What is Michael Pelton's specialty?

Michael Pelton (NPI 1548219090) is a Medicare-billing provider whose primary specialty is Internal Medicine in Boise, ID.

Where does Michael Pelton practice?

Michael Pelton practices in Boise, ID, based on the location reported in the CMS Medicare provider datasets for NPI 1548219090.

How much does Medicare pay Michael Pelton?

Michael Pelton (NPI 1548219090) received approximately $20K in total Medicare Part B payments, serving 238 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1548219090

Michael PeltonM.D.

PRACTICEST LUKES REGIONAL MEDICAL CENTERSee all providers at this practice →

Internal MedicineBoise, IDI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

293

Unique beneficiaries

—

Total services

411

Distinct HCPCS

Medicare payment

$18K

Peer benchmark

Total Medicare services vs. 242 Internal Medicine providers in ID — below median (cohort median 526).

PRESCRIBING · PART D · 2024

Total Rx claims

7,339

Beneficiaries

—

Total drug cost

$710K

Distinct drugs

107

Brand share

21.3%

Top prescribed drugs

Atorvastatin Calcium674 claims

Levothyroxine Sodium421 claims

Amlodipine Besylate413 claims

Lisinopril271 claims

Losartan Potassium248 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where Michael Pelton'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). 10 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Mary Mebane Physician Assistant · Boise, ID	25	87
Lisa Mesaros Physician Assistant · Chehalis, WA	20	79
Steven Marx Diagnostic Radiology · Boise, ID	14	25
Daniel Ririe Diagnostic Radiology · Boise, ID	13	38
John Kirkham Diagnostic Radiology · Boise, ID	13	23
Adam Maxfield Diagnostic Radiology · Boise, ID	12	27
James Hill Diagnostic Radiology · Boise, ID	12	37
BLOUGH, SUSAN	11	40
Michael Fisher Diagnostic Radiology · Boise, ID	11	33
Frederick Costello Interventional Cardiology · Boise, ID	11	23

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events