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PROVIDER PROFILE · NPI 1275748089

Jared WilsonPA-C, MPAS, MED, ATC

Physician AssistantPocatello, IDI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 130028
Hospital
MEDICARE UTILIZATION · PART B · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Jared Wilson'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). 3 inbound referrers · 5 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
BOEHM, DOUGLAS2125
Gregg Marshall
General Surgery · Logan, UT
1961
Kate Preston
General Surgery · Flagstaff, AZ
1553
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
POCATELLO HOSPITAL LLC64104
Idaho Pathology Laboratory Physicians
Clinical Laboratory · Pocatello, ID
3955
Andrew Mcroberts
General Surgery · Pocatello, ID
2756
Katie Fritz
General Surgery · Pocatello, ID
1349
Daniel Parker
Certified Registered Nurse Anesthetist (CRNA) · Pocatello, ID
1111
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.
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$31
Payment records
2
By payment type
Food and Beverage$31
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.