Physician

William Lantz Effinger, D.O.,M.S.

According to 2025 Medicare claims, William Effinger, D.O., M.S. (NPI: 1225327380) practices family practice in the Tallahassee, FL market, with the plurality of this provider's patient population coming from Leon, FL. This provider's primary affiliated billing organization is EFFINGER HEALTH, PA (NPI: 1629515325; TIN: 81-4723941) and primary practice location at 32308-4402.

Effinger's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 308 traditional Medicare patients, billed 2,859 HCPCS/CPT codes, and received $207,807 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 19,127 prescription claims across 540 beneficiaries totaling $1,391,497 in drug costs, led by Eliquis (Apixaban). DME data shows 193 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 moved from a lower plateau to a higher plateau, from $71,848 to $207,807. Similarly, Part D prescription costs have risen steadily, from $30,308 to $1,391,497. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $13,495 and ending at $13,094.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	306	936	$71,848
2016	329	1,080	$80,452
2017	482	2,433	$136,463
2018	631	4,570	$238,165
2019	903	5,498	$365,114
2020	877	4,330	$310,885
2021	799	3,519	$270,336
2022	685	4,278	$341,236
2023	512	4,079	$330,399
2024	308	2,859	$207,807

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	174	545	$30,308
2016	307	1,215	$62,541
2017	343	11,958	$853,525
2018	393	13,539	$1,064,228
2019	774	28,963	$1,878,798
2020	727	34,965	$2,173,999
2021	780	35,524	$2,067,667
2022	843	37,688	$2,490,183
2023	674	25,432	$1,880,423
2024	540	19,127	$1,391,497

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	131	$10,106
2016	N/R	162	$7,359
2017	N/R	108	$24,445
2018	100	276	$34,386
2019	247	886	$80,771
2020	441	1,646	$226,456
2021	150	909	$116,623
2022	61	460	$73,735
2023	23	366	$48,967
2024	38	193	$13,040

* / # = 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	28	28	$141
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	269	400	$131
99239	Hospital discharge day management, more than 30 minutes	58	71	$87
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	261	1,978	$60
99497	Advance care planning, first 30 minutes	147	268	$58

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	694	10,579	$224,148
Januvia	Sitagliptin Phosphate	298	4,537	$92,706
Nuedexta	Dextromethorphan Hbr/Quinidine	67	1,050	$58,187
Biktarvy	Bictegrav/Emtricit/Tenofov Ala	11	330	$46,712
Tradjenta	Linagliptin	138	2,234	$41,870

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
A5512	For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each	N	19	19	$3,133
A5500	For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe	N	19	19	$2,585
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	12	$1,768
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	11	$1,713
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	28	$1,500

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 William Lantz Effinger, D.O., M.S.?

Tedicare shows public-source Medicare data for William Lantz Effinger, D.O., M.S. (NPI 1225327380), 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 William Lantz Effinger, D.O., M.S. have ACO affiliation data?

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

What billing organization is linked to William Lantz Effinger, D.O., M.S.?

William Lantz Effinger, D.O., M.S. is linked to EFFINGER HEALTH, PA (billing NPI 1629515325) in the available physician profile data.

Does William Lantz Effinger, D.O., M.S. 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.