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PROVIDER PROFILE · NPI 1427091065

Douglas NelsonM.D.

PRACTICEFAMILY HEALTH CARE PCSee all providers at this practice →
Internal MedicineKalispell, MTI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
54
Beneficiaries
—
Total drug cost
$468
Distinct drugs
4
Brand share
22.2%
Top prescribed drugs
Atorvastatin Calcium19 claims
Clonazepam12 claims
Venlafaxine Hcl12 claims
Zolpidem Tartrate11 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
26
Unique beneficiaries
—
Total services
42
Distinct HCPCS
2
Medicare payment
$2K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 213 Internal Medicine providers in MT — bottom quintile (cohort median 680).
REFERRAL NETWORK

Where Douglas Nelson'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). 39 inbound referrers · 74 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
KALISPELL REGIONAL MEDICAL CENTER INC4985,158
HEALTHCENTER NORTHWEST LLC147376
Michael Henson
Diagnostic Radiology · Kalispell, MT
54146
Alexis Hilton
Physician Assistant · Asheville, NC
53210
Nick Cantrell
Diagnostic Radiology · Kalispell, MT
45124
James Heyboer
Internal Medicine · Grand Haven, MI
39163
FRIEDMAN, RICHARD3891
Mark Welch
Internal Medicine · Kalispell, MT
3095
Dirk Gillette
Physician Assistant · Kalispell, MT
29162
Christopher Gill
Internal Medicine · Kalispell, MT
27145
Tyler Hoppes
Emergency Medicine · Kalispell, MT
26100
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY2478
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
KALISPELL REGIONAL MEDICAL CENTER INC3653,264
HEALTHCENTER NORTHWEST LLC121366
IMMANUEL LUTHERAN CORPORATION94430
John Nelson
Family Practice · Asheville, NC
78244
BLUE RIDGE HEALTHCARE HOSPITALS, INC.63247
William Benedetto
Diagnostic Radiology · Kalispell, MT
63182
Paul Berkram
Internal Medicine · Bozeman, MT
61434
Patrick Mcdonnell
Diagnostic Radiology · Albuquerque, NM
53148
Alexis Hilton
Physician Assistant · Asheville, NC
49201
James Heyboer
Internal Medicine · Grand Haven, MI
48233
HITCHCOCK, LINDA46252
NPI 199287612243134
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.