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PROVIDER PROFILE · NPI 1336152842

John Nicholson

Emergency MedicineSomerset, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
6,889
Beneficiaries
—
Total drug cost
$752K
Distinct drugs
93
Brand share
27.3%
Top prescribed drugs
Atorvastatin Calcium681 claims
Amlodipine Besylate483 claims
Lisinopril330 claims
Lisinopril/Hydrochlorothiazide297 claims
Empagliflozin288 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
381
Unique beneficiaries
—
Total services
600
Distinct HCPCS
7
Medicare payment
$32K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,759 Emergency Medicine providers in PA — top quintile (cohort median 310).
QUALITY · MIPS · 2024
Final MIPS score
82.5
Quality
65.5
Cost
76.2
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.32%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where John Nicholson'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). 8 inbound referrers · 25 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Mark Yaros
Family Practice · Somerset, PA
22112
Somerset Area Ambulance Association, Inc
Ambulance Service Provider · Somerset, PA
2048
SAYLOR, RANDALL2054
GROFTISZA, GEORGE1854
Jayesh Desai
Pulmonary Disease · Somerset, PA
1771
PIRO, FRANK1535
Neelesh Welling
Emergency Medicine · Farmington Hills, MI
1239
SOMANI, HUSSEIN1140
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UPMC SOMERSET2261,053
NAIR, V.58164
Jude Elias
Internal Medicine · Wexford, PA
3287
Somerset Area Ambulance Association, Inc
Ambulance Service Provider · Somerset, PA
2796
Jayesh Desai
Pulmonary Disease · Somerset, PA
2484
Neelesh Welling
Emergency Medicine · Farmington Hills, MI
2250
DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC2256
SAYLOR, RANDALL2149
Ramneek Singh
Internal Medicine · Voorhees, NJ
2198
Mark Yaros
Family Practice · Somerset, PA
20100
Mohammad Saadat
Internal Medicine · Somerset, PA
2073
MITTAL, VIMAL1942
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.