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PROVIDER PROFILE · NPI 1194934752

Timothy PflugnerMD

PRACTICESBJS PCSee all providers at this practice →
Orthopedic SurgeryDothan, ALI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (8)

CCN 017053
Home health agency
CCN 017159
Home health agency
CCN 017164
Home health agency
CCN 109153
Home health agency
CCN 010001
Hospital
CCN 010055
Hospital
CCN 011307
Hospital
CCN 100142
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,143
Unique beneficiaries
—
Total services
1,545
Distinct HCPCS
18
Medicare payment
$120K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 334 Orthopedic Surgery providers in AL — above median (cohort median 2,095).
PRESCRIBING · PART D · 2024
Total Rx claims
1,109
Beneficiaries
—
Total drug cost
$10K
Distinct drugs
16
Brand share
34.2%
Top prescribed drugs
Hydrocodone/Acetaminophen228 claims
Celecoxib149 claims
Gabapentin146 claims
Prednisone94 claims
Ondansetron94 claims
REFERRAL NETWORK

Where Timothy Pflugner'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). 3 inbound referrers · 22 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT61125
GEARY, RICHARD5261
Jeffrey Wasserman
Diagnostic Radiology · Bradenton, FL
29100
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
LAKEWOOD RANCH MEDICAL CENTER126232
Roland Askins
Orthopedic Surgery · Sarasota, FL
104336
SARASOTA COUNTY PUBLIC HOSPITAL DISTRICT64120
MORSE, STEVEN52114
HOME HEALTH AGENCY - COLLIER, LLC3449
Randall Brodsky
Diagnostic Radiology · Bradenton, FL
3167
Jeffrey Wasserman
Diagnostic Radiology · Bradenton, FL
3158
Bruce Wilson
Certified Registered Nurse Anesthetist (CRNA) · Lapeer, MI
3142
William Gordon
Certified Registered Nurse Anesthetist (CRNA) · Bradenton, FL
2531
Andres Abreu
Diagnostic Radiology · North Miami Beach, FL
2548
FLORIDA LIVING OPTIONS INC1838
Daryl Miller
Orthopedic Surgery · Sarasota, FL
1724
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
100.0
Quality
17.7
Cost
80.7
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.05%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$30
Payment records
1
By payment type
Food and Beverage$30