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PROVIDER PROFILE · NPI 1073716775

Kelly GwathmeyM.D.

PRACTICEVIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITYSee all providers at this practice →
NeurologyHenrico, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
84.0
Quality
69.9
Cost
77.4
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.38%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 497538
Home health agency
CCN 490032
Hospital
CCN 493036
Inpatient rehabilitation facility
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$17K
Payment records
16
By payment type
Consulting Fee$16K
Food and Beverage$522
Travel and Lodging$333
PRESCRIBING · PART D · 2024
Total Rx claims
1,465
Beneficiaries
—
Total drug cost
$5.7M
Distinct drugs
28
Brand share
32.1%
Top prescribed drugs
Edaravone227 claims
Riluzole155 claims
Gabapentin117 claims
Mycophenolate Mofetil110 claims
Pyridostigmine Bromide101 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
490
Unique beneficiaries
—
Total services
663
Distinct HCPCS
11
Medicare payment
$47K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 393 Neurology providers in VA — above median (cohort median 580).
REFERRAL NETWORK

Where Kelly Gwathmey'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). 6 inbound referrers · 19 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Lucia Flors Blasco
Diagnostic Radiology · Los Angeles, CA
2087
Thomas Druzgal
Diagnostic Radiology · Charlottesville, VA
1775
David Ornan
Diagnostic Radiology · Charlottesville, VA
1469
Aditya Sharma
Cardiology · Charlottesville, VA
1246
SEFCZEK, ROBERT12105
David Abdullah
Diagnostic Radiology · Charlottesville, VA
1149
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA2461,486
BRUNS, DAVID3077
NPI 167964229225142
Michael Reardon
Diagnostic Radiology · Winston Salem, NC
1884
Lucia Flors Blasco
Diagnostic Radiology · Los Angeles, CA
1846
David Ornan
Diagnostic Radiology · Charlottesville, VA
1768
Lawrence Phillips
Neurology · Charlottesville, VA
1571
SEFCZEK, ROBERT1375
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
1331
Thomas Eluvathingal Muttikkal
Diagnostic Radiology · Charlottesville, VA
1334
Aditya Sharma
Cardiology · Charlottesville, VA
1333
JONES, DAVID12110
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.