Physician

Marc Kenneth Taormina, MD

According to 2025 Medicare claims, Marc Taormina, MD (NPI: 1992788038) practices gastroenterology in the Kansas City, MO-KS market, with the plurality of this provider's patient population coming from Jackson, MO. This provider's primary affiliated billing organization is MIDWEST GI HEALTH LLC (NPI: 1497265078; TIN: 822830625) and primary practice location at 64064-2358.

Taormina's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 740 traditional Medicare patients, billed 30,041 HCPCS/CPT codes, and received $531,098 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 2,094 prescription claims across 990 beneficiaries totaling $587,068 in drug costs, led by Ocaliva (Obeticholic Acid). 2023 DME data shows 95 claims. Open Payments data shows 208 records totaling $26,271. 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 moved from a lower plateau to a higher plateau, from $251,706 to $531,098. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $438,750 to $587,068. 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.

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$266K$531K2015 Medicare payment: $251,706 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $236,699 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $235,959 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $394,252 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $418,596 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $338,263 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $360,349 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $463,624 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $463,360 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $531,098 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157292,826$251,706
201668612,817$236,699
201765115,608$235,959
201868122,176$394,252
201966225,875$418,596
202068126,670$338,263
202167126,476$360,349
202273438,658$463,624
202373733,402$463,360
202474030,041$531,098

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$452K$904K2015 Drug cost: $438,750 (USD; Tot_Drug_Cst)2016 Drug cost: $440,703 (USD; Tot_Drug_Cst)2017 Drug cost: $373,050 (USD; Tot_Drug_Cst)2018 Drug cost: $519,966 (USD; Tot_Drug_Cst)2019 Drug cost: $884,819 (USD; Tot_Drug_Cst)2020 Drug cost: $684,949 (USD; Tot_Drug_Cst)2021 Drug cost: $904,479 (USD; Tot_Drug_Cst)2022 Drug cost: $851,680 (USD; Tot_Drug_Cst)2023 Drug cost: $772,950 (USD; Tot_Drug_Cst)2024 Drug cost: $587,068 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20157641,990$438,750
20167181,919$440,703
20174111,409$373,050
20185571,706$519,966
20197712,135$884,819
20207472,199$684,949
20216341,934$904,479
20226081,697$851,680
20231,1852,276$772,950
20249902,094$587,068

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$56K$113K2019 Medicare payment: $29,125 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $112,641 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $84,894 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $91,279 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $24,871 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/R63$29,125
2020N/R224$112,641
2021N/R173$84,894
2022N/R198$91,279
2023N/R95$24,871
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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare154154$214
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope195197$88
88312Special stained specimen slides to identify organisms including interpretation and report167193$69
88313Special stained specimen slides to examine tissue including interpretation and report249445$57
88305Pathology examination of tissue using a microscope, intermediate complexity4951,022$27

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OcalivaObeticholic Acid14420$134,593
RinvoqUpadacitinib14600$123,927
ShingrixVaricella-Zoster Ge/As01b/Pf524524$108,678
Boostrix TdapDiphth,pertuss(Acell),tet Vac174174$10,833
Colestipol HclColestipol Hcl1125,590$10,772

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.208$26,271Celltrion USA 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 Marc Kenneth Taormina, MD?

Tedicare shows public-source Medicare data for Marc Kenneth Taormina, MD (NPI 1992788038), 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 Marc Kenneth Taormina, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Marc Kenneth Taormina, MD?

Marc Kenneth Taormina, MD is linked to MIDWEST GI HEALTH LLC (billing NPI 1497265078) in the available physician profile data.

Does Marc Kenneth Taormina, MD have Open Payments data?

Marc Kenneth Taormina, MD has 208 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.