Physician

Daniel John Pambianco, MD

According to 2025 Medicare claims, Daniel Pambianco, MD (NPI: 1760489488) practices gastroenterology in the Charlottesville, VA market, with the plurality of this provider's patient population coming from Charlottesville City, VA. This provider's primary affiliated billing organization is GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC (NPI: 1205884368; TIN: 540892627) and primary practice location at 22902-4849.

Pambianco's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 745 traditional Medicare patients, billed 1,169 HCPCS/CPT codes, and received $171,001 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 1,058 prescription claims across 296 beneficiaries totaling $957,540 in drug costs, led by Stelara (Ustekinumab). Open Payments data shows 7 records totaling $4,350. 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 up and down with repeated peaks and valleys, starting at $145,163 and ending at $171,001. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $112,733 to $957,540. 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.

Year	Patients	Clm Lines	Payment
2015	791	1,300	$145,163
2016	826	1,312	$153,963
2017	694	1,082	$159,528
2018	760	11,229	$182,761
2019	842	16,645	$222,519
2020	764	22,266	$223,684
2021	823	26,130	$290,352
2022	819	4,025	$236,043
2023	578	1,293	$128,915
2024	745	1,169	$171,001

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	408	1,153	$112,733
2016	401	1,193	$124,866
2017	370	1,139	$132,778
2018	367	1,228	$174,759
2019	397	1,223	$171,154
2020	426	1,367	$160,991
2021	337	1,157	$178,448
2022	307	1,049	$437,679
2023	284	1,008	$417,689
2024	296	1,058	$957,540

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	80	80	$364
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	84	84	$324
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	91	91	$129
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	242	281	$89
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	139	155	$67

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Stelara	Ustekinumab	20	1,038	$541,722
Zenpep	Lipase/Protease/Amylase	30	1,169	$131,766
Creon	Lipase/Protease/Amylase	37	1,138	$114,785
Mesalamine	Mesalamine	27	984	$7,411
Linzess	Linaclotide	11	330	$7,124

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	7	$4,350	Braintree Laboratories, 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

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FAQ

What Medicare data is available for Daniel John Pambianco, MD?

Tedicare shows public-source Medicare data for Daniel John Pambianco, MD (NPI 1760489488), 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 Daniel John Pambianco, MD have ACO affiliation data?

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

What billing organization is linked to Daniel John Pambianco, MD?

Daniel John Pambianco, MD is linked to GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC (billing NPI 1205884368) in the available physician profile data.

Does Daniel John Pambianco, MD have Open Payments data?

Daniel John Pambianco, MD has 7 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.