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PROVIDER PROFILE · NPI 1033108931

James ColeMD

PRACTICEMARC ELLMAN, M.D., P.A.See all providers at this practice →
OphthalmologyEl Paso, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
88.7
Quality
84.9
Cost
77.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.58%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
50
Beneficiaries
—
Total drug cost
$2K
Distinct drugs
2
Brand share
0.0%
Top prescribed drugs
Prednisolone Acetate39 claims
Gabapentin11 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,542
Unique beneficiaries
—
Total services
2,843
Distinct HCPCS
8
Medicare payment
$407K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,238 Ophthalmology providers in TX — above median (cohort median 1,864).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where James Cole'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). 9 inbound referrers · 25 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Kathleen Stigar
Certified Registered Nurse Anesthetist (CRNA) · Ft Myers, FL
72142
ASCHOM, LINDA61114
CAPE MEMORIAL HOSPITAL INC4177
MEMORIAL HOSPITAL OF LARAMIE COUNTY3872
Laboratory Corporation Of America
Clinical Laboratory · Tampa, FL
3494
Eye Specialists Laser & Surgery Center Inc
Ambulatory Surgical Center · Fort Myers, FL
1637
RIVERS, CASSANDRA1617
Cheyenne Ocular Surgery, Llc
Ambulatory Surgical Center · Cheyenne, WY
1619
Donald Mcalpine
Pulmonary Disease · Cape Coral, FL
1233
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
St. Johns Surgery Center, Llc
Ambulatory Surgical Center · Fort Myers, FL
2581,300
ASCHOM, LINDA113501
Kathleen Stigar
Certified Registered Nurse Anesthetist (CRNA) · Ft Myers, FL
112463
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tampa, FL
77168
LEE MEMORIAL HEALTH SYSTEM5287
Laboratory Corporation Of America
Clinical Laboratory · Tampa, FL
5194
CAPE MEMORIAL HOSPITAL INC5187
Mark Liebetreu
Optometry · Ft Myers, FL
39150
Cheyenne Ocular Surgery, Llc
Ambulatory Surgical Center · Cheyenne, WY
32106
MEMORIAL HOSPITAL OF LARAMIE COUNTY3157
Eye Specialists Laser & Surgery Center Inc
Ambulatory Surgical Center · Fort Myers, FL
27128
RIVERS, CASSANDRA2480
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.