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PROVIDER PROFILE · NPI 1003143033

James GagnierM.D.

PathologyPittsford, NYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,262
Unique beneficiaries
—
Total services
2,958
Distinct HCPCS
5
Medicare payment
$179K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 981 Pathology providers in NY — top quintile (cohort median 1,244).
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
65.8
Quality
59.8
Cost
0.0
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
-1.10%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where James Gagnier'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). 15 inbound referrers · 65 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
109159
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
61101
Jane Chew
Dermatology · Columbia, MD
3441
INOVA HEALTH CARE SERVICES2126
Quest Diagnostics Nichols Institute, Inc.
Clinical Laboratory · Chantilly, VA
1923
HWANG, RICHARD1924
Jeffrey Middleton
Dermatology · Baltimore, MD
1919
Deborah Englert
Dermatology · Sparks Glencoe, MD
1718
GREATER BALTIMORE MEDICAL CENTER, INC.1626
HOROWITZ, IRVIN1616
MERCY MEDICAL CENTER INC1421
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
1318
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Deborah Englert
Dermatology · Sparks Glencoe, MD
166257
Jennifer Cooper
Dermatology · Abingdon, MD
165254
Quest Diagnostics Incorporated Md
Clinical Laboratory · Baltimore, MD
128195
Jane Chew
Dermatology · Columbia, MD
104155
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
84130
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
81109
Elizabeth Liotta
Dermatology · Frederick, MD
78136
Sean Gunning
Dermatology · Pikesville, MD
70101
YEVICH-TUNSTALL, INIA6087
Sanjiv Saini
Dermatology · Lexington Park, MD
57117
Weimin Zhu
Pathology · Baltimore, MD
5669
James Mccloskey
Physician Assistant · Abingdon, MD
5286
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.