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PROVIDER PROFILE · NPI 1174574214

Mark SheltonMD

Vascular SurgeryNashville, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 440197
Hospital
CCN 440227
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
334
Unique beneficiaries
—
Total services
390
Distinct HCPCS
12
Medicare payment
$46K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 91 Vascular Surgery providers in TN — bottom quintile (cohort median 1,140).
REFERRAL NETWORK

Where Mark Shelton'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). 9 inbound referrers · 25 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Colin Meyerowitz
Diagnostic Radiology · Nashville, TN
2340
Clara Womack
Nephrology · Nashville, TN
22144
Steven Humphrey
Cardiology · Nashville, TN
2281
HCA HEALTH SERVICES OF TENNESSEE, INC.1742
Robert Ripley
Internal Medicine · Nashville, TN
1674
Pathgroup Labs, Llc
Clinical Laboratory · Nashville, TN
1635
David Mccord
Preventive Medicine · Franklin, TN
1477
James Holbrook
Diagnostic Radiology · Nashville, TN
1329
NPI 10333116421125
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
HCA HEALTH SERVICES OF TENNESSEE, INC.104297
HCA HEALTH SERVICES OF TENNESSEE, INC.78204
Kartik Boorgu
Diagnostic Radiology · Nashville, TN
2651
Steven Humphrey
Cardiology · Nashville, TN
2061
Clara Womack
Nephrology · Nashville, TN
20161
Robert Ripley
Internal Medicine · Nashville, TN
1882
FIRST CALL AMBULANCE SERVICE, LLC18110
Colin Meyerowitz
Diagnostic Radiology · Nashville, TN
1832
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
1628
SAINT THOMAS WEST HOSPITAL1629
Pathgroup Labs, Llc
Clinical Laboratory · Nashville, TN
1529
David Mccord
Preventive Medicine · Franklin, TN
1451
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
Final MIPS score
85.7
Quality
70.5
Cost
73.4
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.45%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
165
Beneficiaries
—
Total drug cost
$32K
Distinct drugs
4
Brand share
80.0%
Top prescribed drugs
Clopidogrel Bisulfate103 claims
Oxycodone Hcl33 claims
Apixaban18 claims
Rivaroxaban11 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
11
By payment type
Travel and Lodging$985
Food and Beverage$329