What is James Paauw's specialty?

James Paauw (NPI 1568608966) is a Medicare-billing provider whose primary specialty is Ophthalmology in Lynchburg, VA.

Where does James Paauw practice?

James Paauw practices in Lynchburg, VA, based on the location reported in the CMS Medicare provider datasets for NPI 1568608966.

How much does Medicare pay James Paauw?

James Paauw (NPI 1568608966) received approximately $420K in total Medicare Part B payments, serving 1,270 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1568608966

James PaauwM.D.

PRACTICEPIEDMONT EYE CENTER, INC.See all providers at this practice →

OphthalmologyLynchburg, VAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,773

Unique beneficiaries

—

Total services

4,632

Distinct HCPCS

Medicare payment

$382K

Peer benchmark

Total Medicare services vs. 445 Ophthalmology providers in VA — above median (cohort median 2,782).

PRESCRIBING · PART D · 2024

Total Rx claims

7,185

Beneficiaries

—

Total drug cost

$728K

Distinct drugs

Brand share

25.9%

Top prescribed drugs

Latanoprost2,332 claims

Dorzolamide Hcl/Timolol Maleat738 claims

Prednisolone Acetate667 claims

Brimonidine Tartrate554 claims

Ofloxacin524 claims

QUALITY · MIPS · 2024

Final MIPS score

95.4

Quality

98.9

Cost

86.0

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.86%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$328

Payment records

By payment type

Food and Beverage$328

Top paying entities

Food and Beverage$328

REFERRAL NETWORK

Where James Paauw'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). 15 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Saint Luke's Surgicenter - Lee's Summit Ambulatory Surgical Center · Lees Summit, MO	54	150
ST LUKES HOSPITAL OF KANSAS CITY	34	71
Bruce Brodmerkle Optometry · Chillicothe, MO	34	248
HEARTLAND REGIONAL MEDICAL CENTER	28	82
Robert Sloan Optometry · Chillicothe, MO	27	122
Deborah Nook Certified Registered Nurse Anesthetist (CRNA) · North Kansas City, MO	24	99
Jocelyn Uecker Certified Registered Nurse Anesthetist (CRNA) · Kansas City, MO	20	42
Kari Mylenbusch Certified Registered Nurse Anesthetist (CRNA) · Columbia, MO	19	72
JESTER, TRICIA	18	51
Laboratory Corporation Of America Clinical Laboratory · Dallas, TX	17	38
COLE, DONALD	17	61
John Gelvin Optometry · Lee's Summit, MO	17	36

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