PROVIDER PROFILE · NPI 1417216888

Edson PinedaA.P.N.

Nurse PractitionerBayonne, NJI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

Distinct HCPCS

Medicare payment

$4K

Peer benchmark

Total Medicare services vs. 4,852 Nurse Practitioner providers in NJ — below median (cohort median 291).

PRESCRIBING · PART D · 2024

Total Rx claims

938

Beneficiaries

—

Total drug cost

$43K

Distinct drugs

Brand share

12.9%

Top prescribed drugs

Metformin Hcl97 claims

Levothyroxine Sodium89 claims

Atorvastatin Calcium51 claims

Azithromycin49 claims

Fluticasone Propionate44 claims

QUALITY · MIPS · 2024

Final MIPS score

85.2

Quality

71.6

Cost

76.7

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.43%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$127

Payment records

By payment type

Food and Beverage$127

REFERRAL NETWORK

Where Edson Pineda'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). 2 inbound referrers · 2 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	18	51
Veronica Pineda Family Practice · Bayonne, NJ	11	23

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
IJKG OPCO LLC	16	41
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	12	26

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