health Partners, LLC (ACO ID: A5553), participating under the MSSP model.

Pons' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 130 traditional Medicare patients, billed 1,381 HCPCS/CPT codes, and received $70,780 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 407 prescription claims across 136 beneficiaries totaling $301,476 in drug costs, led by Streptomycin Sulfate (Streptomycin Sulfate). DME data shows 277 claims. Open Payments data shows 1 records totaling $71. 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 sharply higher in recent years, from $56,289 to $70,780. Similarly, Part D prescription costs have moved sharply higher in recent years, from $29,624 to $301,476. 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	133	331	$56,289
2016	131	273	$35,957
2017	88	174	$18,651
2018	38	65	$7,062
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	26	177	$9,668
2023	34	228	$12,851
2024	130	1,381	$70,780

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	265	722	$29,624
2016	248	633	$30,676
2017	204	448	$33,191
2018	144	311	$22,297
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	24	47	$594
2023	36	102	$28,307
2024	136	407	$301,476

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	12	$83
2023	N/R	16	$798
2024	197	277	$22,457

* / # = 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
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	56	56	$140
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	114	$113
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	129	$76
11042	Removal of skin and tissue, 20.0 sq cm or less	87	306	$47
11045	Removal of skin and tissue, each additional 20.0 sq cm or less	33	626	$21

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Streptomycin Sulfate	Streptomycin Sulfate	59	1,770	$166,940
Colistimethate	Colistin (Colistimethate Na)	22	660	$38,683
Flucytosine	Flucytosine	13	390	$28,983
Tobramycin Sulfate	Tobramycin Sulfate	19	570	$26,336
Ceftriaxone	Ceftriaxone Sodium	13	390	$6,746

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
A6196	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing	N	38	49	$12,789
A6446	Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard	N	37	56	$3,223
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	N	12	21	$2,842
A6252	Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing	N	13	17	$2,472
A4450	Tape, non-waterproof, per 18 square inches	N	39	49	$417

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$71	Kerecis Limited
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 Roger Karl Pons, MD?

Tedicare shows public-source Medicare data for Roger Karl Pons, MD (NPI 1548217383), 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 Roger Karl Pons, MD have ACO affiliation data?

Roger Karl Pons, MD is shown with ACO affiliation data for Quality Health Partners, LLC (MSSP, ACO ID A5553).

What billing organization is linked to Roger Karl Pons, MD?

Roger Karl Pons, MD is linked to SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (billing NPI 1770656837) in the available physician profile data.

Does Roger Karl Pons, MD have Open Payments data?

Roger Karl Pons, MD has 1 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.