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PROVIDER PROFILE · NPI 1639115496

Phillip NicholsMD

Pulmonary DiseaseKnoxville, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
630
Beneficiaries
—
Total drug cost
$549K
Distinct drugs
18
Brand share
65.6%
Top prescribed drugs
Fluticasone/Umeclidin/Vilanter139 claims
Albuterol Sulfate106 claims
Montelukast Sodium58 claims
Fluticasone/Vilanterol43 claims
Azithromycin41 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
218
Unique beneficiaries
—
Total services
261
Distinct HCPCS
8
Medicare payment
$14K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 254 Pulmonary Disease providers in TN — top quintile (cohort median 889).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$260
Payment records
11
By payment type
Food and Beverage$260
REFERRAL NETWORK

Where Phillip Nichols'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). 24 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
METRO KNOXVILLE HMA LLC138380
PARKWEST MEDICAL CENTER99207
Jennifer Berry
Nurse Practitioner · Powell, TN
4896
Matthew Reichert
Pulmonary Disease · Knoxville, TN
4259
Jennifer Butler
Nurse Practitioner · Knoxville, TN
35112
Danielle Mote
Nurse Practitioner · Knoxville, TN
2040
Rural/Metro Of Tennessee, L.P.
Ambulance Service Provider · Knoxville, TN
2048
Shannon Byrd
Pulmonary Disease · Knoxville, TN
1627
OJEDA, GABRIEL1439
BYRD, HOLLY1427
John Texada
Diagnostic Radiology · Knoxville, TN
1319
Scott Wegryn
Diagnostic Radiology · Knoxville, TN
1321
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.