Physician

David Rybnicek, M.D.

According to 2025 Medicare claims, David Rybnicek, M.D. (NPI: 1134480197) practices internal medicine in the Asheville, NC market, with the plurality of this provider's patient population coming from Henderson, NC. This provider's primary affiliated billing organization is DIGESTIVE HEALTH PARTNERS, PA (NPI: 1326037680; TIN: 561150163) and primary practice location at 28791-3532. Rybnicek is affiliated with the Mission Health Partners, LLC (ACO ID: A2591), participating under the MSSP model.

Rybnicek's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 744 traditional Medicare patients, billed 12,506 HCPCS/CPT codes, and received $351,610 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 610 prescription claims across 357 beneficiaries totaling $136,363 in drug costs, led by Linzess (Linaclotide). Open Payments data shows 72 records totaling $1,427. 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 sharply higher in recent years, from $26,726 to $351,610. Similarly, Part D prescription costs have risen steadily, from $18,740 to $136,363. 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	182	266	$26,726
2016	216	397	$36,446
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	390	1,620	$81,723
2020	699	5,053	$192,693
2021	740	8,681	$281,577
2022	736	13,667	$375,292
2023	813	11,886	$351,218
2024	744	12,506	$351,610

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	59	468	$18,740
2016	44	100	$4,836
2017	N/R	N/R	N/R
2018	N/R	19	$297
2019	214	286	$20,192
2020	440	817	$89,603
2021	397	683	$74,131
2022	388	720	$100,698
2023	383	634	$95,254
2024	357	610	$136,363

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
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	191	194	$190
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	86	91	$101
43249	Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm	78	78	$91
45380	Biopsy of large bowel using a flexible endoscope	85	85	$88
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	223	228	$58

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Linzess	Linaclotide	25	1,290	$22,094
Dexlansoprazole Dr	Dexlansoprazole	12	660	$5,253
Omeprazole	Omeprazole	209	15,615	$2,565
Gavilyte-C	Peg3350/Sod Sulf,bicarb,cl/Kcl	121	133	$2,166
Dicyclomine Hcl	Dicyclomine Hcl	17	807	$558

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.	72	$1,427	ABBVIE 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 David Rybnicek, M.D.?

Tedicare shows public-source Medicare data for David Rybnicek, M.D. (NPI 1134480197), 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 Rybnicek, M.D. have ACO affiliation data?

David Rybnicek, M.D. is shown with ACO affiliation data for Mission Health Partners, LLC (MSSP, ACO ID A2591).

What billing organization is linked to David Rybnicek, M.D.?

David Rybnicek, M.D. is linked to DIGESTIVE HEALTH PARTNERS, PA (billing NPI 1326037680) in the available physician profile data.

Does David Rybnicek, M.D. have Open Payments data?

David Rybnicek, M.D. has 72 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.