Physician

Daniel James Warburton, M.D.

According to 2025 Medicare claims, Daniel Warburton, M.D. (NPI: 1962757187) practices urology in the Owensboro, KY market, with the plurality of this provider's patient population coming from Daviess, KY. This provider's primary affiliated billing organization is OWENSBORO HEALTH MEDICAL GROUP, INC (NPI: 1952736365; TIN: 611197638) and primary practice location at 42303-9774. Warburton is affiliated with the Caravan Health ACO 50 LLC (ACO ID: A5160) and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Warburton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 540 traditional Medicare patients, billed 6,593 HCPCS/CPT codes, and received $207,317 in Medicare payments. The top billing code was 52000 (Diagnostic exam of bladder and urethra using an endoscope). Part D data shows 1,768 prescription claims across 397 beneficiaries totaling $174,318 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 47 claims. Open Payments data shows 75 records totaling $1,726. 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 risen steadily, from $741 to $174,318. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $223 to $634.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	408	1,245	$71,122
2018	706	3,273	$196,927
2019	690	2,954	$205,011
2020	554	3,985	$182,033
2021	569	4,962	$185,900
2022	563	6,327	$187,113
2023	582	4,820	$151,535
2024	540	6,593	$207,317

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	19	48	$741
2016	42	66	$4,757
2017	159	379	$40,684
2018	324	1,355	$178,803
2019	350	1,446	$124,642
2020	341	1,561	$519,774
2021	370	1,641	$424,505
2022	395	1,781	$477,576
2023	379	1,739	$371,511
2024	397	1,768	$174,318

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	28	$3,114
2019	N/R	37	$4,497
2020	N/R	59	$8,676
2021	N/R	35	$7,250
2022	N/R	38	$6,350
2023	N/R	48	$7,555
2024	N/R	47	$7,783

* / # = 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
52000	Diagnostic exam of bladder and urethra using an endoscope	78	87	$150
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	235	$86
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	227	259	$57
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	105	110	$13
81003	Automated urinalysis test	332	431	$2

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	183	6,965	$103,613
Gemtesa	Vibegron	46	1,539	$24,604
Mirabegron Er	Mirabegron	20	1,260	$14,173
Tamsulosin Hcl	Tamsulosin Hcl	572	31,564	$6,267
Trimethoprim	Trimethoprim	91	4,091	$4,771

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
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	24	$7,270
A4358	Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each	N	N/R	12	$277
A4332	Lubricant, individual sterile packet, each	N	N/R	11	$235

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	75	$1,726	PFIZER 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 James Warburton, M.D.?

Tedicare shows public-source Medicare data for Daniel James Warburton, M.D. (NPI 1962757187), 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 James Warburton, M.D. have ACO affiliation data?

Daniel James Warburton, M.D. is shown with ACO affiliation data for Caravan Health ACO 50 LLC (MSSP, ACO ID A5160) and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Daniel James Warburton, M.D.?

Daniel James Warburton, M.D. is linked to OWENSBORO HEALTH MEDICAL GROUP, INC (billing NPI 1952736365) in the available physician profile data.

Does Daniel James Warburton, M.D. have Open Payments data?

Daniel James Warburton, M.D. has 75 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.