What is James Theroux's specialty?

James Theroux (NPI 1326074972) is a Medicare-billing provider whose primary specialty is Optometry in Woonsocket, RI.

Where does James Theroux practice?

James Theroux practices in Woonsocket, RI, based on the location reported in the CMS Medicare provider datasets for NPI 1326074972.

How much does Medicare pay James Theroux?

James Theroux (NPI 1326074972) received approximately $8K in total Medicare Part B payments, serving 76 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1326074972

James TherouxO.D.

OptometryWoonsocket, RII

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

129

Unique beneficiaries

—

Total services

133

Distinct HCPCS

Medicare payment

$8K

Peer benchmark

Total Medicare services vs. 173 Optometry providers in RI — bottom quintile (cohort median 600).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$4K

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Latanoprost52 claims

Brimonidine Tartrate19 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$125

Payment records

By payment type

Food and Beverage$125

Top paying entities

Food and Beverage$125

REFERRAL NETWORK

Where James Theroux'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). 1 inbound referrers · 8 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
THE MIRIAM HOSPITAL	18	28

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
PRIME HEALTHCARE SERVICES LANDMARK LLC	46	69
East Side Clinical Laboratory, Inc. Clinical Laboratory · East Providence, RI	39	70
Eleftherios Alexandrou Ophthalmology · Woonsocket, RI	23	48
SILVER SPRING HEALTH CARE MANAGEMENT, INC.	18	24
THE MIRIAM HOSPITAL	17	24
THUNDERMIST HEALTH CENTER	15	28
James Cloutier Podiatry · Woonsocket, RI	12	15
Jay Daly Diagnostic Radiology · New Hartford, NY	11	13

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events