Physician

Duncan Fagundus, MD

According to 2025 Medicare claims, Duncan Fagundus, MD (NPI: 1972506921) practices pediatric medicine in the Greenville, NC market, with the plurality of this provider's patient population coming from Pitt, NC. This provider's primary affiliated billing organization is PHYSICIANS EAST, P.A. (NPI: 1598761967; TIN: 561968491) and primary practice location at 27834-5704. Fagundus is affiliated with the Aledade A4548 NC Legacy MSSP Enhanced (ACO ID: A4548), participating under the MSSP model.

Fagundus' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,468 traditional Medicare patients, billed 134,904 HCPCS/CPT codes, and received $2,092,118 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 6,455 prescription claims across 932 beneficiaries totaling $4,300,232 in drug costs, led by Humira Pen (Adalimumab). 2020 DME data shows 12 claims. Open Payments data shows 12 records totaling $218. 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 moved sharply higher in recent years, from $1,575,342 to $4,300,232. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $2,967 to $560.

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$1.5M$2.9M2015 Medicare payment: $2,284,989 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $2,648,184 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $2,694,181 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $2,937,438 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $2,612,904 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,504,386 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,327,337 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,153,438 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,143,152 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,092,118 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,80493,320$2,284,989
20161,768119,652$2,648,184
20171,469134,391$2,694,181
20181,459148,168$2,937,438
20191,465123,098$2,612,904
20201,462118,027$2,504,386
20211,447120,436$2,327,337
20221,356120,997$2,153,438
20231,501115,612$2,143,152
20241,468134,904$2,092,118

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$2.2M$4.3M2015 Drug cost: $1,575,342 (USD; Tot_Drug_Cst)2016 Drug cost: $1,883,777 (USD; Tot_Drug_Cst)2017 Drug cost: $1,902,372 (USD; Tot_Drug_Cst)2018 Drug cost: $2,211,797 (USD; Tot_Drug_Cst)2019 Drug cost: $2,247,052 (USD; Tot_Drug_Cst)2020 Drug cost: $2,534,808 (USD; Tot_Drug_Cst)2021 Drug cost: $2,852,163 (USD; Tot_Drug_Cst)2022 Drug cost: $3,122,362 (USD; Tot_Drug_Cst)2023 Drug cost: $3,976,588 (USD; Tot_Drug_Cst)2024 Drug cost: $4,300,232 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20156987,411$1,575,342
20166807,625$1,883,777
20176767,365$1,902,372
20187117,232$2,211,797
20197056,783$2,247,052
20207526,613$2,534,808
20217666,354$2,852,163
20227455,818$3,122,362
20238205,880$3,976,588
20249326,455$4,300,232

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$112$2232016 Medicare payment: $223 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $138 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/R11$223
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/R12$138
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more482985$90
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more305432$62
77080Dxa bone density measurement of hip, pelvis, spine359360$19
36415Insertion of needle into vein for collection of blood sample374803$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count318823$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira PenAdalimumab1043,108$783,336
Enbrel SureclickEtanercept862,408$663,235
Humira(Cf) PenAdalimumab812,380$601,660
Enbrel MiniEtanercept511,746$444,392
EnbrelEtanercept501,512$428,717

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.12$218ABBVIE INC.
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 Duncan Fagundus, MD?

Tedicare shows public-source Medicare data for Duncan Fagundus, MD (NPI 1972506921), 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 Duncan Fagundus, MD have ACO affiliation data?

Duncan Fagundus, MD is shown with ACO affiliation data for Aledade A4548 NC Legacy MSSP Enhanced (MSSP, ACO ID A4548).

What billing organization is linked to Duncan Fagundus, MD?

Duncan Fagundus, MD is linked to PHYSICIANS EAST, P.A. (billing NPI 1598761967) in the available physician profile data.

Does Duncan Fagundus, MD have Open Payments data?

Duncan Fagundus, MD has 12 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.