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PROVIDER PROFILE · NPI 1174562177

Paul DufaultM.D.

Internal MedicineWorcester, MAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 227098
Home health agency
CCN 227269
Home health agency
CCN 227666
Home health agency
CCN 220001
Hospital
CCN 220163
Hospital
REFERRAL NETWORK

Where Paul Dufault'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). 4 inbound referrers · 19 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
105272
Charles Birbara
Rheumatology · Worcester, MA
30122
Richard Wholey
Cardiology · Worcester, MA
29150
DESAI, CHARU1126
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
174541
UMASS MEMORIAL MEDICAL CENTER, INC.134776
VHS ACQUISITION SUBSIDIARY NUMBER 7 INC34120
GORE, JOEL25135
Charles Birbara
Rheumatology · Worcester, MA
2477
Richard Wholey
Cardiology · Worcester, MA
22157
Michael Wollin
Urology · Worcester, MA
1659
VHS ACQUISITION SUBSIDIARY NUMBER 9 INC1443
Seth Kates
Dermatology · Worcester, MA
1419
Joseph Ferrucci
Diagnostic Radiology · Worcester, MA
1226
VNA CARE NETWORK, INC.1220
Timothy Fitzgibbons
Cardiology · Worcester, MA
1120
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.
PRESCRIBING · PART D · 2024
Total Rx claims
2,711
Beneficiaries
—
Total drug cost
$168K
Distinct drugs
48
Brand share
11.6%
Top prescribed drugs
Lisinopril173 claims
Atorvastatin Calcium166 claims
Lorazepam166 claims
Sertraline Hcl143 claims
Atenolol134 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
984
Unique beneficiaries
—
Total services
1,245
Distinct HCPCS
8
Medicare payment
$82K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 3,978 Internal Medicine providers in MA — top quintile (cohort median 564).
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
83.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.05%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.