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PROVIDER PROFILE · NPI 1467474874

William O'tooleM.D.

PRACTICEST. LUKE'S PHYSICIAN GROUP INC.See all providers at this practice →
GastroenterologySellersville, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
97.1
Quality
82.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.93%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
439
Beneficiaries
—
Total drug cost
$26K
Distinct drugs
7
Brand share
10.9%
Top prescribed drugs
Pantoprazole Sodium149 claims
Famotidine137 claims
Omeprazole64 claims
Sod Picosulf/Mag Ox/Citric Ac25 claims
Linaclotide23 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
394
Unique beneficiaries
—
Total services
476
Distinct HCPCS
13
Medicare payment
$48K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 771 Gastroenterology providers in PA — below median (cohort median 585).
REFERRAL NETWORK

Where William O'toole'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). 58 inbound referrers · 80 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Cblpath, Inc
Clinical Laboratory · Rye Brook, NY
92115
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
62142
Ira Kelberman
Gastroenterology · Sellersville, PA
6191
Jerome Burke
Gastroenterology · Sellersville, PA
5095
Richard David
Diagnostic Radiology · Ephrata, PA
4671
Jorge Arsuaga
Diagnostic Radiology · Sellersville, PA
4483
Keith Kearney
Gastroenterology · Sellersville, PA
4058
Erin Fly
Internal Medicine · Quakertown, PA
3562
Tracey Mcginley
Nurse Practitioner · Coal Township, PA
3345
Irwin Hollander
Pathology · Sellersville, PA
3356
David Dix
Diagnostic Radiology · Sellersville, PA
3144
Daniel Lewis
Anesthesiology · Sellersville, PA
3039
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
GRAND VIEW HOSPITAL153505
St. Luke's Ambulatory Services Inc.
Ambulatory Surgical Center · Sellersville, PA
130199
ST LUKES QUAKERTOWN HOSPITAL99255
Michael Cassidy
Gastroenterology · Sellersville, PA
6397
Ira Kelberman
Gastroenterology · Sellersville, PA
5273
Gerrianne Burke
Internal Medicine · Quakertown, PA
4785
Paul Weibel
Internal Medicine · Quakertown, PA
4665
Keith Kearney
Gastroenterology · Sellersville, PA
4561
Erin Fly
Internal Medicine · Quakertown, PA
4576
Csaba Berces
Internal Medicine · Quakertown, PA
4175
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
3877
Jerome Burke
Gastroenterology · Sellersville, PA
3661
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.