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PROVIDER PROFILE · NPI 1235187030

Darrell ScalesMD

Orthopedic SurgeryBraselton, GAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
87.8
Quality
80.4
Cost
79.1
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.54%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
1,100
Beneficiaries
—
Total drug cost
$5K
Distinct drugs
12
Brand share
29.7%
Top prescribed drugs
Ondansetron Hcl205 claims
Hydrocodone/Acetaminophen184 claims
Oxycodone Hcl156 claims
Cefadroxil154 claims
Warfarin Sodium124 claims
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 117021
Home health agency
CCN 110029
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,411
Unique beneficiaries
—
Total services
13,051
Distinct HCPCS
19
Medicare payment
$172K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 640 Orthopedic Surgery providers in GA — top quintile (cohort median 2,020).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$1K
Payment records
15
By payment type
Travel and Lodging$765
Food and Beverage$495
REFERRAL NETWORK

Where Darrell Scales'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). 13 inbound referrers · 20 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
NORTHEAST GEORGIA MEDICAL CENTER, INC.146582
Michael Binstock
Physician Assistant · Cumming, GA
54196
Robert Balotin
Diagnostic Radiology · Gainesville, GA
2648
Matthew Scott
Diagnostic Radiology · Macon, GA
2275
Ajay Ravi
Diagnostic Radiology · Gainesville, GA
2045
Lee Martin
Diagnostic Radiology · Gainesville, GA
1940
Mark Matthews
Cardiology · Myrtle Beach, SC
1750
Julie Presley
Diagnostic Radiology · Gainesville, GA
1421
Brendon Blake
Physical Therapist in Private Practice · Flowery Branch, GA
13108
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
1326
Idopise Umana
Internal Medicine · Hoschton, GA
1147
Christina Rich
Internal Medicine · Braselton, GA
1128
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
NORTHEAST GEORGIA MEDICAL CENTER, INC.173729
Nathan Marsh
Physician Assistant · Braselton, GA
62213
Shaan Shah
Diagnostic Radiology · Gainseville, GA
3664
Michael Binstock
Physician Assistant · Cumming, GA
32111
Colby Chastain
Diagnostic Radiology · Gainesville, GA
2957
NORTHSIDE HOSPITAL, INC.2040
Matthew Scott
Diagnostic Radiology · Macon, GA
1831
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Tucker, GA
1847
Mark Matthews
Cardiology · Myrtle Beach, SC
1872
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
1644
Brendon Blake
Physical Therapist in Private Practice · Flowery Branch, GA
14223
Gregory Jackson
Pain Management · Gainesville, GA
1355
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.