Physician

Edward I Marcus, M.D.

According to 2025 Medicare claims, Edward Marcus, M.D. (NPI: 1841451937) practices ophthalmology in the Nassau County-Suffolk County, NY market, with the plurality of this provider's patient population coming from Suffolk, NY. This provider's primary affiliated billing organization is SIGHT MEDICAL DOCTORS PLLC (NPI: 1487077483; TIN: 46-4449523) and primary practice location at 11717-9998. Marcus is affiliated with the Physician Leaders Direct Contracting Entity, LLC (ACO ID: D0171) and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under the REACH model.

Marcus' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,350 traditional Medicare patients, billed 109,611 HCPCS/CPT codes, and received $5,028,011 in Medicare payments. The top billing code was 67210 (Destruction of growth of retina using a laser). Part D data shows 879 prescription claims across 261 beneficiaries totaling $332,822 in drug costs, led by Restasis (Cyclosporine). Open Payments data shows 256 records totaling $40,447. 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 from a lower plateau to a higher plateau, from $1,007,129 to $5,028,011. Similarly, Part D prescription costs have risen steadily, from $27,406 to $332,822. 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	618	6,952	$1,007,129
2016	804	10,467	$1,576,848
2017	1,019	10,483	$1,787,034
2018	1,281	13,385	$2,599,039
2019	1,435	16,594	$3,887,143
2020	1,279	15,004	$3,445,442
2021	1,254	15,328	$3,656,542
2022	1,269	17,149	$3,436,055
2023	1,428	33,167	$4,008,668
2024	1,350	109,611	$5,028,011

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	80	292	$27,406
2016	111	427	$44,707
2017	117	338	$191,726
2018	147	428	$462,545
2019	154	426	$77,789
2020	199	612	$138,704
2021	272	799	$209,624
2022	234	770	$194,677
2023	305	993	$245,470
2024	261	879	$332,822

DME Billing Trend

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

No connected DME records

* / # = 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
67210	Destruction of growth of retina using a laser	424	1,106	$440
92235	Exam of retinal blood vessels using a special camera after injection of a dye	594	817	$145
67028	Injection of drug into eye	546	2,056	$110
92012	Established patient problem focused exam of visual system	630	811	$74
92134	Imaging of retina	1,324	3,764	$34

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Restasis	Cyclosporine	22	1,920	$33,666
Prednisolone Acetate	Prednisolone Acetate	154	5,217	$7,584
Bromfenac Sodium	Bromfenac Sodium	35	853	$6,186
Atropine Sulfate	Atropine Sulfate	123	3,367	$5,917
Lumigan	Bimatoprost	15	568	$5,099

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.	256	$40,447	Alimera Sciences, 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

Explore More Providers

FAQ

What Medicare data is available for Edward I. Marcus, M.D.?

Tedicare shows public-source Medicare data for Edward I. Marcus, M.D. (NPI 1841451937), 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 Edward I. Marcus, M.D. have ACO affiliation data?

Edward I. Marcus, M.D. is shown with ACO affiliation data for Physician Leaders Direct Contracting Entity, LLC (REACH, ACO ID D0171) and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Edward I. Marcus, M.D.?

Edward I. Marcus, M.D. is linked to SIGHT MEDICAL DOCTORS PLLC (billing NPI 1487077483) in the available physician profile data.

Does Edward I. Marcus, M.D. have Open Payments data?

Edward I. Marcus, M.D. has 256 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.