Daniel B. Vance IV, MD
NPI 1932173028ActiveIndividual· Internal Medicine· Cleveland, TN
Internal Medicine (MD) in Cleveland, Tennessee, trained at University of Tennessee, Hsc, College of Medicine (class of 1979). Their prescriptions cost Medicare Part D more than their services did: $280,284 for 1,988 claims, against $36,203 paid for services in 2024. Novo Nordisk Inc was the largest of 25 companies reporting payments in 2025, $1,639 in all, mostly food and beverage.
Overview
| NPI | 1932173028 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 15, 2006 |
| Last updated in NPPES | Sep 4, 2020 |
| Certified by provider | Sep 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 12815 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 537 across 38 procedure codes |
| Paid by Medicare | $36,203 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,988 · 4,310 30-day fills |
|---|---|
| Patients | 108 |
| Total drug cost | $280,284 |
| Generic share | 81% of claims |
Education and affiliations
| Medical school | University of Tennessee, Hsc, College of Medicine |
|---|---|
| Graduation year | 1979 |
| Medicare specialty | Internal Medicine |
Medical group
- Cleveland Medical Associates, PLLCCleveland, TN · 11 clinicians
Hospital affiliations
- Affiliate of Vitruvian HealthCleveland, TN
- Memorial Healthcare System, IncChattanooga, TN
Other facilities
- Amedisys Home Health ChattanoogaHome health agency · Chattanooga, TN
Industry payments (Open Payments)
- 2025$1,639 · 90 payments from 25 companies
- 2024$1,423 · 77 payments from 21 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $387.53 | 19 |
| Amgen Inc. | $149.74 | 10 |
| Lilly USA, LLC | $136.86 | 9 |
| Bayer Healthcare Pharmaceuticals Inc. | $111.30 | 5 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $100.00 | 5 |
What the 2025 payments were for
- Food and Beverage$1,639 · 90 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 34 internal medicine physicians in Cleveland · All internal medicine physicians in Tennessee