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PROVIDER PROFILE · NPI 1063406262

Paul DouglassM.D.

Interventional CardiologySmyrna, GAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
93.9
Quality
82.1
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.80%
APM Entity
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 110143
Hospital
CCN 110198
Hospital
CCN 112007
Long-term care hospital
PRESCRIBING · PART D · 2024
Total Rx claims
4,706
Beneficiaries
—
Total drug cost
$809K
Distinct drugs
60
Brand share
22.1%
Top prescribed drugs
Atorvastatin Calcium436 claims
Amlodipine Besylate366 claims
Metoprolol Succinate363 claims
Carvedilol226 claims
Losartan Potassium217 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$667
Payment records
29
By payment type
Food and Beverage$667
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
544
Unique beneficiaries
—
Total services
819
Distinct HCPCS
9
Medicare payment
$45K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 155 Interventional Cardiology providers in GA — below median (cohort median 1,839).
REFERRAL NETWORK

Where Paul Douglass'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). 42 inbound referrers · 109 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Kimberly Spencer
Diagnostic Radiology · Marietta, GA
78278
Bradley Fricke
Diagnostic Radiology · Conyers, GA
78463
Forrest Toca
Cardiology · Atlanta, GA
77311
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
76231
Arthur Mulick
Diagnostic Radiology · Marietta, GA
65299
Anne Bullock
Nuclear Medicine · Griffin, GA
52159
Michael Chaliff
Diagnostic Radiology · Atlanta, GA
43171
CRAWFORD LONG HOSPITAL42115
HENDRIX, VERNON41126
Louis Ciardulli
Emergency Medicine · Atlanta, GA
31102
Clifford Grossman
Interventional Radiology · Conyers, GA
28130
James Clark
Emergency Medicine · Atlanta, GA
2747
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
WELLSTAR ATLANTA MEDICAL CENTER, INC245539
Bradley Fricke
Diagnostic Radiology · Conyers, GA
124609
UDOFF, ERIC110392
Forrest Toca
Cardiology · Atlanta, GA
109511
Kristin Lewis
Diagnostic Radiology · Conyers, GA
107398
JEFFRIES, BARRY101335
Anne Bullock
Nuclear Medicine · Griffin, GA
92262
Arthur Mulick
Diagnostic Radiology · Marietta, GA
91337
Kimberly Spencer
Diagnostic Radiology · Marietta, GA
88385
GRADY MEMORIAL HOSPITAL CORPORATION87216
George Hobbs
Diagnostic Radiology · Fort Worth, TX
78300
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
78169
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.