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PROVIDER PROFILE · NPI 1023052610

James LyleM.D.

Orthopedic SurgeryOpelika, ALI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 017129
Home health agency
CCN 017324
Home health agency
CCN 010029
Hospital
CCN 010065
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
641
Unique beneficiaries
—
Total services
28,855
Distinct HCPCS
18
Medicare payment
$33K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 334 Orthopedic Surgery providers in AL — top quintile (cohort median 2,095).
PRESCRIBING · PART D · 2024
Total Rx claims
671
Beneficiaries
—
Total drug cost
$6K
Distinct drugs
9
Brand share
17.1%
Top prescribed drugs
Diclofenac Sodium176 claims
Meloxicam96 claims
Methylprednisolone91 claims
Hydrocodone/Acetaminophen84 claims
Cephalexin56 claims
QUALITY · MIPS · 2024
Final MIPS score
78.7
Quality
50.0
Cost
95.8
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.16%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where James Lyle'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). 14 inbound referrers · 43 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
THE EAST ALABAMA HEALTH CARE AUTHORITY194709
Johnathan Hadley
Diagnostic Radiology · Ft. Benning, GA
42106
Gordon Smith
Diagnostic Radiology · Montgomery, AL
38104
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
3473
East Alabama Ems, Llc
Ambulance Service Provider · Opelika, AL
2474
Matthew Dobbs
Diagnostic Radiology · Auburn, AL
2366
Benjamin Compton
Internal Medicine · Opelika, AL
1525
Kevin Ryan
Cardiology · Opelika, AL
1545
Philip Piasecki
Diagnostic Radiology · Montgomery, AL
1329
Joseph Clay
Anesthesiology · Opelika, AL
1330
Joseph Monley
Emergency Medicine · Opelika, AL
1252
Bryan Johnston
Diagnostic Radiology · Birmingham, AL
1229
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
THE EAST ALABAMA HEALTH CARE AUTHORITY223965
IVY CREEK OF TALLAPOOSA, LLC80264
Johnathan Hadley
Diagnostic Radiology · Ft. Benning, GA
50164
REED, MICHELLE47139
NG, ROLAND45144
Gary Leung
Diagnostic Radiology · Montgomery, AL
45133
David Downs
Diagnostic Radiology · Montgomery, AL
40117
Gordon Smith
Diagnostic Radiology · Montgomery, AL
38103
THE EAST ALABAMA HEALTH CARE AUTHORITY36132
Justin Phillpott
Diagnostic Radiology · Montgomery, AL
3078
RUSSELL HOSPITAL CORPORATION29108
IVY CREEK OF TALLAPOOSA LLC2973
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.