PROVIDER PROFILE · NPI 1376741785

Michael PincusD.O.

PRACTICELAHEY CLINIC, INC.See all providers at this practice →

RheumatologyBurlington, MAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

639

Unique beneficiaries

—

Total services

926

Distinct HCPCS

Medicare payment

$70K

Peer benchmark

Total Medicare services vs. 204 Rheumatology providers in MA — above median (cohort median 564).

PRESCRIBING · PART D · 2024

Total Rx claims

2,962

Beneficiaries

—

Total drug cost

$2.3M

Distinct drugs

Brand share

36.7%

Top prescribed drugs

Methotrexate Sodium694 claims

Prednisone297 claims

Allopurinol294 claims

Hydroxychloroquine Sulfate276 claims

Methylprednisolone129 claims

QUALITY · MIPS · 2024

Final MIPS score

92.0

Quality

76.6

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.71%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Michael Pincus'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). 5 inbound referrers · 12 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Lisl Warren Diagnostic Radiology · Burlington, MA	18	41
Dmitry Elentuck Diagnostic Radiology · Burlington, MA	18	39
MORRIS, PATRICIA	15	43
POLLAK, ALAIN	15	27
Shirley Gove-Vlahos Nurse Practitioner · Brewer, ME	12	17

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
LAHEY CLINIC HOSPITAL, INC.	244	2,361
NPI 1659471662	27	71
Karen Reuter Diagnostic Radiology · Burlington, MA	22	59
POLLAK, ALAIN	21	51
Rachel Boyd Physician Assistant · Burlington, MA	20	46
Robert French Diagnostic Radiology · Scottsdale, AZ	19	52
Inna Goldberg Diagnostic Radiology · Brockton, MA	17	36
Anita Uppin Diagnostic Radiology · Burlington, MA	16	35
ABEL, GYORGY	15	36
Edward Pinkus Diagnostic Radiology · Burlington, MA	14	36
Lisl Warren Diagnostic Radiology · Burlington, MA	14	31
Ann Pianka Nurse Practitioner · Burlington, MA	13	69

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