PROVIDER PROFILE · NPI 1659311231

Robert MarcumM.D.

PRACTICEBLUE RIDGE GASTROENTEROLOGY, PCSee all providers at this practice →

Pulmonary DiseaseCleveland, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

746

Unique beneficiaries

—

Total services

1,159

Distinct HCPCS

Medicare payment

$65K

Peer benchmark

Total Medicare services vs. 254 Pulmonary Disease providers in TN — above median (cohort median 889).

PRESCRIBING · PART D · 2024

Total Rx claims

2,495

Beneficiaries

—

Total drug cost

$786K

Distinct drugs

Brand share

72.3%

Top prescribed drugs

Fluticasone/Umeclidin/Vilanter541 claims

Albuterol Sulfate448 claims

Montelukast Sodium445 claims

Fluticasone/Vilanterol148 claims

Prednisone123 claims

QUALITY · MIPS · 2024

Final MIPS score

28.0

Quality

0.0

Cost

93.5

Improvement activities

0.0

Promoting interop.

0.0

Payment adjustment

-5.64%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$361

Payment records

By payment type

Food and Beverage$361

Top paying entities

Food and Beverage$361

REFERRAL NETWORK

Where Robert Marcum'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). 54 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Donovan Yamada Diagnostic Radiology · Knoxville, TN	195	921
Guy Barat Diagnostic Radiology · New Port Richey, FL	139	514
Pathgroup Labs, Llc Clinical Laboratory · Nashville, TN	94	346
Terence Casey Pathology · New Orleans, LA	77	501
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	72	234
MEMORIAL HEALTH CARE SYSTEM INC.	64	187
James Marcum Cardiology · Cleveland, TN	57	204
MILLS, ROBERT	56	171
SOLSTAS LAB PARTNERS GROUP LLC	53	166
Ahmad Ibrahimbacha Pulmonary Disease · Cleveland, TN	48	128
Azhar Sheikh Internal Medicine · Cleveland, TN	45	125
Paul Smith Family Practice · Cleveland, TN	38	216

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