PROVIDER PROFILE · NPI 1376745653

James McloughlinM.D.

Surgical OncologyKnoxville, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

168

Unique beneficiaries

—

Total services

173

Distinct HCPCS

Medicare payment

$22K

Peer benchmark

Total Medicare services vs. 35 Surgical Oncology providers in TN — above median (cohort median 312).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$101K

Distinct drugs

Brand share

100.0%

Top prescribed drugs

Lipase/Protease/Amylase31 claims

QUALITY · MIPS · 2024

Final MIPS score

96.5

Quality

86.2

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.90%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$701

Payment records

By payment type

Food and Beverage$701

REFERRAL NETWORK

Where James Mcloughlin'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 · 6 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Jennifer Jones Hematology-Oncology · Blue Ridge, GA	38	85
Garnetta Morin-Ducote Diagnostic Radiology · Knoxville, TN	23	61
Yong Bradley Diagnostic Radiology · Knoxville, TN	14	28
DUNCAN, LISA	13	27
Jeffrey Peeke Diagnostic Radiology · Knoxville, TN	13	29
Geoffrey Laing Diagnostic Radiology · Knoxville, TN	12	20
Amanda Ingram Diagnostic Radiology · Kingsport, TN	12	42

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
UNIVERSITY HEALTH SYSTEM, INC.	87	430
Jennifer Jones Hematology-Oncology · Blue Ridge, GA	73	171
Laboratory Corporation Of America Clinical Laboratory · Knoxville, TN	50	175
Jeffrey Peeke Diagnostic Radiology · Knoxville, TN	16	49
HUDSON, KATHLEEN	12	18
Kenneth Rule Diagnostic Radiology · Knoxville, TN	12	23

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