Medicare Enrolled
Dr. Lalbahadur Nagabhairu, MD
Gastroenterology · Mount Dora, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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 Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
1,722 | $60 | $111 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
915 | $98 | $276 |
| Hospital follow-up visit, low complexity Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service. |
865 | $38 | $60 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
365 | $93 | $181 |
| Initial hospital admission, low complexity Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter. |
317 | $63 | $206 |
| Tissue pathology examination, moderate complexity A laboratory test where a pathologist examines tissue samples under a microscope to analyze cellular details. This intermediate complexity procedure involves specialized techniques to identify abnormalities in the tissue. |
278 | $25 | $69 |
| Esophageal biopsy via endoscopy A procedure to remove small tissue samples from the esophagus using a flexible tube passed through the mouth for examination. |
262 | $18 | $721 |
| Special tissue stain and interpretation A laboratory test using special stains to examine tissue samples, including the pathologist's review and written report of the findings. |
194 | $49 | $67 |
| Esophageal dilation with guide wire and endoscope A procedure to widen the esophagus using a flexible endoscope and a guide wire. |
188 | $56 | $755 |
| Emergency department visit, moderate complexity An emergency department visit for an established or new patient involving a moderate level of medical decision making. |
180 | $88 | $118 |
| Small bowel biopsy via endoscope A procedure to collect tissue samples from the small intestine using an endoscope. The sample is taken from the small bowel, excluding the ileum. |
163 | $63 | $335 |
| Special stain test for organisms A laboratory test using special stains on tissue slides to identify microorganisms. The process includes the technical preparation of the slides and a professional interpretation of the results. |
148 | $61 | $95 |
| Diagnostic exam of anus and rectum under anesthesia A medical examination of the anus and rectum performed while the patient is under anesthesia. This allows for a thorough inspection without causing discomfort. |
134 | $78 | $223 |
| Esophageal polyp removal with endoscope and cautery This procedure removes polyps or growths from the esophagus using a flexible endoscope. Electrical cautery is used during the removal process. |
133 | $82 | $837 |
| Destruction of large bowel polyp via endoscope Removal of a polyp or growth in the large intestine using a flexible tube with a camera. The procedure is performed through the endoscope to destroy the tissue. |
103 | $207 | $2,998 |
| Colonoscopy with biopsy A procedure to collect tissue samples from the large intestine using a flexible tube with a camera. The samples are examined to check for abnormalities or disease. |
100 | $55 | $928 |
| Endoscopic destruction of small bowel polyp or growth A procedure to remove or destroy a polyp or growth in the small intestine using an endoscope. |
75 | $179 | $520 |
| Colon polyp removal with endoscope and cautery This procedure removes polyps or growths from the large bowel using a flexible tube with a camera. Electrical cautery is used to stop bleeding during the removal. |
72 | $62 | $1,034 |
| Colon polyp removal with endoscopic snare This procedure removes polyps or growths from the large bowel using a flexible tube with a camera and a wire loop tool. The snare is used to cut off the growths during the examination. |
58 | $80 | $975 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
54 | $122 | $273 |
| Upper GI endoscopy with biopsy A procedure to collect tissue samples from the esophagus, stomach, or upper small intestine using a flexible tube with a camera. The samples are examined to check for abnormalities. |
47 | $67 | $822 |
| Colonoscopy A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon. |
45 | $120 | $721 |
| Endoscopic removal of small bowel polyps or growths This procedure involves using an endoscope to locate and remove polyps or growths from the small intestine. Electrical cautery is applied during the removal to control bleeding. |
42 | $51 | $383 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
30 | $90 | $158 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
29 | $131 | $407 |
| Endoscopy of digestive tract Imaging of the digestive tract performed from the inside using an endoscope. |
28 | $536 | $2,459 |
| Esophageal foreign body removal via endoscope Removal of a foreign object from the esophagus using a flexible endoscope. This procedure involves inserting a thin, flexible tube with a camera into the throat to locate and extract the object. |
25 | $95 | $833 |
| Endoscopic removal of bile or pancreatic duct stone A flexible endoscope is used to remove stones or debris from the bile or pancreatic ducts. |
20 | $92 | $769 |
| Endoscopic control of small bowel bleeding An endoscopic procedure to stop bleeding in the first or second part of the small intestine. |
19 | $180 | $507 |
| Colonoscopy for colorectal cancer screening A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease. |
17 | $175 | $723 |
| Upper endoscopy of small intestine A diagnostic procedure using a flexible tube with a camera to examine the upper part of the small intestine. |
16 | $91 | $303 |
| Esophageal polyp or growth removal via endoscope A procedure to remove a polyp or growth from the esophagus using a flexible tube with a camera. The device is inserted through the mouth to access and destroy the abnormal tissue. |
15 | $148 | $1,879 |
| Endoscopic biopsy of gallbladder, pancreas, liver, and bile ducts A procedure using a flexible endoscope to collect tissue samples from the gallbladder, pancreas, liver, and bile ducts for examination. |
15 | $77 | $715 |
| Balloon dilation of pancreatic or bile duct A procedure using a flexible endoscope to widen a narrowed pancreatic or bile duct with a balloon. This helps restore the flow of digestive fluids. |
14 | $220 | $794 |
| Colonoscopy for colorectal cancer screening, high risk A colonoscopy performed to screen for colorectal cancer in individuals identified as being at high risk for the disease. |
14 | $152 | $722 |
| Esophageal dilation with guide wire and endoscope A flexible endoscope is used to insert a guide wire into the esophagus, followed by dilation to widen the esophageal passage. |
12 | $116 | $821 |
| Pancreatic or bile duct stent insertion A flexible endoscope is used to place a stent into the pancreatic or bile duct to keep it open. |
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
10.5% medium
89.3% 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
Geographic Context
Gastroenterologists within 10 mi
112
Per 100K population
28.1
County median income
$69,956
Nearest hospital
ADVENTHEALTH WATERMAN
6.0 mi
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 →
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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.
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