PROVIDER PROFILE · NPI 1588778591

James ZumsteinMD

PRACTICEJAMES F ZUMSTEIN MD LLCSee all providers at this practice →

Family PracticePhenix City, ALI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,747

Unique beneficiaries

—

Total services

3,356

Distinct HCPCS

Medicare payment

$183K

Peer benchmark

Total Medicare services vs. 1,250 Family Practice providers in AL — top quintile (cohort median 957).

PRESCRIBING · PART D · 2024

Total Rx claims

10,015

Beneficiaries

—

Total drug cost

$875K

Distinct drugs

156

Brand share

21.6%

Top prescribed drugs

Amlodipine Besylate466 claims

Atorvastatin Calcium420 claims

Alprazolam333 claims

Pantoprazole Sodium290 claims

Gabapentin283 claims

QUALITY · MIPS · 2024

Final MIPS score

91.6

Quality

83.3

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.70%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$41

Payment records

By payment type

Food and Beverage$41

REFERRAL NETWORK

Where James Zumstein'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). 50 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	387	1,278
ST FRANCIS HEALTH LLC	243	1,094
RUSSELL COUNTY COMMUNITY HOSPITAL LLC	170	314
THE MEDICAL CENTER INC	119	402
LIFESTAR RESPONSE OF ALABAMA, INC.	112	843
Rourke Stay Diagnostic Radiology · Columbus, GA	88	154
MACHESKI, WILLIAM	76	280
SOLSTAS LAB PARTNERS GROUP LLC	74	411
Mgas Holdings, Llc Ambulance Service Provider · Macon, GA	63	195
Rajinder Chhokar Cardiology · Columbus, GA	62	197
NPI 1366436164	61	179
Daryl Ellis Family Practice · Phenix City, AL	57	151

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