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PROVIDER PROFILE · NPI 1417989120

NPI 1417989120

CROSS-REFERENCE

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OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 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.
REFERRAL NETWORK

Where NPI 1417989120'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). 6 inbound referrers · 13 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
RENOWN REGIONAL MEDICAL CENTER49242
BANNER CHURCHILL COMMUNITY HOSPITAL19114
Genova Diagnostics Inc
Clinical Laboratory · Asheville, NC
14129
CARSON TAHOE REGIONAL HEALTHCARE1447
Stephanie Jackson
Neurology · Cedar Rapids, IA
1393
Quest Diagnostics Incorporated
Clinical Laboratory · Las Vegas, NV
13176
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Laboratory Corporation Of America
Clinical Laboratory · Phoenix, AZ
67377
RENOWN REGIONAL MEDICAL CENTER47171
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
31105
PRIME HEALTHCARE SERVICES RENO LLC20100
Regional Emergency Medical Services Authority
Ambulance Service Provider · Reno, NV
1881
ROCKY MOUNTAIN TOX, LLC17120
SPARKS FAMILY HOSPITAL INC1739
Millennium Health, Llc
Clinical Laboratory · San Diego, CA
1562
Stephanie Jackson
Neurology · Cedar Rapids, IA
1393
RENOWN SOUTH MEADOWS MEDICAL CENTER1359
CARSON TAHOE REGIONAL HEALTHCARE1343
HMP DIAGNOSTICS, LLC1335
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.