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PROVIDER PROFILE · NPI 1104950039

NPI 1104950039

CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where NPI 1104950039'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 · 6 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 240135
Tracie Harris
Internal Medicine · Port Townsend, WA
2033
Marc Koenig
Diagnostic Radiology · Lynnwood, WA
1932
Frank Rosenbloom
Hospitalist · Georgetown, SC
1727
Jefferson County Fire Protection District 1 Jefferson County
Ambulance Service Provider · Port Townsend, WA
1520
Kent Smith
Emergency Medicine · Moses Lake, WA
1112
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 22868
Tracie Harris
Internal Medicine · Port Townsend, WA
2738
Frank Rosenbloom
Hospitalist · Georgetown, SC
1928
JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 21921
Matthew Crowell
Internal Medicine · Bremerton, WA
1113
JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 21115
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.