PROVIDER PROFILE · NPI 1073534848

Craig ShalmiM.D.

PRACTICENEW YORK PAIN CONSULTANTS LLCSee all providers at this practice →

Interventional Pain ManagementBabylon, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,553

Unique beneficiaries

—

Total services

2,635

Distinct HCPCS

Medicare payment

$254K

Peer benchmark

Total Medicare services vs. 60 Interventional Pain Management providers in NY — above median (cohort median 3,206).

PRESCRIBING · PART D · 2024

Total Rx claims

1,773

Beneficiaries

—

Total drug cost

$94K

Distinct drugs

Brand share

34.1%

Top prescribed drugs

Oxycodone Hcl/Acetaminophen349 claims

Oxycodone Hcl253 claims

Gabapentin164 claims

Hydrocodone/Acetaminophen122 claims

Tramadol Hcl119 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

0.0

Cost

77.7

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

1.05%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$913

Payment records

By payment type

Food and Beverage$913

REFERRAL NETWORK

Where Craig Shalmi'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). 25 inbound referrers · 40 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SOUTH SHORE UNIVERSITY HOSPITAL	89	219
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Melville, NY	80	294
Sunrise Medical Laboratories, Inc. Clinical Laboratory · Hicksville, NY	75	251
Northwell Health Laboratories Clinical Laboratory · New Hyde Park, NY	55	176
Luis Fandos Interventional Pain Management · Babylon, NY	49	124
South Shore Sc, Llc Ambulatory Surgical Center · Bay Shore, NY	38	75
Sunil Albert Interventional Pain Management · Babylon, NY	37	72
ST. FRANCIS HOSPITAL	36	95
American Forensic Toxicology Services Llc Clinical Laboratory · Huntington, NY	28	82
Paul Habek Certified Registered Nurse Anesthetist (CRNA) · Rocky Point, NY	27	101
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	27	102
Josette Legaspi-Tamayo Anesthesiology · Bay Shore, NY	24	69

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
SOUTH SHORE UNIVERSITY HOSPITAL	128	554
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Melville, NY	80	329
GOOD SAMARITAN HOSPITAL MEDICAL CENTER	78	231
Sunrise Medical Laboratories, Inc. Clinical Laboratory · Hicksville, NY	77	266
Northwell Health Laboratories Clinical Laboratory · New Hyde Park, NY	59	205
American Forensic Toxicology Services Llc Clinical Laboratory · Huntington, NY	45	125
Luis Fandos Interventional Pain Management · Babylon, NY	40	97
South Shore Sc, Llc Ambulatory Surgical Center · Bay Shore, NY	39	135
ST. FRANCIS HOSPITAL	38	107
Sunil Albert Interventional Pain Management · Babylon, NY	31	73
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	29	86
SHIEL HOLDINGS LLC	25	62

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history