Physician

Efrain Cancel, MD

According to 2025 Medicare claims, Efrain Cancel, MD (NPI: 1972619419) practices ophthalmology in the La Crosse-Onalaska, WI-MN market, with the plurality of this provider's patient population coming from La Crosse, WI. This provider's primary affiliated billing organization is GUNDERSEN LUTHERAN MEDICAL CENTER INC (NPI: 1376593442; TIN: 390813416) and primary practice location at 54601-5467. Cancel is affiliated with the Gundersen ACO (ACO ID: A5094) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Cancel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 383 traditional Medicare patients, billed 1,087 HCPCS/CPT codes, and received $130,549 in Medicare payments. The top billing code was 15823 (Removal of excessive skin and fat of upper eyelid). Part D data shows 1,265 prescription claims across 517 beneficiaries totaling $21,018 in drug costs, led by Erythromycin (Erythromycin Base). 2022 DME data shows 11 claims. No Open Payments records. 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 $208,108 to $130,549. Similarly, Part D prescription costs have fallen sharply in recent years, from $96,760 to $21,018. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.