Medicare Enrolled

Dr. Ajay Pabby, MD

Gastroenterology · Spokane, WA
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
910 W 5TH AVE STE 501570, Spokane, WA 99204
5097555220
Registered in NPPES since 2006
NPI: 1205929163 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. Pabby 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. Pabby

Dr. Ajay Pabby is a gastroenterology specialist in Spokane, WA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Pabby performed 832 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Pabby received a total of $5,696 from 29 pharmaceutical and/or device companies across 176 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Pabby is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years of NPI registration ▲ Top 21% volume in WA $5,696 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
832
Medicare services
Top 21% in WA for gastroenterology
Not available
Unique patients (not deduplicated)
$127
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
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.
241 $204 $1,447
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.
217 $55 $1,155
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.
73 $70 $1,327
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.
66 $118 $1,204
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.
39 $128 $670
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.
36 $90 $270
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.
32 $180 $975
Colonoscopy
A diagnostic exam of the large bowel using a flexible endoscope to visualize the interior of the colon.
30 $129 $1,240
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.
26 $130 $407
Colonoscopy for colorectal cancer screening
A colonoscopy performed to screen for colorectal cancer in individuals who are not at high risk for the disease.
25 $174 $984
Endoscopic control of upper GI bleeding
A flexible endoscope is used to locate and stop bleeding in the esophagus, stomach, or upper small intestine.
24 $161 $1,943
Upper endoscopy (EGD)
A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope.
23 $101 $1,038
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$5,696
Total received (2018-2024)
Avg $814/year across 7 years
Top 15% in WA for gastroenterology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
29
Companies
176
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$851
2023
$1,688
2022
$925
2021
$360
2020
$385
2019
$1,182
2018
$305

Payments by company (2024)

Boston Scientific Corporation
$232
Celgene Corporation
$172
ABBVIE INC.
$169
Cook Medical LLC
$122
Takeda Pharmaceuticals U.S.A., Inc.
$103
Intercept Pharmaceuticals, Inc.
$26
Regeneron Healthcare Solutions, Inc.
$26
Top 3 companies account for 67.4% of 2024 payments
All-time payments by company (2018-2024) ›
Boston Scientific Corporation
$1,254
Cook Medical LLC
$643
ABBVIE INC.
$590
Takeda Pharmaceuticals U.S.A., Inc.
$516
Celgene Corporation
$457
Janssen Biotech, Inc.
$282
AbbVie, Inc.
$242
BOSTON SCIENTIFIC CORPORATION
$237
Regeneron Healthcare Solutions, Inc.
$235
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$219
Mauna Kea Technologies, Inc.
$157
UCB, Inc.
$97
PFIZER INC.
$95
Endogastric Solutions, Inc
$88
INTERCEPT PHARMACEUTICALS, INC.
$81
Allergan Inc.
$79
Gilead Sciences, Inc.
$73
Olympus Corporation of the Americas
$68
Intercept Pharmaceuticals, Inc.
$45
Pharmacosmos Therapeutics Inc.
$45
GENZYME CORPORATION
$40
Merck Sharp & Dohme Corporation
$36
Ardelyx, Inc.
$21
AbbVie Inc.
$20
Nestle HealthCare Nutrition Inc.
$18
Braintree Laboratories, Inc.
$17
Shire North American Group Inc
$17
Abbott Laboratories
$12
Ferring Pharmaceuticals Inc.
$11
Top 3 companies account for 43.7% of all-time payments
Associated products mentioned in payments ›
APRISO · Acquire · Amitiza · CAPTIVATOR COLD · CLENPIQ · CRE PRO · CREON · Captura Pro · Cimzia · Cook Medical AcuSnare · Cook Medical Captura Forceps · Cook Medical Hemostasis · Cook Medical Hercules · Creon · DIFICID · DUPIXENT · ENTYVIO · ESOPHYX · EXALT BX 4 · EXALT Model D · Entyvio · Epclusa · GATTEX · GENERAL THERAPIES · GENERAL - THERAPIES · General - Hemostasis · HEMOSPRAY · HUMIRA · Humira · IBSRELA · INFLECTRA · IONICRF · LINZESS · MAVYRET · MONOFERRIC · Mavyret · OCALIVA · ORISE · Olympus EMR & ESD Devices · RESOLUTION CLIP · RINVOQ · SKYRIZI · STELARA · SUPREP BOWEL PREP · TRULANCE · WallFlex Duodenal · XELJANZ · XIFAXAN · XIFAXANIBSD · ZENPEP · ZEPOSIA
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a gastroenterology specialist in Spokane?
Compare gastroenterologists in the Spokane area by procedure volume, costs, and industry payment transparency.
Browse gastroenterologists nearby

Geographic Context

Gastroenterologists in nearby ZIP areas
34
County median income
$73,513
Nearest hospital to ZIP centroid (approximate)
SHRINERS HOSPITAL FOR CHILDREN
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Pabby is a mixed practice specialist, with above-average Medicare volume (top 21% in WA), with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Pabby experienced with colon polyp removal with endoscopic snare?
Based on Medicare claims data, Dr. Pabby performed 241 colon polyp removal with endoscopic snare services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Pabby receive payments from pharmaceutical companies?
Yes. Dr. Pabby received a total of $5,696 from 29 companies across 176 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Pabby's costs compare to other gastroenterologists in Spokane?
Dr. Pabby's average Medicare payment per service is $127. 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. Pabby) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →