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PROVIDER PROFILE · NPI 1093777302

Frank ToolePA

PRACTICENINIGRET ORTHOPEDICS INCSee all providers at this practice →
Physician AssistantWesterly, RII
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 070007
Hospital
REFERRAL NETWORK

Where Frank Toole'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). 9 inbound referrers · 14 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
LMW HEALTHCARE INC.137372
Stephen Gross
Orthopedic Surgery · Westerly, RI
73189
HILLIKER, KEITH1732
Curt Gramlich
Anesthesiology · New London, CT
1521
Frederick Jaccarino
Emergency Medicine · Westerly, RI
1427
Westerly Ambulance Corps Inc
Ambulance Service Provider · Westerly, RI
1227
WOMEN & INFANTS HOSPITAL OF RHODE ISLAND1217
Susan Collemer
Emergency Medicine · Norwich, CT
1224
LAWRENCE AND MEMORIAL HOSPITAL, INC.1122
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Stephen Gross
Orthopedic Surgery · Westerly, RI
135306
LMW HEALTHCARE INC.102327
Westerly Ambulance Corps Inc
Ambulance Service Provider · Westerly, RI
2634
Jay Colby
Diagnostic Radiology · Westerly, RI
2234
Daniel Diffin
Diagnostic Radiology · Westerly, RI
2232
Michael Niles
Diagnostic Radiology · Westerly, RI
2223
David Burchenal
Internal Medicine · Stonington, CT
2053
George Bourganos
Cardiology · Woonsocket, RI
1654
Job Sandoval
Internal Medicine · Pawcatuck, CT
1650
Franklin Leddy
Urology · Westerly, RI
1523
Elizabeth Gross
Physical Therapist in Private Practice · Pawcatuck, CT
1447
DYNAMIC PHYSICAL THERAPY LLC1447
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
132
Unique beneficiaries
—
Total services
270
Distinct HCPCS
5
Medicare payment
$13K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 494 Physician Assistant providers in RI — above median (cohort median 259).
QUALITY · MIPS · 2024
Final MIPS score
88.3
Quality
88.8
Cost
72.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.56%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
11
Beneficiaries
—
Total drug cost
$101
Distinct drugs
1
Brand share
100.0%
Top prescribed drugs
Amoxicillin/Potassium Clav11 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$42
Payment records
2
By payment type
Food and Beverage$42