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PROVIDER PROFILE · NPI 1427003334

Douglas PugmireD.O.

PRACTICEVITAL PHARMACARE LLCSee all providers at this practice →
Gynecological OncologyRochester Hills, MII
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
173
Unique beneficiaries
—
Total services
243
Distinct HCPCS
6
Medicare payment
$74K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 26 Gynecological Oncology providers in MI — above median (cohort median 271).
REFERRAL NETWORK

Where Douglas Pugmire'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). 5 inbound referrers · 9 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
WILLIAM BEAUMONT HOSPITAL58912
ASCENSION PROVIDENCE ROCHESTER HOSPITAL531,467
ASCENSION ST JOHN HOSPITAL16945
Ricardo Alessio
Pathology · Rochester, MI
1143
Dale Gonzales
Anesthesiology · Rochester, MI
1127
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
ASCENSION PROVIDENCE ROCHESTER HOSPITAL972,186
WILLIAM BEAUMONT HOSPITAL42686
WILLIAM BEAUMONT HOSPITAL24395
ASCENSION ST JOHN HOSPITAL201,003
NPI 13160051351998
KLIONSKY, DAVID1748
Ricardo Alessio
Pathology · Rochester, MI
1785
Katharine Scharer
Diagnostic Radiology · Rochester, MI
1461
REGENTS OF THE UNIVERSITY OF MICHIGAN1182
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.
PRESCRIBING · PART D · 2024
Total Rx claims
759
Beneficiaries
—
Total drug cost
$24K
Distinct drugs
25
Brand share
33.7%
Top prescribed drugs
Oxycodone Hcl103 claims
Ibuprofen74 claims
Ondansetron Hcl71 claims
Gabapentin45 claims
Hydrocodone/Acetaminophen41 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$45
Payment records
2
By payment type
Food and Beverage$45
Top paying entities
Food and Beverage$45
QUALITY · MIPS · 2024
Final MIPS score
94.7
Quality
91.5
Cost
76.9
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.83%
Group