Physician

Terry T Durbin, DDS

According to 2025 Medicare claims, Terry Durbin, DDS (NPI: 1699725382) practices clinician in the Lancaster, PA market, with the plurality of this provider's patient population coming from Lancaster, PA. This provider's primary affiliated billing organization is UPMC PINNACLE ANESTHESIA SERVICES, LLC (NPI: 1730693979; TIN: 823458724) and primary practice location at 17543-7694.

Durbin's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 129 traditional Medicare patients, billed 162 HCPCS/CPT codes, and received $12,446 in Medicare payments. The top billing code was 01214 (Anesthesia for total hip replacement). No Open Payments records. 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 from a higher plateau to a lower plateau, from $23,824 to $12,446. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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$12K$24K2015 Medicare payment: $23,824 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $22,195 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $12,289 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $16,727 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $16,554 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $14,029 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $12,108 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $4,877 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $11,375 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $12,446 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015160183$23,824
2016143168$22,195
20177587$12,289
2018104119$16,727
2019138155$16,554
2020144172$14,029
2021127145$12,108
20226473$4,877
2023148161$11,375
2024129162$12,446

Part D Events Trend

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

No connected Part D records

No connected Part D records

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
01214Anesthesia for total hip replacement1111$157
01402Anesthesia for procedure for total knee joint replacement2021$113
00812Anesthesia for exam of colon using an endoscope1818$49
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1617$39

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Terry T. Durbin, DDS?

Tedicare shows public-source Medicare data for Terry T. Durbin, DDS (NPI 1699725382), 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 Terry T. Durbin, DDS have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Terry T. Durbin, DDS?

Terry T. Durbin, DDS is linked to UPMC PINNACLE ANESTHESIA SERVICES, LLC (billing NPI 1730693979) in the available physician profile data.

Does Terry T. Durbin, DDS have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.