Physician

Bret Jason Spier, MD

According to 2025 Medicare claims, Bret Spier, MD (NPI: 1710935309) practices gastroenterology in the Bloomington, IN market, with the plurality of this provider's patient population coming from Monroe, IN. This provider's primary affiliated billing organization is INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, LLC (NPI: 1013953983; TIN: 351747218) and primary practice location at 47408-9059. Spier is affiliated with the Central Florida ACO (ACO ID: A2801) and Indiana University Health ACO, Inc. (ACO ID: D0034), participating under both the MSSP and REACH models.

Spier's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 728 traditional Medicare patients, billed 1,615 HCPCS/CPT codes, and received $138,340 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 516 prescription claims across 175 beneficiaries totaling $287,981 in drug costs, led by Rinvoq (Upadacitinib). 2022 DME data shows 13 claims. Open Payments data shows 13 records totaling $5,281. 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 $395,025 and ending at $287,981. 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	840	2,154	$184,320
2016	762	1,774	$163,743
2017	817	2,338	$170,328
2018	769	2,060	$168,208
2019	755	1,873	$155,921
2020	681	1,572	$131,798
2021	673	1,633	$142,004
2022	641	1,494	$127,912
2023	693	1,529	$136,512
2024	728	1,615	$138,340

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	187	820	$395,025
2016	204	909	$1,242,046
2017	210	1,058	$663,079
2018	218	1,013	$676,235
2019	197	875	$782,363
2020	179	788	$761,137
2021	136	498	$364,503
2022	127	366	$665,796
2023	145	476	$514,225
2024	175	516	$287,981

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	11	$2,320
2016	N/R	12	$1,751
2017	N/R	26	$1,940
2018	N/R	N/R	N/R
2019	N/R	13	$1,320
2020	N/R	37	$3,541
2021	N/R	16	$1,202
2022	N/R	13	$1,072
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	294	297	$189
43235	Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	70	70	$72
45380	Biopsy of large bowel using a flexible endoscope	58	58	$69
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	210	218	$59
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	396	409	$4

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Rinvoq	Upadacitinib	13	390	$95,689
Creon	Lipase/Protease/Amylase	11	574	$20,418
Linzess	Linaclotide	12	420	$7,821
Mesalamine Er	Mesalamine	13	510	$4,015
Sutab	Sod Sulf/Pot Chloride/Mag Sulf	15	17	$2,466

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.	13	$5,281	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 Bret Jason Spier, MD?

Tedicare shows public-source Medicare data for Bret Jason Spier, MD (NPI 1710935309), 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 Bret Jason Spier, MD have ACO affiliation data?

Bret Jason Spier, MD is shown with ACO affiliation data for Central Florida ACO (MSSP, ACO ID A2801) and Indiana University Health ACO, Inc. (REACH, ACO ID D0034).

What billing organization is linked to Bret Jason Spier, MD?

Bret Jason Spier, MD is linked to INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, LLC (billing NPI 1013953983) in the available physician profile data.

Does Bret Jason Spier, MD have Open Payments data?

Bret Jason Spier, 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.