PROVIDER PROFILE · NPI 1467409896

Michelle TwomblyCNP

PRACTICESUMMA PHYSICIANS INCSee all providers at this practice →

Nurse PractitionerMedina, OHI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

251

Unique beneficiaries

—

Total services

307

Distinct HCPCS

Medicare payment

$16K

Peer benchmark

Total Medicare services vs. 10,868 Nurse Practitioner providers in OH — above median (cohort median 219).

PRESCRIBING · PART D · 2024

Total Rx claims

2,168

Beneficiaries

—

Total drug cost

$117K

Distinct drugs

Brand share

16.6%

Top prescribed drugs

Lisinopril146 claims

Atorvastatin Calcium127 claims

Amlodipine Besylate119 claims

Levothyroxine Sodium109 claims

Rosuvastatin Calcium98 claims

QUALITY · MIPS · 2024

Final MIPS score

91.2

Quality

82.3

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.68%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$953

Payment records

By payment type

Food and Beverage$953

REFERRAL NETWORK

Where Michelle Twombly'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 · 6 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SUMMA BARBERTON CITIZENS HOSPITAL	25	39
John Surso Family Practice · Cleveland, OH	23	38
Glenna Jackson Family Practice · Medina, OH	19	39
SUMMA HEALTH SYSTEM	18	33
MEDINA HOSPITAL	16	40

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
MEDINA HOSPITAL	17	36
Kristin Kranz Family Practice · Cleveland, OH	16	21
THE CLEVELAND CLINIC FOUNDATION	14	31
Glenna Jackson Family Practice · Medina, OH	12	26
John Surso Family Practice · Cleveland, OH	12	18
Thomas Chi Ophthalmology · Medina, OH	11	16

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history