PROVIDER PROFILE · NPI 1407855422

David LoughM.D.

OtolaryngologyCharleston, WVI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

456

Unique beneficiaries

—

Total services

489

Distinct HCPCS

Medicare payment

$20K

Peer benchmark

Total Medicare services vs. 46 Otolaryngology providers in WV — below median (cohort median 565).

PRESCRIBING · PART D · 2024

Total Rx claims

348

Beneficiaries

—

Total drug cost

$8K

Distinct drugs

Brand share

10.6%

Top prescribed drugs

Azelastine Hcl55 claims

Ipratropium Bromide54 claims

Omeprazole53 claims

Montelukast Sodium42 claims

Mometasone Furoate26 claims

QUALITY · MIPS · 2024

Final MIPS score

95.3

Quality

79.9

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.86%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where David Lough'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 · 9 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
HERBERT J. THOMAS MEMORIAL HOSPITAL ASSOCIATION	31	53
Kanawha County Emergency Ambulance Authority Ambulance Service Provider · Charleston, WV	18	28
Peilin Zhang Pathology · San Diego, CA	17	34
Jeffrey Boss Diagnostic Radiology · Cape Girardeau, MO	14	18
Daniel Rodgers Diagnostic Radiology · Huntington, WV	12	26
Patrick Hill Diagnostic Radiology · South Charleston, WV	12	26
Phillip Nichols Otolaryngology · Charleston, WV	12	36

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
CHARLESTON AREA MEDICAL CENTER INC	76	177
CHARLESTON HOSPITAL INC.	66	147
Laboratory Corporation Of America Holdings Clinical Laboratory · Dublin, OH	36	61
HERBERT J. THOMAS MEMORIAL HOSPITAL ASSOCIATION	25	34
Peilin Zhang Pathology · San Diego, CA	20	39
Jaime Gorby Audiologist · Charleston, WV	18	22
Kanawha County Emergency Ambulance Authority Ambulance Service Provider · Charleston, WV	14	36
James Baek Diagnostic Radiology · South Charleston, WV	11	26
MIANO, D	11	12

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