PROVIDER PROFILE · NPI 1477523090

James BlackstoneM.D.

OphthalmologySylacauga, ALI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,140

Unique beneficiaries

—

Total services

2,518

Distinct HCPCS

Medicare payment

$235K

Peer benchmark

Total Medicare services vs. 191 Ophthalmology providers in AL — above median (cohort median 1,895).

PRESCRIBING · PART D · 2024

Total Rx claims

4,447

Beneficiaries

—

Total drug cost

$405K

Distinct drugs

Brand share

43.7%

Top prescribed drugs

Prednisolone Acetate956 claims

Moxifloxacin Hcl878 claims

Latanoprost810 claims

Dorzolamide Hcl/Timolol Maleat314 claims

Bromfenac Sodium296 claims

QUALITY · MIPS · 2024

Final MIPS score

84.7

Quality

79.8

Cost

70.9

Improvement activities

40.0

Promoting interop.

98.0

Payment adjustment

0.41%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$427

Payment records

By payment type

Long term medical supply or device loan$280

Food and Beverage$147

REFERRAL NETWORK

Where James Blackstone'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). 29 inbound referrers · 68 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	172	274
Fred Mcleod Otolaryngology · Alexander City, AL	77	306
James Hatchett Certified Registered Nurse Anesthetist (CRNA) · Birmingham, AL	60	171
James Bowman Podiatry · Sylacauga, AL	56	95
Phillip Triantos Diagnostic Radiology · Mountain Brk, AL	55	93
Brandy Rivers Certified Registered Nurse Anesthetist (CRNA) · Sylacauga, AL	53	178
Carolyn Prokopyk Certified Registered Nurse Anesthetist (CRNA) · Sylacauga, AL	51	129
Mohamed Aldaher Internal Medicine · Sylacauga, AL	46	141
Sandra Martin Diagnostic Radiology · Sylacauga, AL	39	60
Clayton Davis Family Practice · Sylacauga, AL	39	90
Gerald Karcher Diagnostic Radiology · Birmingham, AL	34	45
PINSON, WALTER	33	90

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
SYLACAUGA HEALTH CARE AUTHORITY INC	325	1,216
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	144	239
CITIZENS BAPTIST MEDICAL CENTER	91	471
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Tucker, GA	69	154
Phillip Triantos Diagnostic Radiology · Mountain Brk, AL	64	94
COOPER, SUZANE	63	335
Fred Mcleod Otolaryngology · Alexander City, AL	63	275
Sandra Martin Diagnostic Radiology · Sylacauga, AL	53	83
Mohamed Aldaher Internal Medicine · Sylacauga, AL	51	113
Joseph Schnorbus Optometry · Talladega, AL	48	281
James Hatchett Certified Registered Nurse Anesthetist (CRNA) · Birmingham, AL	47	75
Carolyn Prokopyk Certified Registered Nurse Anesthetist (CRNA) · Sylacauga, AL	45	67

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