Physician

Deborah J. Mistal, DO

According to 2025 Medicare claims, Deborah Mistal, DO (NPI: 1033280417) practices general practice in the Scranton--Wilkes-Barre, PA market, with the plurality of this provider's patient population coming from Luzerne, PA. This provider's primary affiliated billing organization is MISTAL DEBORAH J DO PC (NPI: 1295180719; TIN: 232501580) and primary practice location at 18222-2407.

Mistal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 94 traditional Medicare patients, billed 670 HCPCS/CPT codes, and received $33,038 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 5,256 prescription claims across 172 beneficiaries totaling $628,895 in drug costs, led by Jardiance (Empagliflozin). DME data shows 110 claims. Open Payments data shows 6 records totaling $313. 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 started with an early spike, then settled into a lower baseline, moving from $101,366 to $33,038. Similarly, Part D prescription costs have declined steadily, from $917,994 to $628,895. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $8,536 to $5,998.

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$51K$101K2015 Medicare payment: $101,366 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $12,153 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $7,419 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $3,285 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $5,422 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $14,578 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $27,201 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $25,895 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $33,038 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152772,956$101,366
2016102275$12,153
201782178$7,419
20181867$3,285
2019N/RN/RN/R
202039104$5,422
202171190$14,578
2022111362$27,201
202396345$25,895
202494670$33,038

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$552K$1.1M2015 Drug cost: $917,994 (USD; Tot_Drug_Cst)2016 Drug cost: $875,043 (USD; Tot_Drug_Cst)2017 Drug cost: $1,092,581 (USD; Tot_Drug_Cst)2018 Drug cost: $1,104,875 (USD; Tot_Drug_Cst)2019 Drug cost: $1,095,082 (USD; Tot_Drug_Cst)2020 Drug cost: $886,124 (USD; Tot_Drug_Cst)2021 Drug cost: $656,951 (USD; Tot_Drug_Cst)2022 Drug cost: $640,517 (USD; Tot_Drug_Cst)2023 Drug cost: $592,536 (USD; Tot_Drug_Cst)2024 Drug cost: $628,895 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201528212,322$917,994
201639012,882$875,043
201750118,037$1,092,581
201847216,773$1,104,875
201944913,731$1,095,082
20204059,027$886,124
20212336,115$656,951
20222166,002$640,517
20231965,433$592,536
20241725,256$628,895

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$9.4K$19K2015 Medicare payment: $17,283 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $18,756 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $18,024 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $7,036 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $9,146 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $9,286 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $8,120 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $942 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $1,716 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $2,519 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201556490$17,283
201648451$18,756
201795539$18,024
201882466$7,036
201965418$9,146
202063420$9,286
202134182$8,120
20221697$942
20232779$1,716
202412110$2,519

* / # = 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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6060$123
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more87263$81
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more4055$57

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
JardianceEmpagliflozin614,457$85,410
EliquisApixaban332,830$53,146
OzempicSemaglutide551,848$50,875
Trelegy ElliptaFluticasone/Umeclidin/Vilanter241,980$42,726
TrulicityDulaglutide161,008$32,640

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
B4152Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unitNN/R14$1,041
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R16$947
A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 stripsN1250$467
E0570Nebulizer, with compressorYN/R12$44
A4259Lancets, per box of 100NN/R18$20

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.6$313Novo Nordisk 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 Deborah J. Mistal, DO?

Tedicare shows public-source Medicare data for Deborah J. Mistal, DO (NPI 1033280417), 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 Deborah J. Mistal, DO have ACO affiliation data?

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

What billing organization is linked to Deborah J. Mistal, DO?

Deborah J. Mistal, DO is linked to MISTAL DEBORAH J DO PC (billing NPI 1295180719) in the available physician profile data.

Does Deborah J. Mistal, DO have Open Payments data?

Deborah J. Mistal, DO has 6 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.