Physician

David Francis Lawless, MD

According to 2025 Medicare claims, David Lawless, MD (NPI: 1194786681) practices addiction medicine in the Johnstown, PA market, with the plurality of this provider's patient population coming from Cambria, PA. Lawless uses personal NPI as billing NPI and primary practice location at 15905-0000.

Lawless' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 25 traditional Medicare patients, billed 103 HCPCS/CPT codes, and received $4,156 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 3,431 prescription claims across 139 beneficiaries totaling $186,704 in drug costs, led by Eliquis (Apixaban). 2019 DME data shows 31 claims. No Open Payments records. 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 declined steadily, from $27,751 to $4,156. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $400 and ending at $382.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	93	581	$27,751
2016	75	445	$21,997
2017	80	427	$17,994
2018	83	504	$25,229
2019	66	381	$20,092
2020	75	383	$19,476
2021	59	274	$13,710
2022	44	199	$8,975
2023	35	156	$6,621
2024	25	103	$4,156

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	147	4,401	$206,044
2016	157	4,635	$204,393
2017	168	4,681	$222,754
2018	195	4,474	$255,416
2019	211	4,709	$243,760
2020	210	4,519	$299,337
2021	187	3,805	$214,036
2022	159	3,522	$205,967
2023	162	3,352	$177,629
2024	139	3,431	$186,704

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	37	$286
2016	N/R	17	$207
2017	N/R	16	$163
2018	N/R	28	$820
2019	N/R	31	$1,182
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	20	44	$50
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	43	$25

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	85	3,580	$67,136
Potassium Chloride	Potassium Chloride	66	4,072	$2,586
Celecoxib	Celecoxib	88	4,832	$1,947
Allopurinol	Allopurinol	126	8,526	$1,814
Pravastatin Sodium	Pravastatin Sodium	102	7,650	$1,716

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for David Francis Lawless, MD?

Tedicare shows public-source Medicare data for David Francis Lawless, MD (NPI 1194786681), 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 Francis Lawless, MD have ACO affiliation data?

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

What billing organization is linked to David Francis Lawless, MD?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does David Francis Lawless, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.