Physician

Scott Michael Pfahler, D.O.

According to 2025 Medicare claims, Scott Pfahler, D.O. (NPI: 1093923385) practices ophthalmology in the Dayton-Kettering-Beavercreek, OH market, with the plurality of this provider's patient population coming from Montgomery, OH. This provider's primary affiliated billing organization is DAYTON VITREO-RETINAL ASSOCIATES, INC. (NPI: 1881792679; TIN: 31-0891742) and primary practice location at 45402-3038.

Pfahler's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,015 traditional Medicare patients, billed 32,489 HCPCS/CPT codes, and received $2,354,796 in Medicare payments. The top billing code was J3590 (Unclassified biologics). Part D data shows 907 prescription claims across 294 beneficiaries totaling $23,742 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 60 records totaling $3,072. 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 moved from a lower plateau to a higher plateau, from $803,910 to $2,354,796. Similarly, Part D prescription costs have moved sharply higher in recent years, from $9,634 to $23,742. 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	635	5,455	$803,910
2016	711	7,185	$1,046,395
2017	678	6,645	$1,099,862
2018	680	6,781	$1,064,217
2019	659	6,758	$922,555
2020	652	6,242	$902,635
2021	942	10,440	$1,788,339
2022	933	10,232	$1,687,329
2023	990	16,500	$1,688,784
2024	1,015	32,489	$2,354,796

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	70	220	$9,634
2016	91	259	$13,734
2017	103	257	$15,628
2018	106	270	$16,321
2019	88	235	$15,514
2020	97	236	$13,383
2021	185	444	$23,807
2022	204	565	$46,744
2023	236	589	$37,955
2024	294	907	$23,742

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
J3590	Unclassified biologics	205	829	$164
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	256	256	$125
67028	Injection of drug into eye	367	1,745	$93
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	739	1,328	$64
92134	Imaging of retina	962	2,769	$30

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisolone Acetate	Prednisolone Acetate	247	6,600	$5,843
Moxifloxacin	Moxifloxacin Hcl	128	1,966	$4,080
Atropine Sulfate	Atropine Sulfate	113	5,040	$3,191
Ketorolac Tromethamine	Ketorolac Tromethamine	186	4,496	$2,738
Bacitracin	Bacitracin	16	211	$1,453

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.	60	$3,072	Alimera Sciences, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Scott Michael Pfahler, D.O.?

Tedicare shows public-source Medicare data for Scott Michael Pfahler, D.O. (NPI 1093923385), 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 Michael Pfahler, D.O. 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 Michael Pfahler, D.O.?

Scott Michael Pfahler, D.O. is linked to DAYTON VITREO-RETINAL ASSOCIATES, INC. (billing NPI 1881792679) in the available physician profile data.

Does Scott Michael Pfahler, D.O. have Open Payments data?

Scott Michael Pfahler, D.O. has 60 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.