Physician

Daniel Paul Mistrot, MD

According to 2025 Medicare claims, Daniel Mistrot, MD (NPI: 1457761181) practices colorectal surgery (formerly proctology) in the Winston-Salem, NC market, with the plurality of this provider's patient population coming from Forsyth, NC. This provider's primary affiliated billing organization is NOVANT HEALTH MEDICAL GROUP, LLC (NPI: 1063134344; TIN: 581728803) and primary practice location at 27012-8002. Mistrot is affiliated with the Novant Health Accountable Care Organization I, LLC (ACO ID: A3504), participating under the MSSP model.

Mistrot's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 114 traditional Medicare patients, billed 366 HCPCS/CPT codes, and received $58,218 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 127 prescription claims across 66 beneficiaries totaling $4,164 in drug costs, led by Oxycodone Hcl (Oxycodone Hcl). DME data shows 190 claims. Open Payments data shows 1 records totaling $91. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $1,199 to $4,164. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$35K$69K2020 Medicare payment: $16,092 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $59,733 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $58,991 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $69,301 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $58,218 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
20204292$16,092
2021123343$59,733
2022131335$58,991
2023118341$69,301
2024114366$58,218

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$2.1K$4.2K2015 Drug cost: $1,199 (USD; Tot_Drug_Cst)2016 Drug cost: $924 (USD; Tot_Drug_Cst)2017 Drug cost: $436 (USD; Tot_Drug_Cst)2018 Drug cost: $635 (USD; Tot_Drug_Cst)2019 Drug cost: $3,495 (USD; Tot_Drug_Cst)2020 Drug cost: $3,271 (USD; Tot_Drug_Cst)2021 Drug cost: $896 (USD; Tot_Drug_Cst)2022 Drug cost: $2,497 (USD; Tot_Drug_Cst)2023 Drug cost: $2,635 (USD; Tot_Drug_Cst)2024 Drug cost: $4,164 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152748$1,199
20163655$924
20171831$436
20182743$635
20193976$3,495
202064106$3,271
202158105$896
202259124$2,497
202367129$2,635
202466127$4,164

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$5.1K$10K2023 Medicare payment: $4,778 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $10,144 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R112$4,778
2024N/R190$10,144

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more3232$154
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more2121$95
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more2327$85
46600Diagnostic exam of anus using an endoscope3541$79
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's2629$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Oxycodone HclOxycodone Hcl2791$94
MetronidazoleMetronidazole2052$75
Neomycin SulfateNeomycin Sulfate1318$50
Ondansetron HclOndansetron Hcl1426$33

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A5057Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), eachNN/R17$6,128
A4385Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, eachNN/R12$1,362
A5063Ostomy pouch, drainable; for use on barrier with flange (2 piece system), eachNN/R12$752
A5056Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), eachNN/R12$550
A4406Ostomy skin barrier, pectin-based, paste, per ounceNN/R17$478

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$91Ethicon US, LLC
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Daniel Paul Mistrot, MD?

Tedicare shows public-source Medicare data for Daniel Paul Mistrot, MD (NPI 1457761181), 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 Daniel Paul Mistrot, MD have ACO affiliation data?

Daniel Paul Mistrot, MD is shown with ACO affiliation data for Novant Health Accountable Care Organization I, LLC (MSSP, ACO ID A3504).

What billing organization is linked to Daniel Paul Mistrot, MD?

Daniel Paul Mistrot, MD is linked to NOVANT HEALTH MEDICAL GROUP, LLC (billing NPI 1063134344) in the available physician profile data.

Does Daniel Paul Mistrot, MD have Open Payments data?

Daniel Paul Mistrot, MD has 1 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.