PROVIDER PROFILE · NPI 1134111743

Mark NelsonM.D.

Cardiac SurgeryCumberland, MDI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

379

Unique beneficiaries

—

Total services

380

Distinct HCPCS

Medicare payment

$145K

Peer benchmark

Total Medicare services vs. 14 Cardiac Surgery providers in MD — top quintile (cohort median 264).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$28

Distinct drugs

Brand share

100.0%

Top prescribed drugs

Clopidogrel Bisulfate12 claims

QUALITY · MIPS · 2024

Final MIPS score

95.3

Quality

79.9

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.86%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$42

Payment records

By payment type

Food and Beverage$42

Top paying entities

Food and Beverage$42

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

Home health agency

Home health agency

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Mark Nelson'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). 32 inbound referrers · 65 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Marcos Roffe Diagnostic Radiology · Cumberland, MD	120	619
NPI 1225077860	99	687
Charles Magal Diagnostic Radiology · Cumberland, MD	96	414
CHO, IK	90	383
REARICK, LEAH	75	316
James Benjamin Diagnostic Radiology · Cumberland, MD	72	276
Andrea Marshall Physician Assistant · Cumberland, MD	66	227
Heidi Race Physician Assistant · Cumberland, MD	63	179
DAVIS, ALVIN	52	177
SAHETA, NARAYAN	47	197
Baljeet Mahal Cardiology · Cumberland, MD	41	174
Richard Schmitt Pulmonary Disease · Cumberland, MD	38	128

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
UPMC WESTERN MARYLAND CORPORATION	274	2,839
John Pappas Diagnostic Radiology · Cumberland, MD	152	816
Marcos Roffe Diagnostic Radiology · Cumberland, MD	126	620
Charles Magal Diagnostic Radiology · Cumberland, MD	112	494
NPI 1225077860	112	777
Herbert Lambert Diagnostic Radiology · Cumberland, MD	93	377
James Benjamin Diagnostic Radiology · Cumberland, MD	91	275
UPMC WESTERN MARYLAND CORPORATION	91	281
CHO, IK	91	347
Andrea Marshall Physician Assistant · Cumberland, MD	85	280
Heidi Race Physician Assistant · Cumberland, MD	72	219
Upmc Western Maryland Corporation Independent Diagnostic Testing Facility (IDTF) · Cumberland, MD	70	223

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