Physician

Sean Caufield, M.D.

According to 2025 Medicare claims, Sean Caufield, M.D. (NPI: 1669536439) practices gastroenterology in the Fort Collins-Loveland, CO market, with the plurality of this provider's patient population coming from Larimer, CO. This provider's primary affiliated billing organization is CENTERS FOR GASTROENTEROLOGY (NPI: 1801994157; TIN: 840815744) and primary practice location at 80537-5136.

Caufield's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 491 traditional Medicare patients, billed 16,288 HCPCS/CPT codes, and received $308,915 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 906 prescription claims across 342 beneficiaries totaling $893,444 in drug costs, led by Stelara (Ustekinumab). 2021 DME data shows 12 claims. Open Payments data shows 62 records totaling $1,298. 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 up and down with repeated peaks and valleys, starting at $25,230 and ending at $308,915. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $2,872 and ending at $893,444. 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	N/R	N/R	N/R
2016	90	469	$25,230
2017	484	7,875	$273,879
2018	493	13,710	$492,152
2019	462	19,323	$577,273
2020	410	20,269	$388,195
2021	423	14,055	$447,898
2022	441	13,074	$299,192
2023	390	11,056	$245,216
2024	491	16,288	$308,915

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	27	31	$2,872
2017	175	296	$711,674
2018	179	378	$450,792
2019	151	307	$82,506
2020	200	506	$229,084
2021	266	605	$394,755
2022	315	651	$453,163
2023	314	717	$635,317
2024	342	906	$893,444

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	12	$2,444
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	204	207	$201
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	62	67	$70
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	144	149	$51
45380	Biopsy of large bowel using a flexible endoscope	143	143	$42
88305	Pathology examination of tissue using a microscope, intermediate complexity	275	695	$25

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Stelara	Ustekinumab	25	821	$707,700
Linzess	Linaclotide	18	1,320	$23,046
Mesalamine	Mesalamine	16	1,290	$8,450
Omeprazole	Omeprazole	313	25,148	$4,167
Sod Sulf-Potass Sulf-Mag Sulf	Sodium, Potassium,mag Sulfates	52	173	$3,856

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	62	$1,298	ABBVIE 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 Sean Caufield, M.D.?

Tedicare shows public-source Medicare data for Sean Caufield, M.D. (NPI 1669536439), 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 Sean Caufield, 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 Sean Caufield, M.D.?

Sean Caufield, M.D. is linked to CENTERS FOR GASTROENTEROLOGY (billing NPI 1801994157) in the available physician profile data.

Does Sean Caufield, M.D. have Open Payments data?

Sean Caufield, M.D. has 62 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.