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PROVIDER PROFILE · NPI 1285670281

William GummeltMD

PRACTICEHEARTLAND REGIONAL MEDICAL CENTERSee all providers at this practice →
Emergency MedicineSaint Joseph, MOI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
84.8
Quality
74.3
Cost
74.8
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.41%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 261555
Hospice
CCN 260006
Hospital
CCN 265827
Nursing home
PRESCRIBING · PART D · 2024
Total Rx claims
143
Beneficiaries
—
Total drug cost
$795
Distinct drugs
8
Brand share
51.0%
Top prescribed drugs
Hydrocodone/Acetaminophen36 claims
Prednisone29 claims
Cephalexin18 claims
Amoxicillin/Potassium Clav15 claims
Ondansetron Hcl12 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
733
Unique beneficiaries
—
Total services
803
Distinct HCPCS
5
Medicare payment
$44K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 932 Emergency Medicine providers in MO — top quintile (cohort median 321).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where William Gummelt'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). 55 inbound referrers · 146 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
HEARTLAND REGIONAL MEDICAL CENTER4071,551
Paul Isenbarger
Diagnostic Radiology · Honolulu, HI
140277
Brett Nielson
Diagnostic Radiology · Pittsburgh, PA
139265
Brandon Massin
Diagnostic Radiology · Eden Prairie, MN
121217
Regional Emergency Medical Services Authority
Ambulance Service Provider · Saint Joseph, MO
63179
EASTRIDGE MEDICAL LABORATORY INC62241
STEVENS, EDWARD6194
Roseanne Ongyiu
Pediatric Medicine · Saint Joseph, MO
4685
David Mena
Diagnostic Radiology · Saint Joseph, MO
4588
Stacie Palmer
Internal Medicine · Saint Joseph, MO
4469
Jose Alvarez
Diagnostic Radiology · Saint Joseph, MO
3699
Robert Clark
Internal Medicine · Saint Joseph, MO
33126
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
HEARTLAND REGIONAL MEDICAL CENTER7392,964
Regional Emergency Medical Services Authority
Ambulance Service Provider · Saint Joseph, MO
231497
Steven Looney
Diagnostic Radiology · Saint Joseph, MO
184351
David Mena
Diagnostic Radiology · Saint Joseph, MO
168318
Jack Bridges
Diagnostic Radiology · Saint Joseph, MO
159301
Jose Alvarez
Diagnostic Radiology · Saint Joseph, MO
141285
Steven Poplaw
Diagnostic Radiology · Saint Joseph, MO
140231
Daniel Hatfield
Diagnostic Radiology · Mission, KS
102156
Brett Nielson
Diagnostic Radiology · Pittsburgh, PA
86141
Paul Isenbarger
Diagnostic Radiology · Honolulu, HI
86167
Brandon Massin
Diagnostic Radiology · Eden Prairie, MN
67108
Amber Niewald
Internal Medicine · Shawnee, KS
65117
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.