Physician

Diane Michelle Settles, MD

According to 2025 Medicare claims, Diane Settles, MD (NPI: 1356462154) practices gastroenterology in the Huntington-Ashland, WV-KY-OH market, with the plurality of this provider's patient population coming from Greenup, KY. This provider's primary affiliated billing organization is KINGS DAUGHTERS MEDICAL SPECIALTIES INC (NPI: 1861718199; TIN: 264183569) and primary practice location at 41101-2843.

Settles' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 630 traditional Medicare patients, billed 1,406 HCPCS/CPT codes, and received $115,802 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 2,300 prescription claims across 834 beneficiaries totaling $1,711,188 in drug costs, led by Stelara (Ustekinumab). 2019 DME data shows 38 claims. Open Payments data shows 48 records totaling $860. 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 $133,497 and ending at $115,802. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $552,216 to $1,711,188. 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	511	1,443	$133,497
2016	475	1,384	$115,594
2017	616	2,013	$146,212
2018	601	1,835	$117,572
2019	775	2,301	$157,614
2020	530	1,221	$77,102
2021	709	2,029	$143,242
2022	654	1,611	$127,673
2023	664	1,508	$122,548
2024	630	1,406	$115,802

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	371	1,434	$552,216
2016	373	1,490	$355,264
2017	479	2,223	$882,318
2018	544	2,731	$573,136
2019	691	3,108	$673,551
2020	610	2,589	$777,169
2021	668	2,755	$844,587
2022	701	2,687	$1,164,220
2023	765	2,581	$1,658,858
2024	834	2,300	$1,711,188

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	11	$991
2019	N/R	38	$5,127
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
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	140	144	$168
45380	Biopsy of large bowel using a flexible endoscope	88	88	$85
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	104	$65
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	235	243	$61
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	138	168	$43

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Stelara	Ustekinumab	37	1,304	$965,754
Entyvio	Vedolizumab	17	798	$149,460
Humira(Cf) Pen	Adalimumab	17	476	$146,604
Linzess	Linaclotide	112	6,336	$112,065
Xifaxan	Rifaximin	25	697	$79,361

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.	48	$860	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 Diane Michelle Settles, MD?

Tedicare shows public-source Medicare data for Diane Michelle Settles, MD (NPI 1356462154), 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 Diane Michelle Settles, 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 Diane Michelle Settles, MD?

Diane Michelle Settles, MD is linked to KINGS DAUGHTERS MEDICAL SPECIALTIES INC (billing NPI 1861718199) in the available physician profile data.

Does Diane Michelle Settles, MD have Open Payments data?

Diane Michelle Settles, MD has 48 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.