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PROVIDER PROFILE · NPI 1023101375

David DownsMD

Orthopedic SurgeryFullerton, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
85.6
Quality
64.4
Cost
72.9
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.45%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
266
Beneficiaries
—
Total drug cost
$3K
Distinct drugs
7
Brand share
22.9%
Top prescribed drugs
Meloxicam78 claims
Celecoxib37 claims
Oxycodone Hcl/Acetaminophen35 claims
Diclofenac Sodium35 claims
Ibuprofen33 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,006
Unique beneficiaries
—
Total services
2,131
Distinct HCPCS
12
Medicare payment
$139K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,921 Orthopedic Surgery providers in CA — above median (cohort median 1,100).
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 058277
Home health agency
CCN 559502
Home health agency
CCN 050168
Hospital
CCN 050348
Hospital
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$157
Payment records
4
By payment type
Food and Beverage$157
REFERRAL NETWORK

Where David Downs'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). 4 inbound referrers · 7 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST JUDE HOSPITAL INC51137
Unilab Corporation
Clinical Laboratory · West Hills, CA
33102
Victor Lee
Pathology · Oceanside, CA
2576
Danh Nguyen
Diagnostic Radiology · Riverside, CA
1230
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ST JUDE HOSPITAL INC46118
UNIVERSITY OF CALIFORNIA IRVINE36128
Victor Lee
Pathology · Oceanside, CA
3582
Unilab Corporation
Clinical Laboratory · West Hills, CA
3369
Open Advantage Mri Iii, Inc
Independent Diagnostic Testing Facility (IDTF) · Brea, CA
1731
Ronald Cunningham
Physical Therapist in Private Practice · Fullerton, CA
1591
Ryan Hartshorn
Physical Therapist in Private Practice · Fullerton, CA
14124
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.