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PROVIDER PROFILE · NPI 1053395129

James SmithM.D.

Internal MedicineNewnan, GAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

CCN 117050
Home health agency
CCN 117105
Home health agency
CCN 117137
Home health agency
CCN 110083
Hospital
CCN 110215
Hospital
CCN 110229
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
15,467
Beneficiaries
—
Total drug cost
$1.6M
Distinct drugs
142
Brand share
17.1%
Top prescribed drugs
Amlodipine Besylate1,034 claims
Atorvastatin Calcium902 claims
Omeprazole677 claims
Rosuvastatin Calcium559 claims
Metformin Hcl531 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
74
By payment type
Food and Beverage$1K
QUALITY · MIPS · 2024
Final MIPS score
91.6
Quality
83.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.70%
APM Entity
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,620
Unique beneficiaries
—
Total services
3,539
Distinct HCPCS
11
Medicare payment
$111K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,751 Internal Medicine providers in GA — top quintile (cohort median 670).
REFERRAL NETWORK

Where James Smith'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). 41 inbound referrers · 97 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PIEDMONT NEWNAN HOSPITAL, INC.240908
David Bodne
Diagnostic Radiology · Brooks, GA
4597
Brannan Hatfield
Diagnostic Radiology · Newnan, GA
40132
George Vellanikaran
Cardiology · Sharpsburg, GA
40125
Bob Mann
Urology · Newnan, GA
38266
George Stone
Diagnostic Radiology · Newnan, GA
3890
Fawzi Mohammad
Diagnostic Radiology · Augusta, GA
3176
Michael Pont
Diagnostic Radiology · Carrollton, GA
3181
Thippeswamy Murthy
Cardiology · Fayetteville, GA
29146
Courtney Gomez
Anesthesiology · Seattle, WA
2860
Vijay Patel
Critical Care (Intensivists) · Newnan, GA
27169
MCNAIR, JOHN2648
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
PIEDMONT HOSPITAL, INC4843,054
PIEDMONT NEWNAN HOSPITAL, INC.2971,411
David Bodne
Diagnostic Radiology · Brooks, GA
57138
LIGHTNER, JOEL57178
Bob Mann
Urology · Newnan, GA
55362
Eric Mitchell
Cardiology · Newnan, GA
52471
Linda Huff
Diagnostic Radiology · Newnan, GA
44141
Pamela Clanton
Internal Medicine · Atlanta, GA
41173
George Stone
Diagnostic Radiology · Newnan, GA
40109
Brannan Hatfield
Diagnostic Radiology · Newnan, GA
39141
Central Emergency Medical Services Llc
Ambulance Service Provider · Roswell, GA
3782
BAKER, TIM37118
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.