PROVIDER PROFILE · NPI 1639260847

Derrick ToothMD

PRACTICENORTHERN NEW ENGLAND DIAGNOSTICSSee all providers at this practice →

UrologyManchester, MEI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

401

Unique beneficiaries

—

Total services

520

Distinct HCPCS

Medicare payment

$30K

Peer benchmark

Total Medicare services vs. 49 Urology providers in ME — above median (cohort median 481).

PRESCRIBING · PART D · 2024

Total Rx claims

618

Beneficiaries

—

Total drug cost

$64K

Distinct drugs

Brand share

13.8%

Top prescribed drugs

Tamsulosin Hcl292 claims

Finasteride129 claims

Mirabegron57 claims

Ciprofloxacin Hcl43 claims

Levofloxacin20 claims

QUALITY · MIPS · 2024

Final MIPS score

86.2

Quality

75.4

Cost

75.3

Improvement activities

40.0

Promoting interop.

84.0

Payment adjustment

0.47%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$172

Payment records

By payment type

Food and Beverage$172

Top paying entities

Food and Beverage$172

REFERRAL NETWORK

Where Derrick Tooth'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). 26 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Shawn Mcglew Physician Assistant · Augusta, ME	116	204
Ravi Kamra Urology · Waterville, ME	78	240
Eric Stram Diagnostic Radiology · Augusta, ME	55	136
Joseph Laverdiere Diagnostic Radiology · Augusta, ME	49	96
EASTERN MAINE HEALTHCARE SYSTEMS INLAND HOSPITAL	49	147
RAQUE, JAMES	49	136
Christopher Mahoney Diagnostic Radiology · Augusta, ME	38	77
Heinrich Grube Cardiology · Augusta, ME	26	61
SMITH, DONALD	25	75
Nordx Clinical Laboratory · Scarborough, ME	22	48
REDINGTON-FAIRVIEW GENERAL HOSPITAL	20	73
AFFILIATED LABORATORY, INC.	20	40

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