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PROVIDER PROFILE · NPI 1205919875

Mark WallingfordMD

Internal MedicineMaysville, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$57
Payment records
1
By payment type
Education$57
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

CCN 187045
Home health agency
CCN 369123
Home health agency
CCN 369127
Home health agency
CCN 180019
Hospital
CCN 180780
Hospital
CCN 361326
Hospital
PRESCRIBING · PART D · 2024
Total Rx claims
12,444
Beneficiaries
—
Total drug cost
$835K
Distinct drugs
148
Brand share
22.0%
Top prescribed drugs
Atorvastatin Calcium635 claims
Lisinopril507 claims
Levothyroxine Sodium490 claims
Rosuvastatin Calcium465 claims
Omeprazole405 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,135
Unique beneficiaries
—
Total services
2,295
Distinct HCPCS
13
Medicare payment
$86K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,039 Internal Medicine providers in KY — top quintile (cohort median 766).
REFERRAL NETWORK

Where Mark Wallingford'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). 15 inbound referrers · 46 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Jennifer Hagenschneider
Diagnostic Radiology · Vanceburg, KY
85233
Geoffrey Pornoy
Internal Medicine · Highland Heights, KY
54160
Jeffrey Dickerson
Internal Medicine · Maysville, KY
43208
Christina Sullivan
Emergency Medicine · Lexington, KY
38149
LEWIS COUNTY PRIMARY CARE CENTER, INC.3576
MAYSVILLE MANOR LLC31116
Abram Keating
Nurse Practitioner · Lexington, KY
2279
HOSPICE OF HOPE, INC.21100
Christi Strole
Physician Assistant · Union, KY
2142
Charles Rickey
Physician Assistant · Knoxville, TN
2037
Portsmouth Emergency Ambulance Service Inc
Ambulance Service Provider · South Shore, KY
1432
Joseph Morris
General Practice · Nicholasville, KY
1446
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MEADOWVIEW REGIONAL MEDICAL CENTER LLC2941,085
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
257707
Richard Hartman
Diagnostic Radiology · Maysville, KY
129359
John Clarke
Diagnostic Radiology · Cape Girardeau, MO
113272
Jennifer Hagenschneider
Diagnostic Radiology · Vanceburg, KY
109292
Eric Lohman
Cardiology · Maysville, KY
75319
Sally Wooten
Family Practice · Maysville, KY
70308
Mason County
Ambulance Service Provider · Maysville, KY
70346
ST. ELIZABETH PHYSICIANS MAYSVILLE DIAGNOSTIC CENTER, LLC63161
Jeffrey Dickerson
Internal Medicine · Maysville, KY
58239
Marc Pawsat
Podiatry · Maysville, KY
53175
Geoffrey Pornoy
Internal Medicine · Highland Heights, KY
50140
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.