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PROVIDER PROFILE · NPI 1134104086

Toby SullivanM.D.

Emergency MedicineWinston-Salem, NCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
86.5
Quality
84.1
Cost
86.9
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.48%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
214
Beneficiaries
—
Total drug cost
$1K
Distinct drugs
7
Brand share
33.2%
Top prescribed drugs
Ondansetron56 claims
Cephalexin43 claims
Doxycycline Hyclate35 claims
Oxycodone Hcl34 claims
Prednisone19 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
263
Unique beneficiaries
—
Total services
313
Distinct HCPCS
3
Medicare payment
$20K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,499 Emergency Medicine providers in NC — above median (cohort median 350).
REFERRAL NETWORK

Where Toby Sullivan'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). 16 inbound referrers · 61 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
FORSYTH MEMORIAL HOSPITAL, INC.226773
Forsyth County
Ambulance Service Provider · Winston Salem, NC
104212
NORTH CAROLINA BAPTIST HOSPITAL50161
Frances Dechurch
Internal Medicine · Kernersville, NC
3070
SOLSTAS LAB PARTNERS GROUP LLC26122
Leslie Fort-Barrie
Diagnostic Radiology · Winston-Salem, NC
2550
Marcella Butler
Diagnostic Radiology · Winston Salem, NC
1729
Bradley Vandyke
Diagnostic Radiology · Winston Salem, NC
1731
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION1561
Jeffrey Horvath
Diagnostic Radiology · Winston Salem, NC
1435
LLEWELLYN, KEVIN1423
Meridian Laboratory Corp
Clinical Laboratory · Charlotte, NC
1356
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
FORSYTH MEMORIAL HOSPITAL, INC.5271,931
Bradley Vandyke
Diagnostic Radiology · Winston Salem, NC
102197
Leslie Fort-Barrie
Diagnostic Radiology · Winston-Salem, NC
98190
Lauren Nicola
Diagnostic Radiology · Winston Salem, NC
76162
Jeffrey Brody
Diagnostic Radiology · Winston Salem, NC
59112
Rita Mullins-Hodgin
Hospitalist · Tarboro, NC
58160
NUCARE CAROLINA AMBULANCE57150
Lifestar Emergency Services Llc
Ambulance Service Provider · Winston Salem, NC
57115
Michael Hynes
Diagnostic Radiology · Eden Prairie, MN
5597
Sam Auringer
Diagnostic Radiology · Winston-Salem, NC
51105
NORTH CAROLINA BAPTIST HOSPITAL46188
Forsyth County
Ambulance Service Provider · Winston Salem, NC
46101
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.