Physician

Scott R Mcduffie, MD

According to 2025 Medicare claims, Scott Mcduffie, MD (NPI: 1982677084) practices gastroenterology in the Sumter, SC market, with the plurality of this provider's patient population coming from Sumter, SC. This provider's primary affiliated billing organization is SUMTER GASTROENTEROLOGY (NPI: 1699071746; TIN: 273461263) and primary practice location at 29150-1900.

Mcduffie's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 697 traditional Medicare patients, billed 3,149 HCPCS/CPT codes, and received $210,566 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 1,352 prescription claims across 429 beneficiaries totaling $1,490,904 in drug costs, led by Stelara (Ustekinumab). Open Payments data shows 107 records totaling $2,423. 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 declined steadily, from $276,700 to $210,566. In contrast, Part D prescription costs have moved sharply higher in recent years, from $815,501 to $1,490,904. 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.

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$138K$277K2015 Medicare payment: $276,700 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $228,113 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $235,379 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $211,165 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $213,268 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $195,266 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $186,707 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $149,911 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $172,477 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $210,566 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,0222,383$276,700
20161,0482,235$228,113
20171,0742,283$235,379
20189922,026$211,165
20199381,900$213,268
20208941,885$195,266
20218321,730$186,707
20227811,462$149,911
20237512,205$172,477
20246973,149$210,566

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$833K$1.7M2015 Drug cost: $815,501 (USD; Tot_Drug_Cst)2016 Drug cost: $1,201,386 (USD; Tot_Drug_Cst)2017 Drug cost: $879,118 (USD; Tot_Drug_Cst)2018 Drug cost: $683,261 (USD; Tot_Drug_Cst)2019 Drug cost: $690,075 (USD; Tot_Drug_Cst)2020 Drug cost: $742,579 (USD; Tot_Drug_Cst)2021 Drug cost: $894,701 (USD; Tot_Drug_Cst)2022 Drug cost: $1,033,697 (USD; Tot_Drug_Cst)2023 Drug cost: $1,665,094 (USD; Tot_Drug_Cst)2024 Drug cost: $1,490,904 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152411,012$815,501
20163031,143$1,201,386
20173421,158$879,118
20183151,138$683,261
20193211,107$690,075
20204161,234$742,579
20213911,208$894,701
20224131,151$1,033,697
20234071,185$1,665,094
20244291,352$1,490,904

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare284285$189
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope197218$75
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more218251$63
45380Biopsy of large bowel using a flexible endoscope169173$45
88305Pathology examination of tissue using a microscope, intermediate complexity3591,151$27

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
StelaraUstekinumab16760$419,806
Humira(Cf) PenAdalimumab26870$403,917
CreonLipase/Protease/Amylase381,354$126,833
RinvoqUpadacitinib14408$120,043
LinzessLinaclotide814,680$82,583

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.107$2,423ABBVIE 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 Scott R. Mcduffie, MD?

Tedicare shows public-source Medicare data for Scott R. Mcduffie, MD (NPI 1982677084), 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 Scott R. Mcduffie, 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 Scott R. Mcduffie, MD?

Scott R. Mcduffie, MD is linked to SUMTER GASTROENTEROLOGY (billing NPI 1699071746) in the available physician profile data.

Does Scott R. Mcduffie, MD have Open Payments data?

Scott R. Mcduffie, MD has 107 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.