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PROVIDER PROFILE · NPI 1396839940

Daniel CummingsM.D.

GastroenterologyPlacerville, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
90.7
Quality
81.4
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.66%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
466
Beneficiaries
—
Total drug cost
$17K
Distinct drugs
6
Brand share
60.7%
Top prescribed drugs
Peg3350/Sod Sulf,bicarb,cl/Kcl191 claims
Peg3350/Sod Sulf,bicarb,cl/Kcl79 claims
Pantoprazole Sodium63 claims
Omeprazole53 claims
Famotidine39 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
713
Unique beneficiaries
—
Total services
762
Distinct HCPCS
17
Medicare payment
$86K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,398 Gastroenterology providers in CA — above median (cohort median 750).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$54
Payment records
2
By payment type
Food and Beverage$54
REFERRAL NETWORK

Where Daniel Cummings'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 · 28 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
El Dorado Surgery Center Llc
Ambulatory Surgical Center · Placerville, CA
166321
Robert Jarka
Anesthesiology · Placerville, CA
3967
Alexander Guo
Diagnostic Radiology · Placerville, CA
3480
Stanley Henjum
Cardiology · Placerville, CA
25102
Scott Vasconcellos
Cardiology · Placerville, CA
1755
Cesar Ang
Internal Medicine · Placerville, CA
1774
David Schneiderman
Gastroenterology · Carmichael, CA
1427
Prakash Dobaria
Internal Medicine · Placerville, CA
1336
Douglas Bishop
Ophthalmology · Placerville, CA
1221
Amrit Singh
Internal Medicine · Placerville, CA
1233
Howard Rosen
Hospitalist · Placerville, CA
1129
NPI 14179505851126
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MARSHALL MEDICAL CENTER2802,214
El Dorado Pathology Medical Group, Inc
Clinical Laboratory · Placerville, CA
178464
El Dorado Surgery Center Llc
Ambulatory Surgical Center · Placerville, CA
154295
ARNOLD, JERRY72233
Anietie Okon
Diagnostic Radiology · Placerville, CA
51130
BUDENZ, RICHARD47117
Robert Jarka
Anesthesiology · Placerville, CA
4066
Alexander Guo
Diagnostic Radiology · Placerville, CA
3175
Scott Vasconcellos
Cardiology · Placerville, CA
2792
Unilab Corporation
Clinical Laboratory · Sacramento, CA
2676
Stanley Henjum
Cardiology · Placerville, CA
25105
Gerardo Galang
Internal Medicine · Placerville, CA
2157
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.