Physician

Mark J Phelan, M.D.

According to 2025 Medicare claims, Mark Phelan, M.D. (NPI: 1801882030) practices ophthalmology in the Abilene, TX market, with the plurality of this provider's patient population coming from Taylor, TX. This provider's primary affiliated billing organization is EYE MEDICIAL ASSOCIATES OF ABILENE (NPI: 1043325996; TIN: 751531889) and primary practice location at 79606-5211.

Phelan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,468 traditional Medicare patients, billed 3,761 HCPCS/CPT codes, and received $435,837 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 3,403 prescription claims across 1,132 beneficiaries totaling $222,417 in drug costs, led by Difluprednate (Difluprednate). DME data shows 87 claims. Open Payments data shows 12 records totaling $2,642. 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 did not follow a clear longitudinal pattern. 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$273K$546K2015 Medicare payment: $474,408 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $468,217 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $536,390 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $546,235 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $529,449 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $428,613 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $458,187 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $504,465 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $509,558 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $435,837 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,4633,560$474,408
20161,3743,661$468,217
20171,4173,928$536,390
20181,5014,055$546,235
20191,6214,177$529,449
20201,3913,591$428,613
20211,4623,804$458,187
20221,6344,284$504,465
20231,6474,272$509,558
20241,4683,761$435,837

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$174K$347K2015 Drug cost: $224,732 (USD; Tot_Drug_Cst)2016 Drug cost: $240,535 (USD; Tot_Drug_Cst)2017 Drug cost: $293,756 (USD; Tot_Drug_Cst)2018 Drug cost: $295,896 (USD; Tot_Drug_Cst)2019 Drug cost: $331,050 (USD; Tot_Drug_Cst)2020 Drug cost: $347,104 (USD; Tot_Drug_Cst)2021 Drug cost: $339,641 (USD; Tot_Drug_Cst)2022 Drug cost: $300,558 (USD; Tot_Drug_Cst)2023 Drug cost: $284,592 (USD; Tot_Drug_Cst)2024 Drug cost: $222,417 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155771,812$224,732
20165951,919$240,535
20176852,183$293,756
20187212,327$295,896
20198482,727$331,050
20207972,645$347,104
20218282,680$339,641
20229842,997$300,558
20231,0933,396$284,592
20241,1323,403$222,417

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$6.7K$13K2015 Medicare payment: $11,521 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $13,475 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $7,874 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $11,567 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $8,135 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $6,793 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $6,775 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $6,851 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $6,465 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $5,295 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015174207$11,521
2016186227$13,475
2017122144$7,874
2018161211$11,567
2019127147$8,135
2020107119$6,793
2021112121$6,775
2022112120$6,851
202398121$6,465
20246787$5,295

* / # = 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
66984Removal of cataract with insertion of prosthetic lens421683$350
92004New patient complete exam of visual system403403$93
92014Established patient complete exam of visual system643648$77
92012Established patient problem focused exam of visual system206258$53
92136Measurement of corneal curvature and depth of eye5451,106$18

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
DifluprednateDifluprednate49910,508$45,993
LumiganBimatoprost1524,820$44,475
MoxifloxacinMoxifloxacin Hcl1,11520,242$24,023
CombiganBrimonidine Tartrate/Timolol582,039$16,172
Lotemax SmLoteprednol Etabonate471,010$11,596

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
V2203Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lensN1820$1,505
V2303Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lensNN/R11$1,400
V2020Frames, purchasesN2528$1,384
V2755U-v lens, per lensN2428$1,005

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.12$2,642Carl Zeiss Meditec USA, Inc.
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 Mark J. Phelan, M.D.?

Tedicare shows public-source Medicare data for Mark J. Phelan, M.D. (NPI 1801882030), 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 Mark J. Phelan, 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 Mark J. Phelan, M.D.?

Mark J. Phelan, M.D. is linked to EYE MEDICIAL ASSOCIATES OF ABILENE (billing NPI 1043325996) in the available physician profile data.

Does Mark J. Phelan, M.D. have Open Payments data?

Mark J. Phelan, M.D. has 12 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.