Doctor profile · Federal record
Dr. David Rybnicek, M.D.
Gastroenterology Physician (CMS: Internal Medicine) · Hendersonville, NC
- NPI 1134480197
- Accepts Medicare
- MIPS 92.1 / 100 · 2023
- 11 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1032 Fleming Street
Hendersonville, NC 287913532
(828) 696-3099
fax (828) 696-3868 - Additional location
-
188 Medical Park Drive, Ste A
Brevard, NC 287124188
(828) 883-9600
fax (828) 254-1614 - Additional location
-
291 Sweeten Creek Road
Asheville, NC 288031527
(828) 254-0881
fax (828) 254-1614 - Mailing address
-
291 Sweeten Creek RD
Asheville, NC 288031527
Credentials & registration
- NPI registered
- June 2012 — 14 yrs on file
- Profile last updated
- October 23, 2025
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- North Carolina #2016-01291
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1134480197. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
9,312
Distinct HCPCS
10
Medicare allowed
$364,089
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J3380 |
Injection, vedolizumab, 1 mg | 7,507 | 12 | $22 | |
99439 |
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 392 | 38 | $46 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 247 | 244 | $69 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 227 | 227 | $227 | |
99490 |
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 226 | 38 | $60 | |
43249 |
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 92 | 92 | $117 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 87 | 87 | $111 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 77 | 76 | $125 | |
G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk | 53 | 53 | $170 | |
45378 |
Diagnostic exam of large bowel using a flexible endoscope | 50 | 50 | $161 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 345. This provider delivers 27× the peer median.Open Payments
Industry payments received
All-time total
$1,427
Transactions
67
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 20 | $273.27 | |
| Gilead Sciences, Inc. | 6 | $171.07 | |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $133.85 | |
| IRONWOOD PHARMACEUTICALS, INC | 5 | $126.28 | |
| PENTAX of America, Inc. | 3 | $92.99 | |
| Phathom Pharmaceuticals, Inc. | 5 | $87.16 | |
| GENZYME CORPORATION | 3 | $73.89 | |
| Janssen Biotech, Inc. | 4 | $58.98 | |
| Daiichi Sankyo Inc. | 2 | $47.78 | |
| PFIZER INC. | 3 | $45.40 | |
| Celltrion USA Inc. | 2 | $44.22 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 2 | $43.78 | |
| Olympus America Inc. | 2 | $43.21 | |
| Intercept Pharmaceuticals, Inc. | 2 | $42.19 | |
| Regeneron Healthcare Solutions, Inc. | 2 | $40.79 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
525
Patients
338
Total drug cost
$31,601
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 229 | 106 | $2,549 |
| Gavilyte-C (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 94 | 94 | $1,782 |
| Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 51 | 49 | $1,024 |
| Pantoprazole Sodium | Generic | 37 | 24 | $697 |
| Famotidine | Generic | 28 | 18 | $319 |
| Dicyclomine Hcl | Generic | 20 | 12 | $497 |
| Dexlansoprazole Dr (Dexlansoprazole) | Brand | 17 | 0 | $5,518 |
| Metronidazole | Generic | 14 | 12 | $210 |
| Linzess (Linaclotide) | Brand | 12 | 0 | $17,667 |
| Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg) | Brand | 12 | 12 | $415 |
Hospital affiliations
Frequently asked questions
What is Dr. David Rybnicek's medical specialty?
Dr. David Rybnicek practices Gastroenterology Physician in Hendersonville, NC.
Where does Dr. David Rybnicek practice?
Dr. David Rybnicek practices at 1032 Fleming Street, Hendersonville, NC 287913532. Office phone: 8286963099.
What is Dr. David Rybnicek's NPI?
Dr. David Rybnicek's National Provider Identifier (NPI) is 1134480197, issued by NPPES.
Does Dr. David Rybnicek accept Medicare assignment?
Yes. Dr. David Rybnicek accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. David Rybnicek commonly perform?
Top Medicare-reported procedures in 2023: Injection, vedolizumab, 1 mg (HCPCS J3380); Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS 99439); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239). Source: CMS Medicare Physician & Other Practitioners file.