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PROVIDER PROFILE · NPI 1316069420

Heather SimpsonM.D.

PRACTICEMUSCSee all providers at this practice →
GastroenterologyCharleston, SCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
79.0
Quality
62.4
Cost
72.7
Improvement activities
40.0
Promoting interop.
99.0
Payment adjustment
0.17%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 420004
Hospital
CCN 420026
Hospital
CCN 420048
Hospital
CCN 420091
Hospital
CCN 420098
Hospital
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
1,609
Beneficiaries
—
Total drug cost
$1.3M
Distinct drugs
29
Brand share
27.3%
Top prescribed drugs
Rifaximin334 claims
Carvedilol180 claims
Furosemide138 claims
Ursodiol114 claims
Spironolactone107 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
421
Unique beneficiaries
—
Total services
523
Distinct HCPCS
10
Medicare payment
$45K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 205 Gastroenterology providers in SC — below median (cohort median 867).
REFERRAL NETWORK

Where Heather Simpson'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). 21 inbound referrers · 28 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
UNIVERSITY OF ALABAMA AT BIRMINGHAM3571,721
Brendan Mcguire
Gastroenterology · Birmingham, AL
51261
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
38111
Devin Eckhoff
General Surgery · Boston, MA
2769
Sushilkumar Sonavane
Diagnostic Radiology · Jacksonville, FL
2663
Frederick Weber
Gastroenterology · Birmingham, AL
2556
Rongjun Guo
Pathology · Birmingham, AL
2041
WEBER, THERESE1951
MCNAMARA, MICHELLE1736
Ferdinand Urthaler
Cardiology · Birmingham, AL
1643
Lincoln Berland
Diagnostic Radiology · Birmingham, AL
1634
Derek Dubay
General Surgery · Greenville, SC
1651
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UNIVERSITY OF ALABAMA AT BIRMINGHAM150739
Brendan Mcguire
Gastroenterology · Birmingham, AL
64273
John Thomas
Diagnostic Radiology · Birmingham, AL
3461
Michelle Robbin
Diagnostic Radiology · Birmingham, AL
2754
Mark Lockhart
Diagnostic Radiology · Birmingham, AL
2647
SANDERS, P2672
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
2574
Mark Little
Diagnostic Radiology · Birmingham, AL
2142
Rupan Sanyal
Diagnostic Radiology · Jacksonville, FL
1942
Satinder Singh
Diagnostic Radiology · Jacksonville, FL
1851
Ashwani Singal
Gastroenterology · Louisville, KY
18189
Jessica Zarzour
Diagnostic Radiology · Birmingham, AL
1728
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.