PROVIDER PROFILE · NPI 1619931557

John HerefordMD

PRACTICEBLUE RIDGE MEDICAL MANAGEMENT CORPORATIONSee all providers at this practice →

Obstetrics & GynecologyKingsport, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

150

Unique beneficiaries

—

Total services

166

Distinct HCPCS

Medicare payment

$6K

Peer benchmark

Total Medicare services vs. 458 Obstetrics & Gynecology providers in TN — top quintile (cohort median 123).

PRESCRIBING · PART D · 2024

Total Rx claims

678

Beneficiaries

—

Total drug cost

$69K

Distinct drugs

Brand share

34.5%

Top prescribed drugs

Estradiol227 claims

Mirabegron59 claims

Medroxyprogesterone Acetate46 claims

Fluconazole41 claims

Clobetasol Propionate39 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$701

Payment records

By payment type

Food and Beverage$701

REFERRAL NETWORK

Where John Hereford'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). 4 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
SOIKE, DAVID	25	61
WELLMONT HEALTH SYSTEM	15	25
SOLSTAS LAB PARTNERS GROUP LLC	13	47
Arthur Austin Diagnostic Radiology · Johnson City, TN	12	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