Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Travel and Lodging | $3,132 | 8 | 53.8% |
| Food and Beverage | $2,632 | 78 | 45.2% |
| Education | $56.68 | 3 | 1.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Medical Device Business Services, Inc. | $3,709 | 27 | $0 (2019) |
| Ethicon US, LLC | $1,116 | 40 | $0 (2023) |
| Intuitive Surgical, Inc. | $337.32 | 5 | $0 (2023) |
| Davol Inc. | $216.06 | 2 | $0 (2022) |
| Enterra Medical, Inc. | $113.90 | 1 | $0 (2022) |
| Stryker Corporation | $70.14 | 1 | $0 (2021) |
| Endo Pharmaceuticals Inc. | $41.32 | 2 | $0 (2021) |
| CONMED Corporation | $39.06 | 1 | $0 (2021) |
| TELA Bio, Inc. | $36.76 | 2 | $0 (2021) |
| Wound Management Technologies, Inc | $33.98 | 1 | $0 (2019) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2023 | $267.17 | 3 | Ethicon US, LLC ($222.52) |
| 2022 | $402.96 | 6 | Intuitive Surgical, Inc. ($190.96) |
| 2021 | $775.87 | 23 | Ethicon US, LLC ($318.33) |
| 2020 | $138.45 | 6 | Ethicon US, LLC ($124.16) |
| 2019 | $970.84 | 11 | Medical Device Business Services, Inc. ($840.75) |
| 2018 | $1,923 | 21 | Medical Device Business Services, Inc. ($1,701) |
| 2017 | $1,342 | 19 | Medical Device Business Services, Inc. ($1,166) |
All Payment Transactions
89 individual payment records from CMS Open Payments — Page 1 of 4
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 08/01/2023 | Ethicon US, LLC | ECHELON ENDOPATH (Device), Harmonic | Food and Beverage | In-kind items and services | $149.99 | General |
| Category: Endo-Mechanical | ||||||
| 04/04/2023 | Ethicon US, LLC | EVARREST (Biological), ECHELON ENDOPATH | Food and Beverage | In-kind items and services | $72.53 | General |
| Category: Biosurgical | ||||||
| 02/14/2023 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $44.65 | General |
| Category: SURGERY | ||||||
| 11/15/2022 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $91.06 | General |
| Category: SURGERY | ||||||
| 11/15/2022 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $58.86 | General |
| Category: SURGERY | ||||||
| 05/09/2022 | Innocoll Pharmaceuticals Limited | XARACOLL (Drug) | Food and Beverage | In-kind items and services | $15.12 | General |
| Category: Prescription Drug | ||||||
| 04/12/2022 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $41.04 | General |
| Category: SURGERY | ||||||
| 01/26/2022 | Davol Inc. | Phasix Mesh (Device) | Food and Beverage | In-kind items and services | $82.98 | General |
| Category: BD Interventional Surgery | ||||||
| 01/21/2022 | Enterra Medical, Inc. | — | Food and Beverage | Cash or cash equivalent | $113.90 | General |
| 12/21/2021 | Intuitive Surgical, Inc. | Da Vinci Surgical System (Device) | Food and Beverage | In-kind items and services | $101.71 | General |
| Category: SURGERY | ||||||
| 12/08/2021 | Ethicon US, LLC | Harmonic (Device) | Food and Beverage | In-kind items and services | $124.16 | General |
| Category: Energy | ||||||
| 11/22/2021 | Ethicon US, LLC | Echelon Circular (Device) | Food and Beverage | In-kind items and services | $2.75 | General |
| Category: Endo-Mechanical | ||||||
| 11/16/2021 | Pacira Pharmaceuticals Incorporated | Exparel (Drug) | Food and Beverage | In-kind items and services | $19.10 | General |
| Category: Pain Management | ||||||
| 09/23/2021 | Ethicon US, LLC | Echelon; Endopath (Device), Harmonic | Food and Beverage | In-kind items and services | $119.52 | General |
| Category: Endo-Mechanical | ||||||
| 08/31/2021 | Ethicon US, LLC | Echelon; Endopath (Device) | Food and Beverage | In-kind items and services | $2.90 | General |
| Category: Endo-Mechanical | ||||||
| 08/20/2021 | Ethicon US, LLC | Harmonic (Device) | Food and Beverage | In-kind items and services | $2.90 | General |
| Category: Energy | ||||||
| 08/16/2021 | TELA Bio, Inc. | OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) (Device) | Food and Beverage | In-kind items and services | $19.42 | General |
| Category: Surgical Mesh | ||||||
| 08/02/2021 | Heron Therapeutics, Inc. | Zynrelef (Drug) | Food and Beverage | In-kind items and services | $16.37 | General |
| Category: Postoperative Pain | ||||||
| 07/28/2021 | Endo Pharmaceuticals Inc. | NASCOBAL (Drug) | Food and Beverage | In-kind items and services | $21.29 | General |
| Category: PRESCRIPTION SUPPLEMENT | ||||||
| 07/20/2021 | Stryker Corporation | 1688 (Device) | Food and Beverage | In-kind items and services | $70.14 | General |
| Category: VISUALIZATION | ||||||
| 07/16/2021 | Davol Inc. | — | Food and Beverage | In-kind items and services | $133.08 | General |
| Category: BD Interventional Surgery | ||||||
| 07/13/2021 | Ethicon US, LLC | Harmonic (Device), SURGICEL NU-KNIT | Food and Beverage | In-kind items and services | $2.90 | General |
| Category: Energy | ||||||
| 07/13/2021 | Ethicon US, LLC | SURGICEL NU-KNIT (Device), ECHELON ENDOPATH | Food and Beverage | In-kind items and services | $2.10 | General |
| Category: Biosurgical | ||||||
| 06/24/2021 | CONMED Corporation | VISICLEAR (Device) | Food and Beverage | In-kind items and services | $39.06 | General |
| Category: GENERAL SURGERY | ||||||
| 06/22/2021 | Ethicon US, LLC | SURGICEL NU-KNIT (Device) | Food and Beverage | In-kind items and services | $2.90 | General |
| Category: Biosurgical | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 8 | 142 | 172 | $26,881 | $11,472 |
| 2022 | 10 | 266 | 314 | $58,930 | $24,858 |
| 2021 | 14 | 379 | 462 | $83,253 | $41,754 |
| 2020 | 13 | 420 | 508 | $74,419 | $36,347 |
All Medicare Procedures & Services
45 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 | 24 | 27 | $5,018 | $2,152 | 42.9% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2023 | 23 | 24 | $5,040 | $1,933 | 38.4% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 12 | 27 | $3,105 | $1,604 | 51.7% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 11 | 11 | $3,355 | $1,489 | 44.4% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 12 | 14 | $2,885 | $1,419 | 49.2% |
| 45380 | Biopsy of large bowel using a flexible endoscope | Facility | 2023 | 11 | 11 | $4,498 | $1,417 | 31.5% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 14 | 17 | $2,160 | $1,094 | 50.7% |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | Facility | 2023 | 35 | 41 | $820.00 | $364.08 | 44.4% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 28 | 28 | $8,540 | $3,973 | 46.5% |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | Facility | 2022 | 20 | 20 | $7,860 | $3,972 | 50.5% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 31 | 40 | $7,600 | $3,666 | 48.2% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 29 | 29 | $7,250 | $3,502 | 48.3% |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Facility | 2022 | 32 | 33 | $6,930 | $2,913 | 42.0% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 18 | 38 | $4,180 | $2,110 | 50.5% |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | Office | 2022 | 13 | 13 | $3,510 | $1,677 | 47.8% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 16 | 24 | $3,240 | $1,563 | 48.2% |
| 91035 | Monitoring and recording of esophageal function through a capsule attached to the esophagus wall | Facility | 2022 | 12 | 12 | $8,280 | $777.72 | 9.4% |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | Facility | 2022 | 67 | 77 | $1,540 | $702.91 | 45.6% |
| 47562 | Removal of gallbladder using an endoscope | Facility | 2021 | 12 | 12 | $12,060 | $6,263 | 51.9% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2021 | 31 | 35 | $10,675 | $5,584 | 52.3% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 43 | 54 | $9,720 | $5,283 | 54.4% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 39 | 87 | $9,570 | $4,982 | 52.1% |
| 45385 | Removal of polyps or growths in large bowel using an endoscope (colonoscopy) using a mechanical snare | Facility | 2021 | 16 | 16 | $6,288 | $3,283 | 52.2% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 25 | 25 | $6,125 | $2,816 | 46.0% |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | Facility | 2021 | 34 | 37 | $7,030 | $2,744 | 39.0% |
About Dr. Timothy Custer, MD
Dr. Timothy Custer, MD is a Surgery healthcare provider based in Hendersonville, North Carolina. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 11/04/2005. The National Provider Identifier (NPI) number assigned to this provider is 1144211418.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Timothy Custer, MD has received a total of $5,820 in payments from pharmaceutical and medical device companies, with $267.17 received in 2023. These payments were reported across 89 transactions from 16 companies. The most common payment nature is "Travel and Lodging" ($3,132).
As a Medicare-enrolled provider, Custer has provided services to 1,207 Medicare beneficiaries, totaling 1,456 services with total Medicare billing of $114,431. Data is available for 4 years (2020–2023), covering 45 distinct procedure/service records.
Practice Information
- Specialty Surgery
- Other Specialties Surgery
- Location Hendersonville, NC
- Active Since 11/04/2005
- Last Updated 01/22/2025
- Taxonomy Code 208600000X
- Entity Type Individual
- NPI Number 1144211418
Products in Payments
- ECHELON ENDOPATH Stapler (Device) $3,013
- ECHELON FLEX Stapler (Device) $1,044
- Da Vinci Surgical System (Device) $337.32
- Harmonic (Device) $181.36
- ECHELON ENDOPATH (Device) $152.89
- Echelon; Endopath (Device) $122.42
- LINX Reflux Management System (Device) $104.70
- Phasix Mesh (Device) $82.98
- EVARREST (Biological) $75.01
- 1688 (Device) $70.14
- NASCOBAL (Drug) $41.32
- SURGICEL Family of Absorbable Hemostats (Device) $40.90
- VISICLEAR (Device) $39.06
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) (Device) $36.76
- CellerateRx (Device) $33.98
- Exparel (Drug) $19.10
- PICO Single Use Negative Pressure Wound Therapy (Device) $17.59
- Zynrelef (Drug) $16.37
- Echelon Endopath Staple Line Reinforcement (Device) $16.11
- XARACOLL (Drug) $15.12
Explore
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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