PROVIDER PROFILE · NPI 1003012493

Carl GilmoreM.D.

Orthopedic SurgeryAlbuquerque, NMI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,462

Unique beneficiaries

—

Total services

4,394

Distinct HCPCS

Medicare payment

$142K

Peer benchmark

Total Medicare services vs. 107 Orthopedic Surgery providers in NM — top quintile (cohort median 864).

PRESCRIBING · PART D · 2024

Total Rx claims

460

Beneficiaries

—

Total drug cost

$5K

Distinct drugs

Brand share

3.5%

Top prescribed drugs

Meloxicam139 claims

Oxycodone Hcl99 claims

Tramadol Hcl91 claims

Amoxicillin59 claims

Naloxone Hcl43 claims

QUALITY · MIPS · 2024

Final MIPS score

76.4

Quality

60.6

Cost

87.3

Improvement activities

40.0

Promoting interop.

68.0

Payment adjustment

0.06%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Travel and Lodging$1K

Food and Beverage$988

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 327123

Home health agency

CCN 320021

Hospital

CCN 320074

Hospital

REFERRAL NETWORK

Where Carl Gilmore's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 5 inbound referrers · 9 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PRESBYTERIAN HEALTHCARE SERVICES	94	733
PRESBYTERIAN HEALTHCARE SERVICES	25	75
Juan Mena Diagnostic Radiology · Albuquerque, NM	15	47
Douglas Meek Diagnostic Radiology · Albuquerque, NM	15	44
TRICORE REFERENCE LABORATORIES	13	44

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
PRESBYTERIAN HEALTHCARE SERVICES	142	1,162
Juan Mena Diagnostic Radiology · Albuquerque, NM	27	93
PRESBYTERIAN HEALTHCARE SERVICES	25	85
Douglas Meek Diagnostic Radiology · Albuquerque, NM	23	70
Patrick Ryan Diagnostic Radiology · Walnut Creek, CA	18	38
Samuel Southam Diagnostic Radiology · Provo, UT	16	36
Eugenio Rivera Diagnostic Radiology · Albuquerque, NM	13	41
Chris Bauman Diagnostic Radiology · Plymouth, MN	12	42
John Collingwood Diagnostic Radiology · Albuquerque, NM	11	25

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history