PROVIDER PROFILE · NPI 1417057043

Paul SmileyM.D.

Sports MedicineBurlington, MAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,136

Unique beneficiaries

—

Total services

1,855

Distinct HCPCS

Medicare payment

$102K

Peer benchmark

Total Medicare services vs. 56 Sports Medicine providers in MA — top quintile (cohort median 577).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$128

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Oxycodone Hcl16 claims

Tramadol Hcl12 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 Paul Smiley'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). 24 inbound referrers · 50 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Lisl Warren Diagnostic Radiology · Burlington, MA	60	135
BAKAL, CURTIS	48	121
POLLAK, ALAIN	48	104
NPI 1275797482	44	95
Dmitry Elentuck Diagnostic Radiology · Burlington, MA	43	109
Meredith Johnson Physician Assistant · Burlington, MA	34	61
Anita Uppin Diagnostic Radiology · Burlington, MA	30	80
MORRIS, PATRICIA	30	62
Jeffrey Clayman Cardiology · Peabody, MA	24	86
NORTHEAST HOSPITAL CORPORATION	24	66
Christopher Scheirey Diagnostic Radiology · Burlington, MA	23	54
Christoph Wald Diagnostic Radiology · Rochester, MN	19	49

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
LAHEY CLINIC HOSPITAL, INC.	614	5,395
SICKOREZ, LINDA	174	479
POLLAK, ALAIN	91	215
Inna Goldberg Diagnostic Radiology · Brockton, MA	91	193
NPI 1659471662	79	174
Robert French Diagnostic Radiology · Scottsdale, AZ	69	149
Karen Reuter Diagnostic Radiology · Burlington, MA	68	139
Yevgeniy Arshanskiy Diagnostic Radiology · Burlington, MA	43	81
Anita Uppin Diagnostic Radiology · Burlington, MA	39	100
Edward Pinkus Diagnostic Radiology · Burlington, MA	33	69
Jalil Afnan Diagnostic Radiology · Burlington, MA	33	85
Lisl Warren Diagnostic Radiology · Burlington, MA	29	52

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