What is James Martone's specialty?

James Martone (NPI 1649242603) is a Medicare-billing provider whose primary specialty is Ophthalmology in Hamden, CT.

Where does James Martone practice?

James Martone practices in Hamden, CT, based on the location reported in the CMS Medicare provider datasets for NPI 1649242603.

How much does Medicare pay James Martone?

James Martone (NPI 1649242603) received approximately $15K in total Medicare Part B payments, serving 97 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1649242603

James MartoneMD

OphthalmologyHamden, CTI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

210

Unique beneficiaries

—

Total services

262

Distinct HCPCS

Medicare payment

$14K

Peer benchmark

Total Medicare services vs. 255 Ophthalmology providers in CT — bottom quintile (cohort median 1,669).

PRESCRIBING · PART D · 2024

Total Rx claims

105

Beneficiaries

—

Total drug cost

$2K

Distinct drugs

Brand share

16.2%

Top prescribed drugs

Latanoprost40 claims

Dorzolamide Hcl18 claims

Neomycin/Polymyxin B/Dexametha17 claims

Brimonidine Tartrate15 claims

Timolol Maleate15 claims

QUALITY · MIPS · 2024

Final MIPS score

87.4

Quality

77.4

Cost

74.3

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.52%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$295

Payment records

By payment type

Food and Beverage$295

Top paying entities

Food and Beverage$295

REFERRAL NETWORK

Where James Martone'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). 14 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Quest Diagnostics Llc Clinical Laboratory · Wallingford, CT	188	549
Frederic Mendelsohn Psychiatry & Neurology · Ronkonkoma, NY	78	96
HARTFORD HEALTHCARE LABORATORIES	54	139
MIDSTATE MEDICAL CENTER	19	56
David Tom Ophthalmology · Hamden, CT	17	41
Yale University Clinical Laboratory · New Haven, CT	17	23
American Medical Response Of Connecticut Incorporated Ambulance Service Provider · New Haven, CT	17	32
BLOCK, KALVIN	16	29
Richard Dean Urology · New Haven, CT	13	39
VISITING NURSE ASSOCIATION COMMUNITY HEALTHCARE, INC	12	22
Babu Kumar Internal Medicine · Hamden, CT	12	21
Gail Campbell Certified Registered Nurse Anesthetist (CRNA) · Bridgeport, CT	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