Physician

Edward William Duffy, MD

According to 2025 Medicare claims, Edward Duffy, MD (NPI: 1568516383) practices radiation oncology in the Sumter, SC market, with the plurality of this provider's patient population coming from Sumter, SC. This provider's primary affiliated billing organization is PRISMA HEALTH UNIVERSITY MEDICAL GROUP (NPI: 1295763217; TIN: 571004971) and primary practice location at 29150-4920. Duffy is affiliated with the McLeod Healthcare Network, LLC (ACO ID: A3677) and CVS ACO (ACO ID: A5407), participating under the MSSP model.

Duffy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 332 traditional Medicare patients, billed 3,587 HCPCS/CPT codes, and received $227,424 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 59 prescription claims across 27 beneficiaries totaling $920 in drug costs, led by Tamsulosin Hcl (Tamsulosin Hcl). Open Payments data shows 13 records totaling $372. 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. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $6,068 and ending at $920. 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.

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$145K$290K2015 Medicare payment: $226,413 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $290,059 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $246,720 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $214,810 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $252,944 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $283,594 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $257,246 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $265,299 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $251,336 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $227,424 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155464,051$226,413
20164664,987$290,059
20174733,888$246,720
20185013,457$214,810
20194204,377$252,944
20203784,547$283,594
20213493,975$257,246
20222933,624$265,299
20233224,119$251,336
20243323,587$227,424

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$3.5K$7.1K2015 Drug cost: $6,068 (USD; Tot_Drug_Cst)2016 Drug cost: $3,888 (USD; Tot_Drug_Cst)2017 Drug cost: $4,190 (USD; Tot_Drug_Cst)2018 Drug cost: $4,012 (USD; Tot_Drug_Cst)2019 Drug cost: $7,097 (USD; Tot_Drug_Cst)2020 Drug cost: $4,960 (USD; Tot_Drug_Cst)2021 Drug cost: $2,825 (USD; Tot_Drug_Cst)2022 Drug cost: $3,994 (USD; Tot_Drug_Cst)2023 Drug cost: $3,185 (USD; Tot_Drug_Cst)2024 Drug cost: $920 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201546117$6,068
201649114$3,888
201747130$4,190
201855147$4,012
201983193$7,097
202068143$4,960
202149114$2,825
202240115$3,994
202356135$3,185
20242759$920

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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 more125125$134
77263Complex radiation therapy planning134144$125
77334Design and construction of complex radiation treatment device117276$45
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more172192$40
77300Calculation of radiation therapy dose120408$24

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Tamsulosin HclTamsulosin Hcl321,380$412

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.13$372Novocure 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 Edward William Duffy, MD?

Tedicare shows public-source Medicare data for Edward William Duffy, MD (NPI 1568516383), 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 Edward William Duffy, MD have ACO affiliation data?

Edward William Duffy, MD is shown with ACO affiliation data for McLeod Healthcare Network, LLC (MSSP, ACO ID A3677) and CVS ACO (MSSP, ACO ID A5407).

What billing organization is linked to Edward William Duffy, MD?

Edward William Duffy, MD is linked to PRISMA HEALTH UNIVERSITY MEDICAL GROUP (billing NPI 1295763217) in the available physician profile data.

Does Edward William Duffy, MD have Open Payments data?

Edward William Duffy, MD has 13 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.