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PROVIDER PROFILE · NPI 1225093685

Edward FentonM.D.

Emergency MedicineLynchburg, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
304
Unique beneficiaries
—
Total services
313
Distinct HCPCS
3
Medicare payment
$33K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,151 Emergency Medicine providers in VA — below median (cohort median 382).
PRESCRIBING · PART D · 2024
Total Rx claims
132
Beneficiaries
—
Total drug cost
$752
Distinct drugs
6
Brand share
67.4%
Top prescribed drugs
Hydrocodone/Acetaminophen39 claims
Ondansetron38 claims
Cephalexin17 claims
Doxycycline Hyclate13 claims
Hydroxyzine Hcl13 claims
QUALITY · MIPS · 2024
Final MIPS score
93.2
Quality
83.6
Cost
0.0
Improvement activities
40.0
Promoting interop.
94.0
Payment adjustment
0.76%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Edward Fenton'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). 22 inbound referrers · 60 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PUROHIT, GIRISH93201
HALL, JAMES70156
Prince Edward Volunteer Rescue Squad, Inc
Ambulance Service Provider · Farmville, VA
69160
SINGLETON, WILLIAM3357
Zaki Elsarrag
Internal Medicine · New Martinsville, WV
3175
Delta Response Team
Ambulance Service Provider · Appomattox, VA
2648
Neal Young
Diagnostic Radiology · Warsaw, NY
2650
Terry Thompson
Family Practice · Lynchburg, VA
2182
Daniel Schepens
Diagnostic Radiology · Roanoke, VA
1935
NEWTON, RICHARD1739
Matthew Wiggins
Emergency Medicine · Lynchburg, VA
1542
CENTRAL VIRGINIA HEALTH SERVICES INC1425
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SOUTHSIDE COMMUNITY HOSPITAL, INC.4031,021
HALL, JAMES186439
Haritha Babburi
Cardiology · Farmville, VA
148316
CENTRA HEALTH INC138425
PUROHIT, GIRISH64144
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
55133
Vara Bonagiri
Hospitalist · Farmville, VA
50139
Pavan Annamaraju
Nephrology · Richmond, VA
42135
Terry Thompson
Family Practice · Lynchburg, VA
42107
ALFIERI, JOHN3974
Robert Green
Diagnostic Radiology · Valdosta, GA
3683
Kevin Hicks
Diagnostic Radiology · Lynchburg, VA
3570
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.