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PROVIDER PROFILE · NPI 1063409639

NPI 1063409639

CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where NPI 1063409639'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). 38 inbound referrers · 78 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
BONNER GENERAL HOSPITAL INC.190775
Brian Mcnamee
Diagnostic Radiology · Coeur D Alene, ID
5889
Laboratory Corporation Of America
Clinical Laboratory · Seattle, WA
4874
Susan Daugharty Fowler
Internal Medicine · Coeur Dalene, ID
3278
Charles Crane
Internal Medicine · Sandpoint, ID
2997
Kevin Kavanaugh
Interventional Cardiology · Spokane, WA
2764
Casey Fatz
Diagnostic Radiology · Coeur D Alene, ID
2639
GEORGE, CHARLES2552
COOKE, DENNIS2347
NPI 13068123002328
Troy Geyman
Family Practice · Bonners Ferry, ID
22109
Shaun Joshi
Internal Medicine · Hayden, ID
2171
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
KOOTENAI HEALTH, INC.248586
BONNER GENERAL HOSPITAL INC.206953
BOUNDARY COMMUNITY HOSPITAL104619
Ronald Jenkins
Interventional Cardiology · Sandpoint, ID
89241
PATHOLOGY ASSOCIATES MEDICAL LABORATORIES LLC89195
Michael Larsen
Diagnostic Radiology · Coeur D Alene, ID
57100
MAILE, CHARLES53125
Taffie Bowman
Nurse Practitioner · Coeur D Alene, ID
4994
Edward Van Vooren
Diagnostic Radiology · Las Vegas, NV
48104
Kootenai County Emergency Medical Services System
Ambulance Service Provider · Coeur D Alene, ID
4870
Kevin Kavanaugh
Interventional Cardiology · Spokane, WA
40115
Laboratory Corporation Of America
Clinical Laboratory · Seattle, WA
3552
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.