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PROVIDER PROFILE · NPI 1134480197

David RybnicekM.D.

PRACTICECAROLINA MOUNTAIN GASTROENTEROLOGY ENDOSCOPY CENTERSee all providers at this practice →
Internal MedicineHendersonville, NCI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 340017
Hospital
CCN 340023
Hospital
CCN 341319
Hospital
REFERRAL NETWORK

Where David Rybnicek'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 · 6 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
THE MIRIAM HOSPITAL2637
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
THE MIRIAM HOSPITAL81129
Kenneth Korr
Internal Medicine · Providence, RI
2535
Arthur Noel
Diagnostic Radiology · Warwick, RI
2135
Jharendra Rijal
Internal Medicine · Stuart, FL
1313
Richard Gold
Diagnostic Radiology · Providence, RI
1213
MED TECH INC1117
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,140
Unique beneficiaries
—
Total services
8,334
Distinct HCPCS
22
Medicare payment
$276K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,554 Internal Medicine providers in NC — top quintile (cohort median 687).
PRESCRIBING · PART D · 2024
Total Rx claims
475
Beneficiaries
—
Total drug cost
$34K
Distinct drugs
8
Brand share
39.6%
Top prescribed drugs
Omeprazole209 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl121 claims
Famotidine33 claims
Pantoprazole Sodium28 claims
Linaclotide25 claims
QUALITY · MIPS · 2024
Final MIPS score
90.4
Quality
77.7
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.65%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
72
By payment type
Food and Beverage$1K
Education$20