Physician

Barry J Pernikoff, M.D.

According to 2025 Medicare claims, Barry Pernikoff, M.D. (NPI: 1609844646) practices colorectal surgery (formerly proctology) in the Scranton--Wilkes-Barre, PA market, with the plurality of this provider's patient population coming from Luzerne, PA. This provider's primary affiliated billing organization is COMMONWEALTH PHYSICIAN NETWORK LLC (NPI: 1003238635; TIN: 800955310) and primary practice location at 18702-2634. Pernikoff is affiliated with the CHSPSC ACO 13, LLC (ACO ID: A3723), participating under the MSSP model.

Pernikoff's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 348 traditional Medicare patients, billed 747 HCPCS/CPT codes, and received $98,392 in Medicare payments. The top billing code was G0105 (Colorectal cancer screening; colonoscopy on individual at high risk). Part D data shows 360 prescription claims across 103 beneficiaries totaling $33,093 in drug costs, led by Mesalamine (Mesalamine). DME data shows 96 claims. Open Payments data shows 6 records totaling $108. 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 declined steadily, from $237,476 to $98,392. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $55,388 and ending at $33,093. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $120 and ending at $1,290.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	559	1,691	$237,476
2016	562	1,599	$212,767
2017	530	1,495	$209,416
2018	495	1,260	$151,517
2019	474	1,286	$161,663
2020	395	1,069	$125,253
2021	391	1,089	$132,269
2022	384	974	$126,928
2023	368	836	$125,528
2024	348	747	$98,392

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	99	286	$55,388
2016	87	220	$49,151
2017	89	221	$25,836
2018	85	249	$337,349
2019	99	306	$31,791
2020	110	436	$49,451
2021	98	364	$44,891
2022	122	472	$52,031
2023	117	457	$66,124
2024	103	360	$33,093

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	138	$21,277
2016	N/R	68	$3,379
2017	N/R	96	$7,234
2018	N/R	67	$5,036
2019	N/R	95	$4,541
2020	N/R	59	$2,302
2021	N/R	92	$3,890
2022	N/R	69	$2,791
2023	N/R	62	$3,793
2024	N/R	96	$5,974

* / # = 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
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	31	31	$173
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$112
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	30	$101
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	332	$88
45300	Diagnostic exam of rectum and lower large bowel using an endoscope	18	18	$78

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mesalamine	Mesalamine	29	1,970	$14,045
Colestipol Hcl	Colestipol Hcl	31	1,410	$1,748
Diphenoxylate-Atropine	Diphenoxylate Hcl/Atropine	44	1,246	$1,385
Fluocinonide	Fluocinonide	11	334	$206
Dicyclomine Hcl	Dicyclomine Hcl	28	400	$186

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
A4409	Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each	N	N/R	20	$2,519
A5063	Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each	N	N/R	33	$1,765
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	N	N/R	12	$1,090
A4406	Ostomy skin barrier, pectin-based, paste, per ounce	N	N/R	13	$367
A4456	Adhesive remover, wipes, any type, each	N	N/R	18	$233

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	6	$108	Celgene Corporation
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 Barry J. Pernikoff, M.D.?

Tedicare shows public-source Medicare data for Barry J. Pernikoff, M.D. (NPI 1609844646), 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 Barry J. Pernikoff, M.D. have ACO affiliation data?

Barry J. Pernikoff, M.D. is shown with ACO affiliation data for CHSPSC ACO 13, LLC (MSSP, ACO ID A3723).

What billing organization is linked to Barry J. Pernikoff, M.D.?

Barry J. Pernikoff, M.D. is linked to COMMONWEALTH PHYSICIAN NETWORK LLC (billing NPI 1003238635) in the available physician profile data.

Does Barry J. Pernikoff, M.D. have Open Payments data?

Barry J. Pernikoff, M.D. has 6 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.