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PROVIDER PROFILE · NPI 1063659878

Kelly GullyPA-C

Physician AssistantCollege Station, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 450011
Hospital
CCN 450834
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
55
Beneficiaries
—
Total drug cost
$328
Distinct drugs
2
Brand share
0.0%
Top prescribed drugs
Gabapentin32 claims
Tramadol Hcl23 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
232
Unique beneficiaries
—
Total services
1,205
Distinct HCPCS
11
Medicare payment
$11K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 6,198 Physician Assistant providers in TX — top quintile (cohort median 254).
QUALITY · MIPS · 2024
Final MIPS score
79.6
Quality
58.3
Cost
76.3
Improvement activities
40.0
Promoting interop.
97.0
Payment adjustment
0.19%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Kelly Gully'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). 10 inbound referrers · 17 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SCOTT & WHITE HOSPITAL - COLLEGE STATION1541,072
Tami Fink
Diagnostic Radiology · College Station, TX
65163
Thomas Oshea
Orthopedic Surgery · College Station, TX
48173
SCOTT & WHITE HOSPITAL BRENHAM3283
Dale Glass
Diagnostic Radiology · Temple, TX
2455
David Hackethorn
Internal Medicine · College Station, TX
2169
Coley Gatlin
Diagnostic Radiology · College Station, TX
2050
Joseph Conley
Interventional Radiology · College Station, TX
1335
HALLMARK HOMECARE, L.P.1317
SCOTT & WHITE MEMORIAL HOSPITAL1216
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SCOTT & WHITE HOSPITAL - COLLEGE STATION1911,590
Thomas Oshea
Orthopedic Surgery · College Station, TX
61246
Coy Wright
Orthopedic Surgery · College Station, TX
48226
William Larkin
Diagnostic Radiology · College Station, TX
36100
Dale Glass
Diagnostic Radiology · Temple, TX
3279
Coley Gatlin
Diagnostic Radiology · College Station, TX
3196
Tami Fink
Diagnostic Radiology · College Station, TX
3088
Michael Kriger
Physician Assistant · College Station, TX
3062
SCOTT & WHITE HOSPITAL BRENHAM30109
Michelle Brown
Physician Assistant · College Station, TX
3066
David Hackethorn
Internal Medicine · College Station, TX
2471
Joseph Conley
Interventional Radiology · College Station, TX
1625
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.