Physician

Gentry Scott Caton, M.D.

According to 2025 Medicare claims, Gentry Caton, M.D. (NPI: 1922235951) practices colorectal surgery (formerly proctology) in the Wilmington, NC market, with the plurality of this provider's patient population coming from New Hanover, NC. This provider's primary affiliated billing organization is WILMINGTON HEALTH PLLC (NPI: 1881632339; TIN: 561980160) and primary practice location at 28401-7307. Caton is affiliated with the Physicians Healthcare Collaborative (ACO ID: D0068), participating under the REACH model.

Caton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 409 traditional Medicare patients, billed 853 HCPCS/CPT codes, and received $153,549 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 554 prescription claims across 445 beneficiaries totaling $7,574 in drug costs, led by Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl). DME data shows 83 claims. Open Payments data shows 22 records totaling $476. 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 risen steadily, from $17,928 to $153,549. Similarly, Part D prescription costs have risen steadily, from $161 to $7,574. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $2,282 to $329.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	33	93	$17,928
2016	151	486	$82,567
2017	211	541	$79,643
2018	400	1,066	$162,215
2019	418	2,349	$173,266
2020	392	783	$135,842
2021	408	813	$146,675
2022	361	775	$146,955
2023	486	857	$196,367
2024	409	853	$153,549

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	12	15	$161
2016	57	115	$1,774
2017	68	155	$3,298
2018	93	189	$2,181
2019	154	274	$3,157
2020	121	207	$3,752
2021	67	140	$4,910
2022	233	304	$4,780
2023	476	582	$9,260
2024	445	554	$7,574

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	15	108	$3,450
2019	16	193	$9,979
2020	N/R	138	$5,899
2021	13	170	$10,945
2022	N/R	118	$10,394
2023	N/R	61	$4,491
2024	N/R	83	$4,691

* / # = 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
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	69	69	$280
45380	Biopsy of large bowel using a flexible endoscope	72	72	$279
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	45	45	$271
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	53	53	$266
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	50	$88

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gavilyte-G	Peg3350/Sod Sulf,bicarb,cl/Kcl	322	386	$5,394
Peg-3350 And Electrolytes	Peg3350/Sod Sulf,bicarb,cl/Kcl	67	77	$1,130
Lidocaine-Prilocaine	Lidocaine/Prilocaine	29	595	$338
Neomycin Sulfate	Neomycin Sulfate	32	38	$164
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	27	106	$109

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
A4410	Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each	N	N/R	14	$2,015
A4425	Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each	N	N/R	15	$1,263
A4394	Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce	N	N/R	16	$866
A4456	Adhesive remover, wipes, any type, each	N	N/R	18	$294
A5120	Skin barrier, wipes or swabs, each	N	N/R	20	$254

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	22	$476	INTUITIVE SURGICAL, 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 Gentry Scott Caton, M.D.?

Tedicare shows public-source Medicare data for Gentry Scott Caton, M.D. (NPI 1922235951), 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 Gentry Scott Caton, M.D. have ACO affiliation data?

Gentry Scott Caton, M.D. is shown with ACO affiliation data for Physicians Healthcare Collaborative (REACH, ACO ID D0068).

What billing organization is linked to Gentry Scott Caton, M.D.?

Gentry Scott Caton, M.D. is linked to WILMINGTON HEALTH PLLC (billing NPI 1881632339) in the available physician profile data.

Does Gentry Scott Caton, M.D. have Open Payments data?

Gentry Scott Caton, M.D. has 22 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.