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PROVIDER PROFILE · NPI 1164482303

Keith ClancyM.D.

General SurgeryFort Wayne, INI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 100088
Hospital
CCN 100156
Hospital
CCN 100226
Hospital
CCN 100232
Hospital
QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
317
Unique beneficiaries
—
Total services
407
Distinct HCPCS
7
Medicare payment
$29K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 454 General Surgery providers in IN — above median (cohort median 270).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Keith Clancy'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). 5 inbound referrers · 13 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER65152
Ivan Cakulev
Cardiology · Cleveland, OH
2862
Vanessa Ho
General Surgery · Cleveland, OH
2156
MARINCEK, BORUT1523
Prabhakar Rajiah
Diagnostic Radiology · Rochester, MN
1444
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER2880
Ivan Cakulev
Cardiology · Cleveland, OH
2451
Vanessa Ho
General Surgery · Cleveland, OH
21111
Raj Paspulati
Diagnostic Radiology · Wesley Chapel, FL
1831
Robert Gilkeson
Diagnostic Radiology · Cleveland, OH
1854
MARINCEK, BORUT1741
Community Care Ambulance Network
Ambulance Service Provider · Ashtabula, OH
1523
Luis Landeras
Diagnostic Radiology · Chicago, IL
1531
Prabhakar Rajiah
Diagnostic Radiology · Rochester, MN
1338
HAAGA, JOHN1223
NAKAMOTO, DEAN1114
Tracy Bartone
Anesthesiology · Cleveland, OH
1119
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.