PROVIDER PROFILE · NPI 1336301613

Lenise Cummings-VaughnMD

Geriatric MedicineSaint Louis, MOI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

154

Distinct HCPCS

Medicare payment

$12K

Peer benchmark

Total Medicare services vs. 35 Geriatric Medicine providers in MO — below median (cohort median 451).

PRESCRIBING · PART D · 2024

Total Rx claims

1,956

Beneficiaries

—

Total drug cost

$70K

Distinct drugs

Brand share

9.3%

Top prescribed drugs

Donepezil Hcl141 claims

Atorvastatin Calcium107 claims

Levothyroxine Sodium107 claims

Memantine Hcl101 claims

Trazodone Hcl88 claims

QUALITY · MIPS · 2024

Final MIPS score

84.2

Quality

71.6

Cost

75.7

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.39%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Lenise Cummings-Vaughn'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). 7 inbound referrers · 7 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Melvin Blanchard Internal Medicine · Saint Louis, MO	47	96
BJC HOME CARE SERVICES	43	68
Kelly Dodds Nurse Practitioner · Saint Louis, MO	41	88
Richard Ostlund Endocrinology · Saint Louis, MO	17	42
Sandor Kovacs Cardiology · Saint Louis, MO	15	23
Fernando Gutierrez Diagnostic Radiology · Saint Louis, MO	12	15
David Schwartz Cardiology · Saint Louis, MO	12	16

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
BARNES JEWISH HOSPITAL	104	391
Melvin Blanchard Internal Medicine · Saint Louis, MO	69	191
Kelly Dodds Nurse Practitioner · Saint Louis, MO	41	95
Angela Roethemeyer Nurse Practitioner · Saint Louis, MO	12	16
Sandor Kovacs Cardiology · Saint Louis, MO	11	21
BJC HOME CARE SERVICES	11	17
Abbott Ambulance Inc Ambulance Service Provider · Saint Louis, MO	11	17

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