Physician

None

According to 2025 Medicare claims, NPI 1780677609 (NPI: 1780677609) practices internal medicine in the Lewiston, ID-WA market, with the plurality of this provider's patient population coming from Asotin, WA. This provider's primary affiliated billing organization is LAWRENCE M. GARGES, MD, PLLC (NPI: 1497006704; TIN: 460888247) and primary practice location at 99403-2332. 1780677609 is affiliated with the Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

1780677609's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 128 traditional Medicare patients, billed 5,673 HCPCS/CPT codes, and received $73,720 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 426 prescription claims across 53 beneficiaries totaling $238,260 in drug costs, led by Cuvitru (Immun Glob G(Igg)/Gly/Iga Ov50). DME data shows 164 claims. Open Payments data shows 5 records totaling $147. 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 $85,352 to $73,720. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $25,218 and ending at $13,146.

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$47K$94K2015 Medicare payment: $85,352 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $94,484 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $78,384 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $82,642 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $66,032 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $57,831 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $50,785 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $76,215 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $64,886 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $73,720 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152344,774$85,352
20162366,167$94,484
20172194,570$78,384
20182265,468$82,642
20191964,041$66,032
20201733,829$57,831
20211702,826$50,785
20221524,993$76,215
20231303,967$64,886
20241285,673$73,720

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$482K$965K2015 Drug cost: $301,474 (USD; Tot_Drug_Cst)2016 Drug cost: $339,013 (USD; Tot_Drug_Cst)2017 Drug cost: $396,278 (USD; Tot_Drug_Cst)2018 Drug cost: $359,143 (USD; Tot_Drug_Cst)2019 Drug cost: $396,700 (USD; Tot_Drug_Cst)2020 Drug cost: $964,605 (USD; Tot_Drug_Cst)2021 Drug cost: $665,497 (USD; Tot_Drug_Cst)2022 Drug cost: $628,866 (USD; Tot_Drug_Cst)2023 Drug cost: $308,780 (USD; Tot_Drug_Cst)2024 Drug cost: $238,260 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015114971$301,474
20161201,093$339,013
20171141,079$396,278
20181081,015$359,143
20191161,005$396,700
2020118941$964,605
2021109754$665,497
202292763$628,866
202384641$308,780
202453426$238,260

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$71K$142K2015 Medicare payment: $46,195 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $72,354 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $52,618 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $66,051 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $98,123 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $141,874 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $76,023 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $90,385 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $92,286 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $26,120 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201530466$46,195
201642494$72,354
201727358$52,618
201823381$66,051
201915385$98,123
202016434$141,874
202111293$76,023
2022N/R252$90,385
2023N/R269$92,286
2024N/R164$26,120

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more72131$91
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more6790$67
94010Test to measure expiratory airflow and volume58129$20
95165Professional service for preparation and provision of 1 or more antigens292,382$11
95117Professional service for multiple injections of allergen36711$10

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CuvitruImmun Glob G(Igg)/Gly/Iga Ov5012336$108,293
Trelegy ElliptaFluticasone/Umeclidin/Vilanter592,070$41,163
Spiriva RespimatTiotropium Bromide251,410$24,118
Arnuity ElliptaFluticasone Furoate482,490$18,263
Advair HfaFluticasone Propion/Salmeterol17510$7,202

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
J7677Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgramNN/R21$16,019
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R60$5,998
J7606Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 microgramsNN/R13$1,867
J7626Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mgNN/R21$1,135
Q0513Pharmacy dispensing fee for inhalation drug(s); per 30 daysNN/R29$698

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.5$147Blueprint Medicines Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for NPI 1780677609?

Tedicare shows public-source Medicare data for NPI 1780677609 (NPI 1780677609), 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 NPI 1780677609 have ACO affiliation data?

NPI 1780677609 is shown with ACO affiliation data for Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to NPI 1780677609?

NPI 1780677609 is linked to LAWRENCE M. GARGES, MD, PLLC (billing NPI 1497006704) in the available physician profile data.

Does NPI 1780677609 have Open Payments data?

NPI 1780677609 has 5 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.