Physician

John W Stirton, MD

According to 2025 Medicare claims, John Stirton, MD (NPI: 1851598429) practices orthopedic surgery in the St. Louis, MO-IL market, with the plurality of this provider's patient population coming from Madison, IL. This provider's primary affiliated billing organization is FAIRVIEW HEIGHTS MEDICAL GROUP SC (NPI: 1679503668; TIN: 364147189) and primary practice location at 62002-6722. Stirton is affiliated with the BJC HealthCare ACO, LLC (ACO ID: A1204), Mercy Health ACO, LLC (ACO ID: A2616), and IRCCO (ACO ID: A2619), participating under the MSSP model.

Stirton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 560 traditional Medicare patients, billed 26,926 HCPCS/CPT codes, and received $298,260 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 355 prescription claims across 166 beneficiaries totaling $1,151 in drug costs, led by Naproxen (Naproxen). 2022 DME data shows 12 claims. Open Payments data shows 12 records totaling $509. 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 fallen sharply in recent years, from $9,118 to $1,151. For DME billing, reported payments started with an early spike, then settled into a lower baseline, moving from $3,629 to $1,404.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	590	2,659	$269,639
2016	735	2,893	$280,423
2017	737	3,401	$319,068
2018	751	2,502	$340,735
2019	908	2,438	$306,790
2020	698	1,793	$251,045
2021	793	2,179	$290,832
2022	803	2,887	$283,827
2023	507	2,561	$234,496
2024	560	26,926	$298,260

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	204	428	$9,118
2016	286	676	$16,316
2017	298	820	$70,781
2018	283	853	$32,323
2019	187	353	$3,455
2020	195	418	$4,943
2021	215	535	$4,952
2022	176	420	$2,859
2023	180	349	$2,599
2024	166	355	$1,151

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	23	25	$5,281
2016	16	16	$1,593
2017	19	19	$731
2018	33	35	$2,155
2019	41	41	$1,671
2020	35	46	$2,763
2021	N/R	N/R	N/R
2022	11	12	$993
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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	217	$87
20610	Aspiration and/or injection of fluid from large joint	158	352	$49
73564	X-ray of knee, 4 or more views	113	151	$33
73502	X-ray of hip, 2-3 views	197	380	$20
J1010	Injection, methylprednisolone acetate, 1 mg	127	23,280	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Naproxen	Naproxen	70	2,458	$400
Celecoxib	Celecoxib	30	1,266	$210
Amoxicillin	Amoxicillin	145	185	$156
Meloxicam	Meloxicam	40	2,260	$151
Ibuprofen	Ibuprofen	22	445	$47

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.	12	$509	DePuy Synthes Sales 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 John W. Stirton, MD?

Tedicare shows public-source Medicare data for John W. Stirton, MD (NPI 1851598429), 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 John W. Stirton, MD have ACO affiliation data?

John W. Stirton, MD is shown with ACO affiliation data for BJC HealthCare ACO, LLC (MSSP, ACO ID A1204), Mercy Health ACO, LLC (MSSP, ACO ID A2616), and IRCCO (MSSP, ACO ID A2619).

What billing organization is linked to John W. Stirton, MD?

John W. Stirton, MD is linked to FAIRVIEW HEIGHTS MEDICAL GROUP SC (billing NPI 1679503668) in the available physician profile data.

Does John W. Stirton, MD have Open Payments data?

John W. Stirton, MD 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.