Medicare Enrolled

Dr. Lalbahadur Nagabhairu, MD

Gastroenterology · Mount Dora, FL
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
Low-engagement
2060 N DONNELLY ST, Mount Dora, FL 32757
3523837703
In practice since 2006 (19 years)
NPI: 1013956473 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Nagabhairu from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Nagabhairu

Dr. Lalbahadur Nagabhairu is a gastroenterology specialist in Mount Dora, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Nagabhairu performed 6,725 Medicare services across 4,649 unique beneficiaries.

Between the years covered by Open Payments, Dr. Nagabhairu received a total of $705 from 12 pharmaceutical and/or device companies across 24 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Nagabhairu is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 4% volume in FL $705 industry payments

Medicare Practice Summary

Medicare Utilization ↗
6,725
Medicare services
Top 4% in FL for gastroenterology
4,649
Unique beneficiaries
$72
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~354 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Hospital follow-up visit, moderate complexity 1,722 $60 $111
Initial hospital admission, moderate complexity 915 $98 $276
Hospital follow-up visit, low complexity 865 $38 $60
Office visit, established patient (30-39 min) 365 $93 $181
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 317 $63 $206
Tissue pathology examination, moderate complexity 278 $25 $69
Biopsy of esophagus using a flexible endoscope through mouth 262 $18 $721
Special stained specimen slides to examine tissue including interpretation and report 194 $49 $67
Dilation of esophagus with insertion of guide wire using a flexible endoscope 188 $56 $755
Emergency department visit, moderate complexity 180 $88 $118
Biopsy of small bowel (except ileum) using an endoscope 163 $63 $335
Special stained specimen slides to identify organisms including interpretation and report 148 $61 $95
Diagnostic exam of anus and rectum under anesthesia 134 $78 $223
Removal of polyps or growths of esophagus using a flexible endoscope with electrical cautery 133 $82 $837
Destruction of polyp or growth of large bowel using a flexible endoscope 103 $207 $2,998
Colonoscopy with biopsy 100 $55 $928
Destruction of polyp or growth of small bowel using an endoscope 75 $179 $520
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 72 $62 $1,034
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 58 $80 $975
New patient office visit (45-59 min) 54 $122 $273
Upper GI endoscopy with biopsy 47 $67 $822
Diagnostic exam of large bowel using a flexible endoscope 45 $120 $721
Removal of small bowel polyps or growths using an endoscope with electrical cautery 42 $51 $383
Hospital follow-up visit, high complexity 30 $90 $158
Initial hospital admission, high complexity 29 $131 $407
Imaging of digestive tract done from the inside of the digestive tract 28 $536 $2,459
Removal of foreign bodies in esophagus using a flexible endoscope 25 $95 $833
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 20 $92 $769
Control of bleeding of first or second part of small bowel using an endoscope 19 $180 $507
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 17 $175 $723
Diagnostic exam of small bowel (excluding lower small intestine) using an endoscope 16 $91 $303
Destruction of polyp or growth of esophagus using a flexible endoscope 15 $148 $1,879
Biopsy of gallbladder, pancreatic, liver, and bile ducts using a flexible endoscope 15 $77 $715
Balloon dilation of pancreatic or bile duct or sphincter using a flexible endoscope 14 $220 $794
Colorectal cancer screening; colonoscopy on individual at high risk 14 $152 $722
Insertion of guide wire with dilation of esophagus using a flexible endoscope 12 $116 $821
Insertion of stent into pancreatic or bile duct using a flexible endoscope 11 $339 $977
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.2% high complexity
9.6% medium
90.2% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$705
Total received (2018-2024)
Avg $176/year across 4 years
Bottom 23% in FL for gastroenterology
12
Companies
24
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$683 (96.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$22 (3.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$69
2023
$92
2022
$265
2018
$280

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AnX Robotica Corp
$145
Gilead Sciences, Inc.
$99
Amgen Inc.
$99
Evoke Pharma, Inc.
$86
ABBVIE INC.
$81
Medtronic, Inc.
$56
Boston Scientific Corporation
$35
AbbVie, Inc.
$29
UCB, Inc.
$26
Regeneron Healthcare Solutions, Inc.
$22
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$15
Prometheus Laboratories Inc.
$12
Top 3 companies account for 48.7% of total payments
Associated products mentioned in payments ›
CREON · Cimzia · Creon · DUPIXENT · Epclusa · GIMOTI · Humira · INTERSTIM · LINZESS · Prolia · RELISTOR · RINVOQ
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $10 per 100 Medicare services performed
Looking for a gastroenterology specialist in Mount Dora?
Compare gastroenterologists in the Mount Dora area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologists within 10 mi
112
Per 100K population
28.1
County median income
$69,956
Nearest hospital
ADVENTHEALTH WATERMAN
6.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Nagabhairu is a mixed practice specialist, with above-average Medicare volume (top 4% in FL), with low-engagement industry engagement, with 19 years of NPI registration.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Nagabhairu experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Nagabhairu performed 1,722 hospital follow-up visit, moderate complexity services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Nagabhairu receive payments from pharmaceutical companies?
Yes. Dr. Nagabhairu received a total of $705 from 12 companies across 24 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Nagabhairu's costs compare to other gastroenterologists in Mount Dora?
Dr. Nagabhairu's average Medicare payment per service is $72. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Nagabhairu) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →