Physician

Edwin David Gar-El, MD

According to 2025 Medicare claims, Edwin Gar-El, MD (NPI: 1740255728) practices family practice in the Wilmington, DE-MD-NJ market, with the plurality of this provider's patient population coming from Cecil, MD. Gar-El uses personal NPI as billing NPI and primary practice location at 21921-5524. Gar-El is affiliated with the Aledade 204 MD/DE/DC MSSP (ACO ID: A5527), participating under the MSSP model.

Gar-El's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 369 traditional Medicare patients, billed 1,526 HCPCS/CPT codes, and received $109,755 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 8,441 prescription claims across 380 beneficiaries totaling $1,260,507 in drug costs, led by Eliquis (Apixaban). DME data shows 342 claims. Open Payments data shows 125 records totaling $2,243. 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 risen steadily, from $776,574 to $1,260,507. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $22,092 and ending at $26,239.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	475	2,157	$148,706
2016	477	2,174	$148,331
2017	488	2,147	$148,034
2018	461	2,159	$152,482
2019	443	1,877	$132,393
2020	413	1,602	$120,986
2021	423	1,492	$138,339
2022	385	1,453	$124,684
2023	366	1,491	$117,507
2024	369	1,526	$109,755

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	378	8,391	$776,574
2016	384	8,223	$747,107
2017	401	8,551	$712,939
2018	429	8,637	$973,479
2019	409	8,535	$1,171,110
2020	405	7,923	$1,139,701
2021	401	7,825	$1,043,282
2022	379	7,784	$1,078,905
2023	383	7,668	$1,216,185
2024	380	8,441	$1,260,507

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	155	613	$17,571
2016	157	621	$20,936
2017	119	482	$11,949
2018	97	466	$13,196
2019	71	468	$14,824
2020	43	574	$21,213
2021	38	454	$28,209
2022	30	402	$29,058
2023	29	349	$30,144
2024	27	342	$71,361

* / # = 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
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	70	$121
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	103	103	$117
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	321	882	$75
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	194	338	$54
69210	Removal of impacted ear wax	29	35	$33

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	81	5,356	$101,889
Xeljanz	Tofacitinib Citrate	14	420	$84,568
Jardiance	Empagliflozin	65	4,290	$82,973
Ozempic	Semaglutide	52	2,690	$81,945
Farxiga	Dapagliflozin Propanediol	61	3,570	$66,756

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
J7699	Noc drugs, inhalation solution administered through dme	N	N/R	19	$48,527
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	24	$10,152
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	12	106	$7,696
A4414	Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each	N	N/R	17	$1,547
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	62	$966

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	125	$2,243	Phathom Pharmaceuticals, Inc.
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

Explore More Providers

Family practice providers in the Wilmington, DE-MD-NJ market
Providers within practice ZIP code 21921-5524
Providers whose plurality patient county is Cecil, MD
Providers in Maryland affiliated with Aledade 204 MD/DE/DC MSSP (MSSP)

FAQ

What Medicare data is available for Edwin David Gar-El, MD?

Tedicare shows public-source Medicare data for Edwin David Gar-El, MD (NPI 1740255728), 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 Edwin David Gar-El, MD have ACO affiliation data?

Edwin David Gar-El, MD is shown with ACO affiliation data for Aledade 204 MD/DE/DC MSSP (MSSP, ACO ID A5527).

What billing organization is linked to Edwin David Gar-El, MD?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does Edwin David Gar-El, MD have Open Payments data?

Edwin David Gar-El, MD has 125 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.