Physician

David Gerard Thimons, D.O.

According to 2025 Medicare claims, David Thimons, D.O. (NPI: 1194729996) practices internal medicine in the Weirton-Steubenville, WV-OH market, with the plurality of this provider's patient population coming from Jefferson, OH. This provider's primary affiliated billing organization is PERSONAL CARE MEDICAL ASSOCIATES LLC (NPI: 1922427962; TIN: 251899647) and primary practice location at 43953-3311. Thimons is affiliated with the PCMA Cooperative LLC (ACO ID: D0290), participating under the REACH model.

Thimons' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 395 traditional Medicare patients, billed 1,953 HCPCS/CPT codes, and received $138,351 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 42,796 prescription claims across 1,528 beneficiaries totaling $4,143,825 in drug costs, led by Eliquis (Apixaban). DME data shows 281 claims. Open Payments data shows 8 records totaling $197. 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 up and down with repeated peaks and valleys, starting at $75,139 and ending at $138,351. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,693,413 and ending at $4,143,825. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $10,390 to $25,896.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	413	1,227	$75,139
2016	218	419	$27,502
2017	246	610	$33,404
2018	451	991	$58,002
2019	367	1,111	$72,795
2020	467	1,704	$102,978
2021	238	392	$23,190
2022	50	53	$4,357
2023	250	327	$25,346
2024	395	1,953	$138,351

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	645	25,633	$1,693,413
2016	661	23,324	$1,653,689
2017	823	32,907	$2,621,834
2018	1,090	40,719	$3,230,435
2019	1,433	37,570	$2,687,999
2020	1,238	35,665	$2,459,416
2021	863	25,095	$2,062,708
2022	633	18,710	$1,389,100
2023	1,025	26,741	$2,158,463
2024	1,528	42,796	$4,143,825

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	39	358	$12,478
2016	36	201	$5,862
2017	37	365	$11,274
2018	125	631	$54,220
2019	95	468	$38,941
2020	23	137	$10,985
2021	N/R	N/R	N/R
2022	N/R	19	$815
2023	N/R	146	$11,710
2024	26	281	$30,971

* / # = 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
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	91	94	$138
99305	Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	50	51	$100
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	307	1,313	$81
99497	Advance care planning, first 30 minutes	57	64	$60
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	53	55	$38

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	1,574	24,261	$508,960
Invega Sustenna	Paliperidone Palmitate	85	2,428	$264,834
Austedo Xr	Deutetrabenazine	37	432	$183,505
Ingrezza	Valbenazine Tosylate	45	630	$177,972
Trulicity	Dulaglutide	199	2,995	$116,200

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
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	57	$11,908
A6196	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing	N	N/R	21	$7,861
B4152	Enteral 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 unit	N	N/R	44	$4,385
A6252	Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing	N	N/R	14	$1,241
A6222	Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	N	11	18	$1,221

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	8	$197	Teva Pharmaceuticals USA, 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 Gerard Thimons, D.O.?

Tedicare shows public-source Medicare data for David Gerard Thimons, D.O. (NPI 1194729996), 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 Gerard Thimons, D.O. have ACO affiliation data?

David Gerard Thimons, D.O. is shown with ACO affiliation data for PCMA Cooperative LLC (REACH, ACO ID D0290).

What billing organization is linked to David Gerard Thimons, D.O.?

David Gerard Thimons, D.O. is linked to PERSONAL CARE MEDICAL ASSOCIATES LLC (billing NPI 1922427962) in the available physician profile data.

Does David Gerard Thimons, D.O. have Open Payments data?

David Gerard Thimons, D.O. has 8 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.