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PROVIDER PROFILE · NPI 1326210857

Justin DouglasMD

OtolaryngologyBeckley, WVI
CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
624
Beneficiaries
—
Total drug cost
$55K
Distinct drugs
14
Brand share
5.8%
Top prescribed drugs
Famotidine130 claims
Azelastine Hcl125 claims
Fluticasone Propionate107 claims
Ipratropium Bromide53 claims
Montelukast Sodium31 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
658
Unique beneficiaries
—
Total services
867
Distinct HCPCS
10
Medicare payment
$42K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 46 Otolaryngology providers in WV — above median (cohort median 565).
REFERRAL NETWORK

Where Justin Douglas'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). 13 inbound referrers · 27 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Colin Rose
Diagnostic Radiology · Ronceverte, WV
62146
Heather Rose
Diagnostic Radiology · Ronceverte, WV
53115
Christopher White
Otolaryngology · Lewisburg, WV
38212
NPI 10735314552647
Constance Anderson
Family Practice · Ronceverte, WV
26117
Laboratory Corporation Of America Holdings
Clinical Laboratory · Ronceverte, WV
1835
WALL, HAVEN1757
John Johnson
Emergency Medicine · Buckeye, WV
1540
Gerald Erskine
Podiatry · Ronceverte, WV
1219
Kelby Faulkiner
Emergency Medicine · Buckeye, WV
1239
Debra Crites-Sams
Family Practice · Ronceverte, WV
12103
Timothy Lane
Emergency Medicine · Weirton, WV
1232
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
GREENBRIER VMC LLC96332
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
96207
Heather Rose
Diagnostic Radiology · Ronceverte, WV
48100
Colin Rose
Diagnostic Radiology · Ronceverte, WV
43111
Christopher White
Otolaryngology · Lewisburg, WV
34231
RALEIGH GENERAL HOSPITAL LLC3066
Laboratory Corporation Of America Holdings
Clinical Laboratory · Charleston, WV
2434
NPI 17008599152257
David Maki
Diagnostic Radiology · Ronceverte, WV
2139
Laboratory Corporation Of America
Clinical Laboratory · Louisville, KY
2134
Constance Anderson
Family Practice · Ronceverte, WV
1980
DURHAM, RICHARD18119
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.
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (3)

CCN 180069
Hospital
CCN 510062
Hospital
CCN 510070
Hospital
QUALITY · MIPS · 2024
Final MIPS score
83.0
Quality
74.0
Cost
77.9
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.34%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$504
Payment records
21
By payment type
Food and Beverage$504