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PROVIDER PROFILE · NPI 1609091503

Douglas NilsonMD

Emergency MedicineBiddeford, MEI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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REFERRAL NETWORK

Where Douglas Nilson'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). 22 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MERRIAM, MICHAEL115225
Howard Sherman
Cardiology · Biddeford, ME
77200
City Of Biddeford
Ambulance Service Provider · Biddeford, ME
72177
Brandei Wingard
Cardiology · Biddeford, ME
44102
FOREMAN, FORREST3662
Edward Cruz
Diagnostic Radiology · Portland, ME
2645
Nordx
Clinical Laboratory · Scarborough, ME
1643
Brian Livingston
Diagnostic Radiology · Portland, ME
1629
MAINEHEALTH CARE AT HOME1624
George Abboud
Hospitalist · Biddeford, ME
1529
Town Of Old Orchard Beach
Ambulance Service Provider · Old Orchard Beach, ME
1427
Harold Chamberlin
Podiatry · Saco, ME
1425
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.
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
341
Unique beneficiaries
—
Total services
350
Distinct HCPCS
6
Medicare payment
$29K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 320 Emergency Medicine providers in ME — top quintile (cohort median 250).
PRESCRIBING · PART D · 2024
Total Rx claims
63
Beneficiaries
—
Total drug cost
$353
Distinct drugs
4
Brand share
39.7%
Top prescribed drugs
Prednisone22 claims
Azithromycin16 claims
Ondansetron13 claims
Amoxicillin/Potassium Clav12 claims
QUALITY · MIPS · 2024
Final MIPS score
93.2
Quality
84.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
96.0
Payment adjustment
0.76%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.