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PROVIDER PROFILE · NPI 1417917204

NPI 1417917204

CROSS-REFERENCE

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

Where NPI 1417917204'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). 3 inbound referrers · 10 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ALLINA HEALTH SYSTEM188347
Allina Health System
Ambulance Service Provider · Saint Paul, MN
2652
Bradley Close
Diagnostic Radiology · Roseville, MN
1434
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ALLINA HEALTH SYSTEM53129
ALLINA HEALTH SYSTEM3490
Lisa Hamilton
General Surgery · Bloomington, MN
1724
David Kalb
General Surgery · Coon Rapids, MN
1630
BRUSVEN, DAVID1418
Paul Hunt
Diagnostic Radiology · Saint Paul, MN
1423
ALLINA HEALTH SYSTEM1318
Gregory Phelan
Diagnostic Radiology · Roseville, MN
1219
Mohamed Ibrahim
General Surgery · Plano, TX
1227
HALCOMB, JOEL1117
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.