Physician

David Alan Apgar, DO, CMD

According to 2025 Medicare claims, David Apgar, DO, CMD (NPI: 1972640696) practices family practice in the Huntington-Ashland, WV-KY-OH market, with the plurality of this provider's patient population coming from Lawrence, OH. This provider's primary affiliated billing organization is APGAR FAMILY PRACTICE, INC. (NPI: 1629155791; TIN: 550585293) and primary practice location at 45638-2865. Apgar is affiliated with the Eventus ACO LLC (ACO ID: A5530), participating under the MSSP model.

Apgar's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 118 traditional Medicare patients, billed 255 HCPCS/CPT codes, and received $15,031 in Medicare payments. The top billing code was 99305 (Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes). Part D data shows 19,788 prescription claims across 525 beneficiaries totaling $1,112,279 in drug costs, led by Eliquis (Apixaban). DME data shows 275 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 fallen sharply in recent years, from $96,145 to $15,031. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $24,179 and ending at $22,476.

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$159K$319K2015 Medicare payment: $96,145 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $102,280 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $106,249 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $87,308 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $116,789 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $64,806 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $56,377 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $46,947 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $318,793 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $15,031 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154201,476$96,145
20164631,619$102,280
20175831,890$106,249
20185551,597$87,308
20195242,050$116,789
20204541,201$64,806
2021336928$56,377
2022299780$46,947
20232601,279$318,793
2024118255$15,031

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$933K$1.9M2015 Drug cost: $1,151,014 (USD; Tot_Drug_Cst)2016 Drug cost: $1,104,595 (USD; Tot_Drug_Cst)2017 Drug cost: $1,201,198 (USD; Tot_Drug_Cst)2018 Drug cost: $1,712,046 (USD; Tot_Drug_Cst)2019 Drug cost: $1,626,040 (USD; Tot_Drug_Cst)2020 Drug cost: $1,866,660 (USD; Tot_Drug_Cst)2021 Drug cost: $1,390,063 (USD; Tot_Drug_Cst)2022 Drug cost: $1,454,537 (USD; Tot_Drug_Cst)2023 Drug cost: $1,211,215 (USD; Tot_Drug_Cst)2024 Drug cost: $1,112,279 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201542825,336$1,151,014
201643425,114$1,104,595
201752526,668$1,201,198
201854434,901$1,712,046
201953929,834$1,626,040
202057332,013$1,866,660
202147127,046$1,390,063
202244426,782$1,454,537
202346719,327$1,211,215
202452519,788$1,112,279

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$20K$40K2015 Medicare payment: $26,783 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $28,477 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $13,291 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $23,845 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $36,311 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $34,946 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $40,018 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $9,514 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $11,229 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $12,097 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015108696$26,783
201695629$28,477
201738374$13,291
2018110375$23,845
2019157611$36,311
202062628$34,946
202173523$40,018
202227227$9,514
202351252$11,229
202427275$12,097

* / # = 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
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes3642$96
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3641$77
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more6292$50
99315Nursing facility discharge day management, 30 minutes or less1111$48
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes3852$22

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban4837,331$148,438
XifaxanRifaximin37550$62,173
OzempicSemaglutide451,274$45,917
JanuviaSitagliptin Phosphate1261,962$39,409
JardianceEmpagliflozin1131,622$34,214

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattressY1151$3,624
K0001Standard wheelchairY1694$2,518
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R21$1,949
K0003Lightweight wheelchairYN/R31$1,106
E0630Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)YN/R15$1,025

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for David Alan Apgar, DO, CMD?

Tedicare shows public-source Medicare data for David Alan Apgar, DO, CMD (NPI 1972640696), 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 David Alan Apgar, DO, CMD have ACO affiliation data?

David Alan Apgar, DO, CMD is shown with ACO affiliation data for Eventus ACO LLC (MSSP, ACO ID A5530).

What billing organization is linked to David Alan Apgar, DO, CMD?

David Alan Apgar, DO, CMD is linked to APGAR FAMILY PRACTICE, INC. (billing NPI 1629155791) in the available physician profile data.

Does David Alan Apgar, DO, CMD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.