Physician

Toby W. Long, M.D.

According to 2025 Medicare claims, Toby Long, M.D. (NPI: 1033116215) practices internal medicine in the Wenatchee-East Wenatchee, WA market, with the plurality of this provider's patient population coming from Douglas, WA. This provider's primary affiliated billing organization is CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION (NPI: 1881642239; TIN: 910171250) and primary practice location at 98801-3201. Long is affiliated with the Caravan Health ACO 50 LLC (ACO ID: A5160) and CVS ACO (ACO ID: A5407), participating under the MSSP model.

Long's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 562 traditional Medicare patients, billed 2,905 HCPCS/CPT codes, and received $139,913 in Medicare payments. The top billing code was G0438 (Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit). Part D data shows 15,454 prescription claims across 800 beneficiaries totaling $1,272,208 in drug costs, led by Ozempic (Semaglutide). DME data shows 272 claims. No Open Payments records. 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 from a lower plateau to a higher plateau, from $499,996 to $1,272,208. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $38,084 and ending at $26,391.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	601	2,265	$105,411
2016	605	2,135	$100,044
2017	619	2,333	$110,104
2018	590	2,186	$105,752
2019	585	2,163	$103,426
2020	570	1,967	$99,844
2021	548	1,801	$118,054
2022	562	1,852	$123,942
2023	596	1,889	$130,079
2024	562	2,905	$139,913

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	696	10,007	$499,996
2016	706	10,586	$497,127
2017	796	11,202	$499,508
2018	606	10,840	$590,644
2019	597	11,399	$726,084
2020	595	12,267	$959,750
2021	662	12,976	$1,009,119
2022	683	12,683	$1,016,718
2023	773	13,489	$1,252,612
2024	800	15,454	$1,272,208

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	120	687	$37,412
2016	125	754	$32,639
2017	92	576	$21,313
2018	71	383	$13,767
2019	65	472	$16,577
2020	44	454	$29,951
2021	33	369	$28,783
2022	34	203	$20,554
2023	20	252	$14,917
2024	32	272	$26,019

* / # = 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
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	45	45	$164
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	248	248	$129
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	389	840	$67
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	287	470	$44
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	452	1,116	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	206	8,606	$237,149
Trulicity	Dulaglutide	153	6,350	$209,758
Eliquis	Apixaban	72	5,124	$93,228
Xarelto	Rivaroxaban	57	4,050	$72,853
Repatha Sureclick	Evolocumab	88	3,304	$59,234

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	31	$18,023
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	42	$2,663
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	N	N/R	17	$1,417
A5057	Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each	N	N/R	12	$1,130
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	21	49	$959

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Toby W. Long, M.D.?

Tedicare shows public-source Medicare data for Toby W. Long, M.D. (NPI 1033116215), 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 Toby W. Long, M.D. have ACO affiliation data?

Toby W. Long, M.D. is shown with ACO affiliation data for Caravan Health ACO 50 LLC (MSSP, ACO ID A5160) and CVS ACO (MSSP, ACO ID A5407).

What billing organization is linked to Toby W. Long, M.D.?

Toby W. Long, M.D. is linked to CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION (billing NPI 1881642239) in the available physician profile data.

Does Toby W. Long, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.