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PROVIDER PROFILE · NPI 1629056395

NPI 1629056395

CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$20
Payment records
1
By payment type
Food and Beverage$20
Top paying entities
Food and Beverage$20
MEDICARE UTILIZATION · PART B · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where NPI 1629056395'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). 39 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Laboratory Corporation Of America Holdings
Clinical Laboratory · Birmingham, AL
5543,053
THE MEDICAL CENTER OF CENTRAL GEORGIA INC165550
Ursula Reusch
Internal Medicine · Kansas City, KS
88310
KEY, DAWN85833
Premila Malhotra
Hematology-Oncology · Macon, GA
85275
Megan Osborne
Physician Assistant · Macon, GA
84613
Anthony Martin
General Surgery · Macon, GA
48229
Franc Wallace
Medical Oncology · Macon, GA
48156
NORTHSIDE HOSPITAL, INC.43128
OLIVER, THOMAS42112
Jeffrey Harris
Nurse Practitioner · Macon, GA
37154
Miguel Fernandez
Diagnostic Radiology · Orlando, FL
35124
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.