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PROVIDER PROFILE · NPI 1437132545

Scott KopecM.D.

PRACTICEUMMHCSee all providers at this practice →
Pulmonary DiseaseWorcester, MAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
159
Beneficiaries
—
Total drug cost
$297K
Distinct drugs
8
Brand share
62.9%
Top prescribed drugs
Albuterol Sulfate28 claims
Alpha-1-Proteinase Inhibitor27 claims
Montelukast Sodium23 claims
Prednisone19 claims
Fluticasone Propionate17 claims
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
83.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.05%
APM Entity
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
203
Unique beneficiaries
—
Total services
321
Distinct HCPCS
7
Medicare payment
$35K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 402 Pulmonary Disease providers in MA — below median (cohort median 573).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where Scott Kopec'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). 33 inbound referrers · 58 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
DESAI, CHARU103474
NPI 110488167178273
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
70222
Eric Schmidlin
Diagnostic Radiology · Worcester, MA
60296
Ryan Shipe
Pulmonary Disease · Hopedale, MA
37106
Gerard Aurigemma
Cardiology · Worcester, MA
3692
Peter Bagley
Pulmonary Disease · Rockport, ME
3091
Stephen Krinzman
Pulmonary Disease · Worcester, MA
29106
RAFATZAND, KHASHAYAR26121
WILSON, MARK24102
DAIGNAULT, CORY22137
HUSSAIN, SARWAT2165
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UMASS MEMORIAL MEDICAL CENTER, INC.3581,653
Joseph Ferrucci
Diagnostic Radiology · Worcester, MA
76283
DESAI, CHARU71399
John Madison
Pulmonary Disease · Worcester, MA
54129
NPI 110488167152227
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
51206
Medstar Ambulance Inc
Ambulance Service Provider · Leominster, MA
51146
VITAL ENTERPRISES, INC.47157
Emil Tigas
Pulmonary Disease · Worcester, MA
41123
Eric Schmidlin
Diagnostic Radiology · Worcester, MA
38127
Peter Gibson
Cardiology · Worcester, MA
3696
Stephen Summers
Pulmonary Disease · Worcester, MA
34142
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.