Physician

David J Kouba, MD

According to 2025 Medicare claims, David Kouba, MD (NPI: 1073561866) practices dermatology in the Toledo, OH market, with the plurality of this provider's patient population coming from Fulton, OH. This provider's primary affiliated billing organization is TOLEDO CLINIC PLLC (NPI: 1326538703; TIN: 994204160) and primary practice location at 43567-1821. Kouba is affiliated with the CVS Accountable Care Organization, Inc. (ACO ID: D0061), participating under the REACH model.

Kouba's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,506 traditional Medicare patients, billed 14,114 HCPCS/CPT codes, and received $1,843,533 in Medicare payments. The top billing code was 17311 (Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks). Part D data shows 1,688 prescription claims across 1,040 beneficiaries totaling $105,419 in drug costs, led by Cephalexin (Cephalexin). Open Payments data shows 2 records totaling $36. 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 $840,837 to $1,843,533. Similarly, Part D prescription costs have risen steadily, from $8,972 to $105,419. 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$991K$2.0M2015 Medicare payment: $840,837 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,042,434 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,123,999 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,177,961 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,389,987 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,264,762 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,447,653 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,626,887 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,982,498 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,843,533 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,2306,176$840,837
20161,3745,982$1,042,434
20171,7837,415$1,123,999
20181,7737,578$1,177,961
20191,8279,504$1,389,987
20201,5458,476$1,264,762
20211,77310,986$1,447,653
20221,94411,857$1,626,887
20232,17514,055$1,982,498
20242,50614,114$1,843,533

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$56K$112K2015 Drug cost: $8,972 (USD; Tot_Drug_Cst)2016 Drug cost: $15,246 (USD; Tot_Drug_Cst)2017 Drug cost: $10,148 (USD; Tot_Drug_Cst)2018 Drug cost: $11,854 (USD; Tot_Drug_Cst)2019 Drug cost: $17,446 (USD; Tot_Drug_Cst)2020 Drug cost: $11,904 (USD; Tot_Drug_Cst)2021 Drug cost: $28,818 (USD; Tot_Drug_Cst)2022 Drug cost: $107,387 (USD; Tot_Drug_Cst)2023 Drug cost: $112,082 (USD; Tot_Drug_Cst)2024 Drug cost: $105,419 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015335522$8,972
2016447708$15,246
2017423696$10,148
2018389665$11,854
2019451719$17,446
2020559834$11,904
20216401,017$28,818
20227731,261$107,387
20231,1801,765$112,082
20241,0401,688$105,419

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
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks8121,172$428
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks6161,089$303
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm391450$178
88342Special stained specimen slides to examine tissue, initial procedure454483$73
88305Pathology examination of tissue using a microscope, intermediate complexity2,2586,040$46

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CephalexinCephalexin8396,165$3,419
Doxycycline HyclateDoxycycline Hyclate4563,430$3,253
Gentamicin SulfateGentamicin Sulfate16306$596
Clobetasol PropionateClobetasol Propionate13340$573
Clindamycin HclClindamycin Hcl65468$544

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.2$36Kyowa Kirin, 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 David J. Kouba, MD?

Tedicare shows public-source Medicare data for David J. Kouba, MD (NPI 1073561866), 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 David J. Kouba, MD have ACO affiliation data?

David J. Kouba, MD is shown with ACO affiliation data for CVS Accountable Care Organization, Inc. (REACH, ACO ID D0061).

What billing organization is linked to David J. Kouba, MD?

David J. Kouba, MD is linked to TOLEDO CLINIC PLLC (billing NPI 1326538703) in the available physician profile data.

Does David J. Kouba, MD have Open Payments data?

David J. Kouba, MD has 2 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.