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PROVIDER PROFILE · NPI 1215953039

Stephen ZappalaM.D.

UrologyAndover, MAI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 220010
Hospital
CCN 220029
Hospital
CCN 220080
Hospital
CCN 300017
Hospital
CCN 300018
Hospital
REFERRAL NETWORK

Where Stephen Zappala'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). 28 inbound referrers · 42 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
212506
STEWARD HOLY FAMILY HOSPITAL, INC.2011,274
Anthony Marino
Cardiology · Methuen, MA
38154
SHARED DIAGNOSTIC SERVICES, INC3243
NEURO REHAB ASSOCIATES, INC29113
Liliane Yacoub
Pathology · Methuen, MA
2865
HCA HEALTH SERVICES OF NEW HAMPSHIRE INC27143
SALZMAN, LINDA2463
Puay Eng Tan
Pathology · Lowell, MA
2238
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
2154
Stewart Hou
Diagnostic Radiology · Lawrence, MA
2060
Arthur Zerbey
Diagnostic Radiology · Lawrence, MA
1953
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
STEWARD HOLY FAMILY HOSPITAL, INC.170738
LAWRENCE GENERAL HOSPITAL150412
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
95289
Quest Diagnostics Llc
Clinical Laboratory · Marlborough, MA
56161
Anthony Marino
Cardiology · Methuen, MA
42219
Liliane Yacoub
Pathology · Methuen, MA
36125
Mark Rieumont
Interventional Radiology · Tampa, FL
3295
Durga Rao
Nephrology · Methuen, MA
29141
Ali Niakosari
Diagnostic Radiology · Lawrence, MA
2665
Zinaida Matlyuk
Diagnostic Radiology · Farmington, CT
2589
Puay Eng Tan
Pathology · Lowell, MA
2387
NEURO REHAB ASSOCIATES, INC23128
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,074
Unique beneficiaries
—
Total services
1,441
Distinct HCPCS
6
Medicare payment
$143K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 244 Urology providers in MA — above median (cohort median 2,012).
PRESCRIBING · PART D · 2024
Total Rx claims
1,963
Beneficiaries
—
Total drug cost
$123K
Distinct drugs
20
Brand share
25.6%
Top prescribed drugs
Finasteride616 claims
Tamsulosin Hcl323 claims
Solifenacin Succinate127 claims
Sulfamethoxazole/Trimethoprim123 claims
Cephalexin119 claims
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
80.0
Cost
63.1
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$478
Payment records
11
By payment type
Food and Beverage$357
Education$121