Physician

Carl Douglas Porter, MD

According to 2025 Medicare claims, Carl Porter, MD (NPI: 1720087463) practices physical medicine and rehabilitation in the Springfield, OH market, with the plurality of this provider's patient population coming from Clark, OH. This provider's primary affiliated billing organization is MERCY HEALTH PHYSICIANS SPRINGFIELD SPECIALTY CARE LLC (NPI: 1790308104; TIN: 850958357) and primary practice location at 45504-2687.

Porter's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 270 traditional Medicare patients, billed 1,958 HCPCS/CPT codes, and received $141,796 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 1,001 prescription claims across 211 beneficiaries totaling $40,945 in drug costs, led by Eliquis (Apixaban). DME data shows 730 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's Medicare Part B carrier billing has declined steadily, from $222,140 to $141,796. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $27,950 and ending at $40,945. For DME billing, reported payments rose steadily, from $17,746 to $22,846.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	406	2,831	$222,140
2016	414	3,027	$241,751
2017	418	2,961	$232,354
2018	472	2,844	$223,158
2019	396	2,325	$185,421
2020	333	2,334	$184,555
2021	371	2,542	$190,687
2022	316	2,123	$155,962
2023	341	2,545	$187,397
2024	270	1,958	$141,796

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	224	775	$27,950
2016	207	707	$31,811
2017	176	580	$21,105
2018	174	579	$27,434
2019	137	419	$25,396
2020	186	633	$53,093
2021	183	611	$28,141
2022	168	527	$37,451
2023	184	591	$39,441
2024	211	1,001	$40,945

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	104	227	$14,343
2016	120	321	$12,178
2017	101	383	$10,759
2018	155	373	$11,332
2019	161	609	$18,247
2020	194	616	$18,893
2021	244	727	$21,804
2022	206	637	$18,725
2023	245	774	$28,153
2024	171	730	$18,513

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	199	220	$119
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	108	267	$84
99239	Hospital discharge day management, more than 30 minutes	198	219	$81
95886	Needle measurement of electrical activity in arm or leg muscles, complete study	53	95	$66
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	200	1,104	$56

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	24	691	$12,842
Midodrine Hcl	Midodrine Hcl	22	640	$1,526
Esomeprazole Magnesium	Esomeprazole Magnesium	31	217	$684
Duloxetine Hcl	Duloxetine Hcl	36	367	$628
Atorvastatin Calcium	Atorvastatin Calcium	61	1,155	$312

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
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	13	60	$2,633
E0163	Commode chair, mobile or stationary, with fixed arms	N	39	39	$2,151
K0001	Standard wheelchair	Y	18	107	$2,146
K0003	Lightweight wheelchair	Y	11	83	$2,114
E2611	General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware	N	13	13	$2,102

Open Payments Summary

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

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FAQ

What Medicare data is available for Carl Douglas Porter, MD?

Tedicare shows public-source Medicare data for Carl Douglas Porter, MD (NPI 1720087463), 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 Carl Douglas Porter, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Carl Douglas Porter, MD?

Carl Douglas Porter, MD is linked to MERCY HEALTH PHYSICIANS SPRINGFIELD SPECIALTY CARE LLC (billing NPI 1790308104) in the available physician profile data.

Does Carl Douglas Porter, 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.