PROVIDER PROFILE · NPI 1578696670

David ShieldsM.D.

PRACTICEST. LUKE'S PHYSICIAN GROUP, INC.See all providers at this practice →

Internal MedicineBethlehem, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,284

Unique beneficiaries

—

Total services

3,314

Distinct HCPCS

Medicare payment

$244K

Peer benchmark

Total Medicare services vs. 4,434 Internal Medicine providers in PA — top quintile (cohort median 550).

PRESCRIBING · PART D · 2024

Total Rx claims

7,262

Beneficiaries

—

Total drug cost

$390K

Distinct drugs

109

Brand share

12.6%

Top prescribed drugs

Amlodipine Besylate619 claims

Atorvastatin Calcium524 claims

Losartan Potassium474 claims

Levothyroxine Sodium407 claims

Lisinopril319 claims

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.

REFERRAL NETWORK

Where David Shields'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). 23 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ST LUKES HOSPITAL	229	991
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	85	141
ST LUKES HOSPITAL-ANDERSON CAMPUS	49	112
CH HOSPITAL OF ALLENTOWN, LLC	49	160
Kevin Fogarty Diagnostic Radiology · Scranton, PA	42	69
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Norristown, PA	40	67
Ned Enea Interventional Radiology · Allentown, PA	35	51
Joseph Lennert Urology · Bethlehem, PA	25	51
Joseph Zaladonis Dermatology · Bethlehem, PA	21	36
Sobhan Kodali Cardiology · Bethlehem, PA	20	43
VISITING NURSE ASSOCIATION OF SAINT LUKES HOME HEALTH HOSPICE INC	19	38
BALSHI, JAMES	17	43

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