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PROVIDER PROFILE · NPI 1437193323

John CarlMD

General SurgeryCharlottesville, VAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
192
Unique beneficiaries
—
Total services
221
Distinct HCPCS
10
Medicare payment
$33K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 538 General Surgery providers in VA — above median (cohort median 316).
QUALITY · MIPS · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where John Carl'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). 7 inbound referrers · 18 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MARTHA JEFFERSON HOSPITAL145705
MACMILLAN, RICHARD2666
Jay Fertile
Diagnostic Radiology · Charlottesville, VA
1945
Christopher Cook
Diagnostic Radiology · Charlottesville, VA
1956
Donald Mathes
Anesthesiology · Newark, DE
1953
Jeffrey Alberts
Internal Medicine · Charlottesville, VA
1231
Turner Lisle
General Surgery · Vail, CO
1133
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
MARTHA JEFFERSON HOSPITAL90285
RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA3080
Jonathan Ciambotti
Diagnostic Radiology · Charlottesville, VA
2859
Pradeep Rajagopalan
Diagnostic Radiology · Charlottesville, VA
2882
Sean Lyman
Diagnostic Radiology · Charlottesville, VA
2753
V. Peyton
Diagnostic Radiology · Charlottesville, VA
2556
Clinton Pease
Diagnostic Radiology · Charlottesville, VA
2558
Anthony Spinelli
Diagnostic Radiology · Charlottesville, VA
2453
Jack Higginbotham
Diagnostic Radiology · Charlottesville, VA
2344
Laura Spinelli
Pathology · Charlottesville, VA
2250
Turner Lisle
General Surgery · Vail, CO
1844
NPI 17503849541724
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
58
Beneficiaries
—
Total drug cost
$89
Distinct drugs
1
Brand share
100.0%
Top prescribed drugs
Hydrocodone/Acetaminophen58 claims
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.