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PROVIDER PROFILE · NPI 1427008747

Denise DonaldsonMD

Emergency MedicinePittsburgh, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
80.9
Quality
61.9
Cost
74.6
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.25%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
68
Beneficiaries
—
Total drug cost
$430
Distinct drugs
5
Brand share
55.9%
Top prescribed drugs
Methylprednisolone18 claims
Cefuroxime Axetil14 claims
Amoxicillin/Potassium Clav13 claims
Ibuprofen12 claims
Ondansetron11 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
231
Unique beneficiaries
—
Total services
234
Distinct HCPCS
3
Medicare payment
$20K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 2,759 Emergency Medicine providers in PA — below median (cohort median 310).
REFERRAL NETWORK

Where Denise Donaldson'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). 11 inbound referrers · 54 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Janet Durick
Diagnostic Radiology · Pittsburgh, PA
5583
Elliott Gozansky
Diagnostic Radiology · Birmingham, AL
3245
Glenn Andrews
Diagnostic Radiology · Pittsburgh, PA
3042
Eastern Area Prehospital Service
Ambulance Service Provider · Turtle Creek, PA
1930
Cynthia Britton
Diagnostic Radiology · Pittsburgh, PA
1321
Steven Leers
Vascular Surgery · Pittsburgh, PA
1320
Rohan Naik
Internal Medicine · Pittsburgh, PA
1217
CORDLE, ANDREW1120
UPMC PRESBYTERIAN SHADYSIDE1116
RAO, BOYANAPALLI1114
Ronald Stiller
Critical Care (Intensivists) · Walla Walla, WA
1119
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UPMC PRESBYTERIAN SHADYSIDE310759
Quest Diagnostics Venture Llc
Clinical Laboratory · Pittsburgh, PA
54138
City Of Pittsburgh
Ambulance Service Provider · Pittsburgh, PA
4790
NPI 17109508454277
Iclal Ocak
Diagnostic Radiology · Chicago, IL
4075
Janet Durick
Diagnostic Radiology · Pittsburgh, PA
3780
Ka-Kei Ngan
Diagnostic Radiology · Pittsburgh, PA
2945
Harley Beasley
Diagnostic Radiology · Greenville, NC
2952
UPMC HOME HEALTHCARE OF WESTERN PA2835
David Weber
Infectious Disease · Pittsburgh, PA
25117
Glenn Andrews
Diagnostic Radiology · Pittsburgh, PA
2439
UPMC MAGEE-WOMENS HOSPITAL2339
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.