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PROVIDER PROFILE · NPI 1033177126

James GilbertMD

PRACTICECAPITAL FAMILY PHYSICIANS PSCSee all providers at this practice →
Family PracticeLawrenceburg, KYI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 187084
Home health agency
CCN 187163
Home health agency
CCN 181500
Hospice
CCN 180103
Hospital
CCN 180127
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
8,389
Beneficiaries
—
Total drug cost
$485K
Distinct drugs
133
Brand share
19.0%
Top prescribed drugs
Levothyroxine Sodium372 claims
Gabapentin365 claims
Atorvastatin Calcium320 claims
Amlodipine Besylate314 claims
Omeprazole290 claims
QUALITY · MIPS · 2024
Final MIPS score
94.3
Quality
87.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.81%
APM Entity
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
425
Unique beneficiaries
—
Total services
740
Distinct HCPCS
9
Medicare payment
$43K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,197 Family Practice providers in KY — above median (cohort median 655).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
66
By payment type
Food and Beverage$1K
REFERRAL NETWORK

Where James Gilbert'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). 20 inbound referrers · 39 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
FRANKFORT HOSPITAL, INC.101296
Wesley Roney
Diagnostic Radiology · Valdosta, GA
4287
Thomas Hamilton
Family Practice · Lawrenceburg, KY
40132
Anderson County Treasurer
Ambulance Service Provider · Lawrenceburg, KY
39121
Crystal Gilbert
Nurse Practitioner · Lawrenceburg, KY
36101
Cynthia Mccann
Physician Assistant · Lawrenceburg, KY
2888
Raul Heredia
Cardiology · Frankfort, KY
2589
Kenneth Bain
Family Practice · Lawrenceburg, KY
2354
SAINT JOSEPH HEALTH SYSTEM, INC2149
Mary Smith
Nurse Practitioner · Lexington, KY
2157
Darren Smith
Optometry · Lawrenceburg, KY
1844
James Moore
Emergency Medicine · Lexington, KY
1433
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
174768
FRANKFORT HOSPITAL, INC.114403
Charles Kenney
Diagnostic Radiology · Lexington, KY
52136
Wesley Roney
Diagnostic Radiology · Valdosta, GA
49105
Sean Owens
Diagnostic Radiology · Washington, DC
45109
Thomas Hamilton
Family Practice · Lawrenceburg, KY
41159
Jon Kostelic
Diagnostic Radiology · Lexington, KY
39101
Crystal Gilbert
Nurse Practitioner · Lawrenceburg, KY
36102
Anderson County Treasurer
Ambulance Service Provider · Lawrenceburg, KY
35117
Raul Heredia
Cardiology · Frankfort, KY
3384
Angela Wilkins
Physician Assistant · Frankfort, KY
3168
BAPTIST HEALTHCARE SYSTEM, INC30145
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.