PROVIDER PROFILE · NPI 1174515688

NPI 1174515688

MEDICARE UTILIZATION · PART B · 2024

No data available for this provider in 2024.

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 521337

Hospital

REFERRAL NETWORK

Where NPI 1174515688'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 · 3 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ST. CROIX REGIONAL MEDICAL CENTER	14	55

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC	31	49
ST. CROIX REGIONAL MEDICAL CENTER	13	61
Peter Boosalis Anesthesiology · Stillwater, MN	13	14

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