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PROVIDER PROFILE · NPI 1417176124

NPI 1417176124

CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where NPI 1417176124'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). 4 inbound referrers · 8 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Charles Deweese
Nurse Practitioner · Salt Lake City, UT
2443
BON CLINICAL LABORATORIES LTD2281
Jeffrey Johnson
Podiatry · South Jordan, UT
2142
BRISTOL HOSPICE - UTAH, L.L.C.1123
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
AVALON CARE CENTER - VA SALT LAKE II LLC55262
Charles Deweese
Nurse Practitioner · Salt Lake City, UT
3273
Jeffrey Johnson
Podiatry · South Jordan, UT
2756
BON CLINICAL LABORATORIES LTD2784
BRISTOL HOSPICE - UTAH, L.L.C.1428
Sara Wells
Family Practice · Salt Lake City, UT
1429
BRISTOL HOSPICE - UTAH II, L.L.C.1228
Bakorp, L.L.C.
Portable X-Ray Supplier · Draper, UT
1121
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.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.