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PROVIDER PROFILE · NPI 1144204215

Edward PinelesMD

PRACTICENEW AGE DERMATOLOGY PLLCSee all providers at this practice →
Pulmonary DiseaseMiddle Village, NYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
63.7
Quality
0.0
Cost
78.9
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
-1.36%
Individual
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 330055
Hospital
CCN 330193
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
101
Beneficiaries
—
Total drug cost
$22K
Distinct drugs
6
Brand share
59.4%
Top prescribed drugs
Montelukast Sodium24 claims
Albuterol Sulfate18 claims
Fluticasone/Umeclidin/Vilanter18 claims
Atenolol17 claims
Fluticasone/Vilanterol13 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
980
Unique beneficiaries
—
Total services
6,537
Distinct HCPCS
14
Medicare payment
$290K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 811 Pulmonary Disease providers in NY — top quintile (cohort median 790).
REFERRAL NETWORK

Where Edward Pineles'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). 52 inbound referrers · 105 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Seniorcare Emergency Medical Services Inc.
Ambulance Service Provider · Bronx, NY
109184
Adam Zeitlin
Family Practice · Flushing, NY
82440
FLUSHING HOSPITAL & MEDICAL CENTER80188
Majeed Sayeed
Cardiology · Flushing, NY
74141
FIRST RESPONSE AMBULANCE, INC.65147
HUNTER AMBULANCE, INC.65104
Scott Horowitz
Hospitalist · Hempstead, NY
64654
Shuja Qadir
Cardiology · Brooklyn, NY
6097
NPI 105342916745112
Krishna Badhey
Internal Medicine · Woodside, NY
37109
VELOUDIOS, ALICE3572
Leslie Bennett
Internal Medicine · Flushing, NY
34107
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
HUNTER AMBULANCE, INC.112177
NEWYORK-PRESBYTERIAN-QUEENS84128
Adam Zeitlin
Family Practice · Flushing, NY
73404
Seniorcare Emergency Medical Services Inc.
Ambulance Service Provider · Bronx, NY
68116
Majeed Sayeed
Cardiology · Flushing, NY
66161
Leslie Bennett
Internal Medicine · Flushing, NY
64238
Shuja Qadir
Cardiology · Brooklyn, NY
64108
SHIEL HOLDINGS LLC61415
Usha Kamath
Infectious Disease · New Hyde Park, NY
5983
Krishna Badhey
Internal Medicine · Woodside, NY
57231
David Schechter
Cardiology · Richmond Hill, NY
56173
Scott Horowitz
Hospitalist · Hempstead, NY
55564
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.