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PROVIDER PROFILE · NPI 1154328110

Mark PylesMD

General SurgeryBerwick, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 397272
Home health agency
CCN 390003
Hospital
CCN 390006
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
214
Unique beneficiaries
—
Total services
399
Distinct HCPCS
6
Medicare payment
$35K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,055 General Surgery providers in PA — top quintile (cohort median 277).
PRESCRIBING · PART D · 2024
Total Rx claims
3,164
Beneficiaries
—
Total drug cost
$91K
Distinct drugs
75
Brand share
16.4%
Top prescribed drugs
Pantoprazole Sodium452 claims
Nabumetone168 claims
Metoclopramide Hcl166 claims
Sucralfate148 claims
Levothyroxine Sodium80 claims
REFERRAL NETWORK

Where Mark Pyles'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). 11 inbound referrers · 20 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
BERWICK HOSPITAL COMPANY LLC87413
GEISINGER MEDICAL CENTER46153
Alva Smith
Cardiology · Berwick, PA
36175
SCHUERCH, CONRAD2125
Jason Clarity
Internal Medicine · Telford, PA
1582
Frank Giugliano
Emergency Medicine · Berwick, PA
1428
Maliyakkal John
Internal Medicine · Berwick, PA
1339
Kalmen Feinberg
Pathology · Lehighton, PA
1344
Osman Osman
Internal Medicine · Berwick, PA
1249
NPI 14472279051237
Mark Williams
Orthopedic Surgery · Bloomsburg, PA
1121
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
BERWICK HOSPITAL COMPANY LLC133634
Kalmen Feinberg
Pathology · Lehighton, PA
45151
Mark Vanblargan
Diagnostic Radiology · Bloomsburg, PA
3784
Paul Wiegand
Anesthesiology · Bloomsburg, PA
37115
Sang Choi
Anesthesiology · Berwick, PA
37121
GEISINGER MEDICAL CENTER32113
Susan Kile
Certified Registered Nurse Anesthetist (CRNA) · Scranton, PA
29117
Melissa Lucas
Certified Registered Nurse Anesthetist (CRNA) · Warrenton, VA
2873
Mark Williams
Orthopedic Surgery · Bloomsburg, PA
28115
BERWICK HOME CARE SERVICES LLC2870
Jason Clarity
Internal Medicine · Telford, PA
2593
Alva Smith
Cardiology · Berwick, PA
25117
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.
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.