Dr. Nicholas Defauw, DO

NPI: 1578791398
Total Payments
$395.14
2024 Payments
$110.62
Companies
11
Transactions
14
Medicare Patients
818
Medicare Billing
$68,445

Payment Breakdown by Category

Food & Beverage$395.14 (100.0%)

Payments by Nature

Nature of Payment Amount Transactions Share
Food and Beverage $395.14 14 100.0%

Top Paying Companies

Company Total Records Latest Year
Endo Pharmaceuticals Inc. $135.51 2 $0 (2023)
GlaxoSmithKline, LLC. $93.89 3 $0 (2017)
ABBVIE INC. $32.88 1 $0 (2024)
Stryker Corporation $31.56 1 $0 (2024)
Bioventus LLC $17.06 1 $0 (2024)
Lilly USA, LLC $16.98 1 $0 (2017)
Orthofix Medical, Inc. $15.27 1 $0 (2024)
PFIZER INC. $14.02 1 $0 (2017)
Endo USA, Inc. $13.85 1 $0 (2024)
SANOFI-AVENTIS U.S. LLC $12.19 1 $0 (2017)

Payment History by Year

Year Amount Transactions Top Company
2024 $110.62 5 ABBVIE INC. ($32.88)
2023 $135.51 2 Endo Pharmaceuticals Inc. ($135.51)
2017 $149.01 7 GlaxoSmithKline, LLC. ($93.89)

All Payment Transactions

14 individual payment records from CMS Open Payments

Date Company Product Nature Form Amount Type
11/19/2024 Endo USA, Inc. XIAFLEX (Biological) Food and Beverage In-kind items and services $13.85 General
Category: ORTHOPEDIC
06/12/2024 ABBVIE INC. DALVANCE (Drug), TEFLARO Food and Beverage In-kind items and services $32.88 General
Category: ANTI-INFECTIVE
03/11/2024 Orthofix Medical, Inc. Physio-Stim (Device) Food and Beverage In-kind items and services $15.27 General
Category: Stimulator, Bone Growth, Non-Invasive
03/06/2024 Bioventus LLC DUROLANE (Device) Food and Beverage In-kind items and services $17.06 General
Category: ORTHOPEDICSORTHOPEDIC SURGERY
02/28/2024 Stryker Corporation MAKO (Device) Food and Beverage In-kind items and services $31.56 General
Category: KNEES, HIPS
11/02/2023 Endo Pharmaceuticals Inc. XIAFLEX (Biological) Food and Beverage In-kind items and services $129.15 General
Category: ORTHOPEDIC
06/06/2023 Endo Pharmaceuticals Inc. XIAFLEX (Biological) Food and Beverage In-kind items and services $6.36 General
Category: ORTHOPEDIC
09/07/2017 SANOFI-AVENTIS U.S. LLC SOLIQUA (Drug) Food and Beverage In-kind items and services $12.19 General
Category: DIABETES
08/10/2017 PFIZER INC. PREVNAR - 13 (Biological), TRUMENBA Food and Beverage In-kind items and services $14.02 General
Category: VACCINES
07/31/2017 GlaxoSmithKline, LLC. BEXSERO (Biological) Food and Beverage In-kind items and services $65.93 General
Category: VACCINES
07/20/2017 Lilly USA, LLC TRULICITY (Drug), BASAGLAR Food and Beverage In-kind items and services $16.98 General
Category: Diabetes
07/12/2017 GlaxoSmithKline, LLC. BREO (Drug) Food and Beverage In-kind items and services $12.59 General
Category: RESPIRATORY
04/20/2017 Merck Sharp & Dohme Corporation ZOSTAVAX (Biological), PNEUMOVAX 23, GARDASIL9 Food and Beverage In-kind items and services $11.93 General
Category: VACCINE
03/27/2017 GlaxoSmithKline, LLC. BREO (Drug) Food and Beverage In-kind items and services $15.37 General
Category: RESPIRATORY

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 5 160 323 $37,213 $14,233
2022 6 173 435 $42,345 $17,383
2021 8 230 428 $48,835 $20,509
2020 7 255 421 $46,370 $16,320
Total Patients
818
Total Services
1,607
Medicare Billing
$68,445
Procedure Codes
26

All Medicare Procedures & Services

26 procedure records from CMS Medicare Utilization — Page 1 of 2

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2023 56 90 $19,520 $7,932 40.6%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2023 28 28 $8,672 $2,995 34.5%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 37 46 $7,580 $2,901 38.3%
73030 X-ray of shoulder, minimum of 2 views Office 2023 11 12 $1,000 $278.96 27.9%
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg Office 2023 28 147 $441.00 $126.12 28.6%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2022 57 119 $22,372 $10,303 46.1%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2022 26 26 $7,514 $2,741 36.5%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2022 24 32 $4,600 $2,048 44.5%
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance Office 2022 19 22 $4,536 $1,482 32.7%
20610 Aspiration and/or injection of fluid from large joint Office 2022 11 12 $2,651 $612.85 23.1%
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg Office 2022 36 224 $672.00 $196.77 29.3%
99214 Established patient outpatient visit, total time 30-39 minutes Office 2021 54 96 $18,048 $8,428 46.7%
99204 New patient outpatient visit, total time 45-59 minutes Office 2021 30 30 $8,670 $3,390 39.1%
99213 Established patient outpatient visit, total time 20-29 minutes Office 2021 34 50 $6,400 $3,349 52.3%
20611 Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance Office 2021 24 29 $5,421 $2,122 39.1%
99203 New patient outpatient visit, total time 30-44 minutes Office 2021 28 28 $5,320 $2,103 39.5%
73564 X-ray of knee, 4 or more views Office 2021 14 17 $1,530 $523.62 34.2%
20610 Aspiration and/or injection of large joint or joint capsule Office 2021 11 14 $2,954 $430.74 14.6%
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg Office 2021 35 164 $492.00 $163.62 33.3%
99203 New patient office or other outpatient visit, typically 30 minutes Office 2020 89 89 $16,910 $6,062 35.9%
99213 Established patient office or other outpatient visit, typically 15 minutes Office 2020 48 76 $9,728 $3,743 38.5%
99214 Established patient office or other outpatient, visit typically 25 minutes Office 2020 32 47 $8,836 $3,643 41.2%
20610 Aspiration and/or injection of large joint or joint capsule Office 2020 24 31 $6,753 $1,488 22.0%
73564 X-ray of knee, 4 or more views Office 2020 18 23 $2,070 $687.39 33.2%
73030 X-ray of shoulder, minimum of 2 views Office 2020 16 24 $1,680 $543.57 32.4%

About Dr. Nicholas Defauw, DO

Dr. Nicholas Defauw, DO is a Sports Medicine healthcare provider based in Goshen, Indiana. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/01/2009. The National Provider Identifier (NPI) number assigned to this provider is 1578791398.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Nicholas Defauw, DO has received a total of $395.14 in payments from pharmaceutical and medical device companies, with $110.62 received in 2024. These payments were reported across 14 transactions from 11 companies. The most common payment nature is "Food and Beverage" ($395.14).

As a Medicare-enrolled provider, Defauw has provided services to 818 Medicare beneficiaries, totaling 1,607 services with total Medicare billing of $68,445. Data is available for 4 years (2020–2023), covering 26 distinct procedure/service records.

Practice Information

  • Specialty Sports Medicine
  • Location Goshen, IN
  • Active Since 07/01/2009
  • Last Updated 03/18/2024
  • Taxonomy Code 207QS0010X
  • Entity Type Individual
  • NPI Number 1578791398

Products in Payments

  • XIAFLEX (Biological) $149.36
  • BEXSERO (Biological) $65.93
  • DALVANCE (Drug) $32.88
  • MAKO (Device) $31.56
  • BREO (Drug) $27.96
  • DUROLANE (Device) $17.06
  • TRULICITY (Drug) $16.98
  • Physio-Stim (Device) $15.27
  • PREVNAR - 13 (Biological) $14.02
  • SOLIQUA (Drug) $12.19
  • ZOSTAVAX (Biological) $11.93

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

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