Physician

David Michael Pilkington, M.D.

According to 2025 Medicare claims, David Pilkington, M.D. (NPI: 1295751931) practices dermatology in the Merced, CA market, with the plurality of this provider's patient population coming from Merced, CA. This provider's primary affiliated billing organization is GOLDEN STATE DERMATOLOGY ASSOCIATES, INC. (NPI: 1700860871; TIN: 68-0299684) and primary practice location at 95340-8219.

Pilkington's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,984 traditional Medicare patients, billed 25,641 HCPCS/CPT codes, and received $778,317 in Medicare payments. The top billing code was 17110 (Destruction of skin growth, 1-14 growths). Part D data shows 1,533 prescription claims across 547 beneficiaries totaling $514,121 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 135 records totaling $2,036. 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 changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $185,223 to $514,121. 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	2,760	24,264	$1,013,521
2016	2,661	23,216	$942,293
2017	2,539	23,598	$934,861
2018	2,705	28,345	$1,050,986
2019	2,688	28,080	$1,033,187
2020	1,673	25,196	$679,164
2021	1,888	27,056	$795,342
2022	1,844	27,288	$847,330
2023	1,831	26,811	$796,973
2024	1,984	25,641	$778,317

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	320	780	$185,223
2016	295	694	$114,217
2017	366	861	$64,263
2018	426	972	$56,196
2019	454	1,068	$153,582
2020	374	982	$232,635
2021	418	1,088	$324,611
2022	392	1,123	$346,630
2023	449	1,297	$450,965
2024	547	1,533	$514,121

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
17110	Destruction of skin growth, 1-14 growths	1,048	1,483	$87
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	1,359	2,052	$66
17000	Destruction of precancer skin growth, 1 growth	1,445	2,379	$39
88305	Pathology examination of tissue using a microscope, intermediate complexity	758	1,387	$31
17003	Destruction of precancer skin growth, 2-14 growths	1,241	10,987	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Humira(Cf) Pen	Adalimumab	16	476	$115,289
Enbrel Sureclick	Etanercept	12	336	$85,999
Dupixent Pen	Dupilumab	13	364	$49,775
Dupixent Syringe	Dupilumab	14	392	$49,658
Clobetasol Propionate	Clobetasol Propionate	136	4,247	$5,054

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.	135	$2,036	Janssen Biotech, 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 Michael Pilkington, M.D.?

Tedicare shows public-source Medicare data for David Michael Pilkington, M.D. (NPI 1295751931), 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 Michael Pilkington, M.D. 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 Michael Pilkington, M.D.?

David Michael Pilkington, M.D. is linked to GOLDEN STATE DERMATOLOGY ASSOCIATES, INC. (billing NPI 1700860871) in the available physician profile data.

Does David Michael Pilkington, M.D. have Open Payments data?

David Michael Pilkington, M.D. has 135 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.