Physician

Jeffrey L St John, M.D.

According to 2025 Medicare claims, Jeffrey John, M.D. (NPI: 1750383170) practices gastroenterology in the Pittsfield, MA market, with the plurality of this provider's patient population coming from Berkshire, MA. This provider's primary affiliated billing organization is BERKSHIRE FACULTY SERVICES INC (NPI: 1548212939; TIN: 042995053) and primary practice location at 01201-4109. John is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

John's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 977 traditional Medicare patients, billed 1,586 HCPCS/CPT codes, and received $170,049 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 2,436 prescription claims across 775 beneficiaries totaling $1,714,805 in drug costs, led by Skyrizi On-Body (Risankizumab-Rzaa). 2019 DME data shows 11 claims. Open Payments data shows 1 records totaling $31. 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 risen steadily, from $789,056 to $1,714,805. In contrast, DME billing represents a smaller volume and changed little.

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$85K$170K2015 Medicare payment: $163,210 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $147,763 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $151,748 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $153,686 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $159,962 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $141,187 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $169,054 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $160,201 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $157,499 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $170,049 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20158711,806$163,210
20168211,762$147,763
20178261,753$151,748
20188681,665$153,686
20198271,624$159,962
20207671,572$141,187
20217771,617$169,054
20228231,665$160,201
20239271,530$157,499
20249771,586$170,049

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$857K$1.7M2015 Drug cost: $789,056 (USD; Tot_Drug_Cst)2016 Drug cost: $774,563 (USD; Tot_Drug_Cst)2017 Drug cost: $849,216 (USD; Tot_Drug_Cst)2018 Drug cost: $1,098,087 (USD; Tot_Drug_Cst)2019 Drug cost: $1,258,517 (USD; Tot_Drug_Cst)2020 Drug cost: $1,422,986 (USD; Tot_Drug_Cst)2021 Drug cost: $1,336,542 (USD; Tot_Drug_Cst)2022 Drug cost: $1,136,171 (USD; Tot_Drug_Cst)2023 Drug cost: $1,367,695 (USD; Tot_Drug_Cst)2024 Drug cost: $1,714,805 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154422,188$789,056
20165392,616$774,563
20174492,478$849,216
20185732,608$1,098,087
20196252,571$1,258,517
20205632,288$1,422,986
20216242,439$1,336,542
20226962,649$1,136,171
20237692,648$1,367,695
20247752,436$1,714,805

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$981$2.0K2017 Medicare payment: $1,905 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $1,697 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $1,962 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R24$1,905
2018N/R16$1,697
2019N/R11$1,962
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare246248$211
G0105Colorectal cancer screening; colonoscopy on individual at high risk8283$183
45380Biopsy of large bowel using a flexible endoscope349352$97
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more154169$69
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope239246$59

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Skyrizi On-BodyRisankizumab-Rzaa341,904$669,714
StelaraUstekinumab11616$258,760
XifaxanRifaximin481,264$143,715
RinvoqUpadacitinib12348$110,010
CreonLipase/Protease/Amylase11769$79,798

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.1$31Madrigal Pharmaceuticals
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 Jeffrey L. St John, M.D.?

Tedicare shows public-source Medicare data for Jeffrey L. St John, M.D. (NPI 1750383170), 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 Jeffrey L. St John, M.D. have ACO affiliation data?

Jeffrey L. St John, M.D. is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Jeffrey L. St John, M.D.?

Jeffrey L. St John, M.D. is linked to BERKSHIRE FACULTY SERVICES INC (billing NPI 1548212939) in the available physician profile data.

Does Jeffrey L. St John, M.D. have Open Payments data?

Jeffrey L. St John, M.D. has 1 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.