Physician

Janelle Pakish Darby, M.D.

According to 2025 Medicare claims, Janelle Darby, M.D. (NPI: 1528383163) practices gynecologist/oncologist in the Hickory-Lenoir-Morganton, NC market, with the plurality of this provider's patient population coming from Catawba, NC. This provider's primary affiliated billing organization is WAKE FOREST UNIVERSITY HEALTH SCIENCES (NPI: 1003803032; TIN: 223849199) and primary practice location at 27157-0001. Darby is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033), participating under the MSSP model.

Darby's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 91 traditional Medicare patients, billed 256 HCPCS/CPT codes, and received $33,833 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 120 prescription claims across 43 beneficiaries totaling $47,846 in drug costs, led by Oxycodone Hcl (Oxycodone Hcl). Open Payments data shows 2 records totaling $104. 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 risen steadily, from $3,625 to $33,833. Similarly, Part D prescription costs have risen steadily, from $909 to $47,846. 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$17K$34K2018 Medicare payment: $3,625 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $18,106 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $13,680 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $25,715 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $11,888 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $30,525 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $33,833 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20181122$3,625
201944118$18,106
202042116$13,680
202161168$25,715
202253129$11,888
202392239$30,525
202491256$33,833

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$49K$98K2016 Drug cost: $909 (USD; Tot_Drug_Cst)2017 Drug cost: $2,127 (USD; Tot_Drug_Cst)2018 Drug cost: $3,627 (USD; Tot_Drug_Cst)2019 Drug cost: $812 (USD; Tot_Drug_Cst)2020 Drug cost: $1,509 (USD; Tot_Drug_Cst)2021 Drug cost: $9,568 (USD; Tot_Drug_Cst)2022 Drug cost: $48,676 (USD; Tot_Drug_Cst)2023 Drug cost: $98,292 (USD; Tot_Drug_Cst)2024 Drug cost: $47,846 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
20161626$909
20173966$2,127
20183241$3,627
20192357$812
20202666$1,509
202144141$9,568
20223479$48,676
202346134$98,292
202443120$47,846

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more1515$108
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more3053$72
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more3036$55
99459Pelvic exam1111$16

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Oxycodone HclOxycodone Hcl1262$61

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$104GlaxoSmithKline, 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 Janelle Pakish Darby, M.D.?

Tedicare shows public-source Medicare data for Janelle Pakish Darby, M.D. (NPI 1528383163), 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 Janelle Pakish Darby, M.D. have ACO affiliation data?

Janelle Pakish Darby, M.D. is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033).

What billing organization is linked to Janelle Pakish Darby, M.D.?

Janelle Pakish Darby, M.D. is linked to WAKE FOREST UNIVERSITY HEALTH SCIENCES (billing NPI 1003803032) in the available physician profile data.

Does Janelle Pakish Darby, M.D. have Open Payments data?

Janelle Pakish Darby, M.D. has 2 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.