Physician

Michael A Englund, DO

According to 2025 Medicare claims, Michael Englund, DO (NPI: 1871548826) practices interventional cardiology in the Morgantown, WV market, with the plurality of this provider's patient population coming from Monongalia, WV. This provider's primary affiliated billing organization is MONONGALIA COUNTY GENERAL HOSPITAL COMPANY (NPI: 1447673223; TIN: 237441353) and primary practice location at 26505-3494. Englund is affiliated with the Vandalia Health Network (ACO ID: A4513), participating under the MSSP model.

Englund's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,003 traditional Medicare patients, billed 3,003 HCPCS/CPT codes, and received $133,259 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 3,270 prescription claims across 589 beneficiaries totaling $403,338 in drug costs, led by Entresto (Sacubitril/Valsartan). 2021 DME data shows 11 claims. Open Payments data shows 19 records totaling $361. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $184,476 and ending at $403,338. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,063	2,841	$172,431
2016	1,111	2,950	$184,952
2017	1,266	3,031	$164,879
2018	2,485	5,364	$145,583
2019	2,291	4,998	$147,669
2020	1,377	2,619	$91,707
2021	1,161	2,533	$160,023
2022	1,238	2,457	$148,350
2023	1,285	3,026	$152,174
2024	1,003	3,003	$133,259

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	299	2,360	$184,476
2016	349	2,631	$235,486
2017	386	3,143	$299,406
2018	397	3,157	$307,249
2019	392	2,874	$317,205
2020	354	2,420	$301,528
2021	342	1,314	$172,635
2022	452	2,087	$253,006
2023	570	3,278	$527,435
2024	589	3,270	$403,338

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	17	$32,410
2016	N/R	N/R	N/R
2017	N/R	12	$25,164
2018	N/R	12	$23,744
2019	N/R	N/R	N/R
2020	N/R	12	$26,916
2021	N/R	11	$25,210
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	445	595	$67
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	284	291	$55
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	228	280	$12
99152	Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes	80	84	$9
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	224	251	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Entresto	Sacubitril/Valsartan	77	4,507	$98,685
Eliquis	Apixaban	84	4,340	$81,866
Brilinta	Ticagrelor	107	5,126	$73,821
Xarelto	Rivaroxaban	29	1,570	$28,446
Jardiance	Empagliflozin	36	1,200	$23,633

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.	19	$361	ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
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 Michael A. Englund, DO?

Tedicare shows public-source Medicare data for Michael A. Englund, DO (NPI 1871548826), 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 Michael A. Englund, DO have ACO affiliation data?

Michael A. Englund, DO is shown with ACO affiliation data for Vandalia Health Network (MSSP, ACO ID A4513).

What billing organization is linked to Michael A. Englund, DO?

Michael A. Englund, DO is linked to MONONGALIA COUNTY GENERAL HOSPITAL COMPANY (billing NPI 1447673223) in the available physician profile data.

Does Michael A. Englund, DO have Open Payments data?

Michael A. Englund, DO has 19 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.