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PROVIDER PROFILE · NPI 1245213545

Nathaniel WhaleyMD

PRACTICETRI STATE MOUNTAIN NEUROLOGY ASSOCIATES PCSee all providers at this practice →
NeurologyJohnson City, TNI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

CCN 447422
Home health agency
CCN 440017
Hospital
CCN 440018
Hospital
CCN 440050
Hospital
CCN 440063
Hospital
CCN 440184
Hospital
REFERRAL NETWORK

Where Nathaniel Whaley'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). 9 inbound referrers · 19 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
SOLSTAS LAB PARTNERS GROUP LLC120596
MOUNTAIN STATES HEALTH ALLIANCE46112
Perry Jernigan
Diagnostic Radiology · Johnson City, TN
1929
Washington County-Johnson City Emergency Medical Services Inc
Ambulance Service Provider · Johnson City, TN
1423
Lisa Lull
Diagnostic Radiology · Alexandria, VA
1423
John Dengler
Neurology · Johnson City, TN
1428
Glen Hatcher
Diagnostic Radiology · Johnson City, TN
1317
George Winton
Dermatology · Johnson City, TN
1217
Vincent Becker
Diagnostic Radiology · Johnson City, TN
1226
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SOLSTAS LAB PARTNERS GROUP LLC162695
MOUNTAIN STATES HEALTH ALLIANCE101331
MOUNTAIN STATES HEALTH ALLIANCE4677
MOUNTAIN STATES HEALTH ALLIANCE25200
Samuel Massey
Diagnostic Radiology · Johnson City, TN
2462
LAUGHLIN MEMORIAL HOSPITAL, INC.2153
NPI 17503395291938
Donald Reynolds
Diagnostic Radiology · Greenville, SC
1835
Vincent Becker
Diagnostic Radiology · Johnson City, TN
1527
TAKOMA REGIONAL HOSPITAL INC1469
Perry Jernigan
Diagnostic Radiology · Johnson City, TN
1326
John Dengler
Neurology · Johnson City, TN
1336
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
712
Unique beneficiaries
—
Total services
25,784
Distinct HCPCS
16
Medicare payment
$981K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 344 Neurology providers in TN — top quintile (cohort median 449).
PRESCRIBING · PART D · 2024
Total Rx claims
3,886
Beneficiaries
—
Total drug cost
$1.9M
Distinct drugs
81
Brand share
33.4%
Top prescribed drugs
Carbidopa/Levodopa420 claims
Gabapentin259 claims
Clonazepam191 claims
Prednisone140 claims
Pregabalin106 claims
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
0.0
Cost
0.0
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Individual
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$29K
Payment records
240
By payment type
Consulting Fee$18K
Food and Beverage$5K
Travel and Lodging$4K
Honoraria$1K
Top paying entities
Consulting Fee$18K
Food and Beverage$5K
Travel and Lodging$4K
Honoraria$1K