Physician

James Dooner, MD

According to 2025 Medicare claims, James Dooner, MD (NPI: 1962474643) practices ophthalmology in the Austin-Round Rock-San Marcos, TX market, with the plurality of this provider's patient population coming from Travis, TX. This provider's primary affiliated billing organization is AUSTIN RETINA ASSOCIATES PLLC (NPI: 1114999828; TIN: 74-2034080) and primary practice location at 78705-1169.

Dooner's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,046 traditional Medicare patients, billed 22,752 HCPCS/CPT codes, and received $3,190,917 in Medicare payments. The top billing code was 92235 (Exam of retinal blood vessels using a special camera after injection of a dye). Part D data shows 458 prescription claims across 159 beneficiaries totaling $21,113 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 54 records totaling $45,297. 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 moved up and down with repeated peaks and valleys, starting at $35,349 and ending at $21,113. 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	1,204	18,957	$2,068,115
2016	1,166	17,005	$2,423,419
2017	1,181	17,585	$2,745,696
2018	1,214	16,871	$3,035,191
2019	1,277	17,129	$3,421,997
2020	1,133	13,928	$3,233,696
2021	1,135	13,295	$3,138,913
2022	1,068	13,091	$3,044,392
2023	957	14,879	$2,933,196
2024	1,046	22,752	$3,190,917

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	157	432	$35,349
2016	155	465	$43,159
2017	156	495	$37,628
2018	189	560	$53,271
2019	200	568	$52,862
2020	158	367	$28,163
2021	165	376	$27,528
2022	177	480	$43,282
2023	161	468	$35,368
2024	159	458	$21,113

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
92235	Exam of retinal blood vessels using a special camera after injection of a dye	341	389	$128
67028	Injection of drug into eye	438	1,602	$99
92014	Established patient complete exam of visual system	334	357	$91
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	382	585	$69
92134	Imaging of retina	857	2,271	$29

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisolone Acetate	Prednisolone Acetate	197	6,419	$8,075
Bromfenac Sodium	Bromfenac Sodium	25	796	$2,996
Brimonidine Tartrate	Brimonidine Tartrate	12	752	$1,970
Moxifloxacin	Moxifloxacin Hcl	78	1,276	$1,784
Ketorolac Tromethamine	Ketorolac Tromethamine	34	1,223	$1,198

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.	40	$1,303	Harrow Eye, LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	14	$43,994	Bayer Healthcare Pharmaceuticals Inc.
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

FAQ

What Medicare data is available for James Dooner, MD?

Tedicare shows public-source Medicare data for James Dooner, MD (NPI 1962474643), 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 James Dooner, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to James Dooner, MD?

James Dooner, MD is linked to AUSTIN RETINA ASSOCIATES PLLC (billing NPI 1114999828) in the available physician profile data.

Does James Dooner, MD have Open Payments data?

James Dooner, MD has 54 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.