PROVIDER PROFILE · NPI 1114011921

NPI 1114011921

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

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 201312

Hospital

REFERRAL NETWORK

Where NPI 1114011921'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). 1 inbound referrers · 4 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Penobscot Community Health Center Clinic or Group Practice · Bangor, ME	12	23

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
MAINEHEALTH	28	112
EASTERN MAINE MEDICAL CENTER	14	38
Penobscot Community Health Center Clinic or Group Practice · Bangor, ME	12	27
MOUNT DESERT ISLAND HOSPITAL	11	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