Physician

Margaret Shelly Powell, MD

According to 2025 Medicare claims, Margaret Powell, MD (NPI: 1578912077) practices ophthalmology in the Madison, WI market, with the plurality of this provider's patient population coming from Dane, WI. This provider's primary affiliated billing organization is DEAN HEALTH SYSTEMS, INC (NPI: 1053358846; TIN: 391128616) and primary practice location at 53715-1248. Powell is affiliated with the SSM WI ACO LLC (ACO ID: A5124), participating under the MSSP model.

Powell's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 572 traditional Medicare patients, billed 2,514 HCPCS/CPT codes, and received $267,623 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 3,624 prescription claims across 717 beneficiaries totaling $253,006 in drug costs, led by Rhopressa (Netarsudil Mesylate). 2022 DME data shows 12 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have risen steadily, from $7,929 to $253,006. 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$134K$268K2021 Medicare payment: $57,710 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $243,226 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $247,398 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $267,623 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021203551$57,710
20224942,147$243,226
20235672,382$247,398
20245722,514$267,623

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$189K$379K2016 Drug cost: $7,929 (USD; Tot_Drug_Cst)2017 Drug cost: $18,921 (USD; Tot_Drug_Cst)2018 Drug cost: $2,214 (USD; Tot_Drug_Cst)2019 Drug cost: $7,801 (USD; Tot_Drug_Cst)2020 Drug cost: $119,889 (USD; Tot_Drug_Cst)2021 Drug cost: $378,760 (USD; Tot_Drug_Cst)2022 Drug cost: $227,817 (USD; Tot_Drug_Cst)2023 Drug cost: $253,551 (USD; Tot_Drug_Cst)2024 Drug cost: $253,006 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
20162995$7,929
201759191$18,921
20184084$2,214
20191947$7,801
2020399958$119,889
20217503,184$378,760
20227222,847$227,817
20237153,328$253,551
20247173,624$253,006

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$340$6802022 Medicare payment: $680 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
20221212$680
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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more207237$79
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more281477$56
92083Exam of visual field with extended testing348392$35
92133Imaging of optic nerve359376$20
92136Measurement of corneal curvature and depth of eye224388$18

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RhopressaNetarsudil Mesylate1345,287$47,245
LumiganBimatoprost835,459$42,017
Brimonidine TartrateBrimonidine Tartrate36121,834$19,761
Prednisolone AcetatePrednisolone Acetate35014,323$18,901
VyzultaLatanoprostene Bunod311,601$12,192

Top 5 DME services in 2024

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

Open Payments Summary

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

FAQ

What Medicare data is available for Margaret Shelly Powell, MD?

Tedicare shows public-source Medicare data for Margaret Shelly Powell, MD (NPI 1578912077), 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 Margaret Shelly Powell, MD have ACO affiliation data?

Margaret Shelly Powell, MD is shown with ACO affiliation data for SSM WI ACO LLC (MSSP, ACO ID A5124).

What billing organization is linked to Margaret Shelly Powell, MD?

Margaret Shelly Powell, MD is linked to DEAN HEALTH SYSTEMS, INC (billing NPI 1053358846) in the available physician profile data.

Does Margaret Shelly Powell, MD 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.