Physician

James Donald Paauw, M.D.

According to 2025 Medicare claims, James Paauw, M.D. (NPI: 1568608966) practices ophthalmology in the Lynchburg, VA market, with the plurality of this provider's patient population coming from Lynchburg City, VA. This provider's primary affiliated billing organization is PIEDMONT EYE CENTER, INC. (NPI: 1801857529; TIN: 54-1120525) and primary practice location at 24502-4271.

Paauw's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,270 traditional Medicare patients, billed 4,820 HCPCS/CPT codes, and received $420,440 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 7,262 prescription claims across 1,384 beneficiaries totaling $744,208 in drug costs, led by Lumigan (Bimatoprost). DME data shows 13 claims. Open Payments data shows 68 records totaling $670,131. 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 from a lower plateau to a higher plateau, from $283,075 to $744,208. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,031	2,934	$348,520
2016	900	2,879	$306,926
2017	1,087	3,701	$381,946
2018	1,170	4,152	$467,646
2019	1,294	4,708	$498,050
2020	1,191	4,214	$419,881
2021	1,248	4,552	$445,684
2022	1,296	4,653	$422,202
2023	1,327	4,970	$442,599
2024	1,270	4,820	$420,440

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	515	2,389	$283,075
2016	513	1,883	$245,962
2017	606	2,601	$247,362
2018	776	3,858	$394,668
2019	925	5,060	$545,139
2020	972	5,351	$564,407
2021	1,112	5,862	$692,947
2022	1,231	6,352	$711,631
2023	1,335	6,906	$878,633
2024	1,384	7,262	$744,208

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	128	128	$6,124
2016	51	51	$1,858
2017	40	40	$1,462
2018	45	45	$1,588
2019	36	37	$1,640
2020	N/R	N/R	N/R
2021	11	12	$439
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	13	13	$607

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	679	1,088	$81
92014	Established patient complete exam of visual system	394	404	$75
92083	Exam of visual field with extended testing	693	744	$43
92136	Measurement of corneal curvature and depth of eye	302	453	$28
92133	Imaging of optic nerve	702	722	$23

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Lumigan	Bimatoprost	326	19,143	$203,995
Rocklatan	Netarsudil Mesylat/Latanoprost	150	7,284	$86,839
Simbrinza	Brinzolamide/Brimonidine Tart	150	8,868	$53,564
Travoprost	Travoprost	226	13,715	$47,168
Xdemvy	Lotilaner	20	903	$37,473

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
V2020	Frames, purchases	N	13	13	$607

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	11	$328	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	57	$669,803	ABBVIE INC.
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 James Donald Paauw, M.D.?

Tedicare shows public-source Medicare data for James Donald Paauw, M.D. (NPI 1568608966), 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 James Donald Paauw, 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 James Donald Paauw, M.D.?

James Donald Paauw, M.D. is linked to PIEDMONT EYE CENTER, INC. (billing NPI 1801857529) in the available physician profile data.

Does James Donald Paauw, M.D. have Open Payments data?

James Donald Paauw, M.D. has 68 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.