PROVIDER PROFILE · NPI 1104836311

NPI 1104836311

PRACTICE96TH MEDICAL SUPPORT SQUADRONSee all providers at this practice →

MEDICARE UTILIZATION · PART B · 2024

No data available for this provider in 2024.

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$42

Payment records

By payment type

Food and Beverage$42

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 340017

Hospital

CCN 341322

Hospital

REFERRAL NETWORK

Where NPI 1104836311'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). 3 inbound referrers · 2 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
LEGACY LABORATORY	28	101
Piccard Surgery Center, Llc Ambulatory Surgical Center · Rockville, MD	28	29
Maritza Julia Nurse Practitioner · Puyallup, WA	11	40

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
PROVIDENCE HEALTH & SERVICES-WA	19	53
LI, FRANK	13	28

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