PROVIDER PROFILE · NPI 1689783870

Kenneth WaltonM. D.

PRACTICENORTHEAST GEORGIA PLASTIC SURGERYSee all providers at this practice →

Plastic and Reconstructive SurgeryGainesville, GAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

Unique beneficiaries

—

Total services

Distinct HCPCS

Medicare payment

$2K

Peer benchmark

Total Medicare services vs. 107 Plastic and Reconstructive Surgery providers in GA — below median (cohort median 199).

PRESCRIBING · PART D · 2024

Total Rx claims

471

Beneficiaries

—

Total drug cost

$4K

Distinct drugs

Brand share

27.4%

Top prescribed drugs

Doxycycline Hyclate105 claims

Oxycodone Hcl/Acetaminophen83 claims

Celecoxib66 claims

Methylprednisolone42 claims

Promethazine Hcl33 claims

QUALITY · MIPS · 2024

Final MIPS score

87.8

Quality

80.4

Cost

79.1

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.54%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$332

Payment records

By payment type

Food and Beverage$332

Top paying entities

Food and Beverage$332

REFERRAL NETWORK

Where Kenneth Walton'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). 10 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
NORTHEAST GEORGIA MEDICAL CENTER, INC.	131	1,624
RICHWINE, SAM	38	632
Ed Abell Plastic and Reconstructive Surgery · Gainesville, GA	29	210
Laboratory Corporation Of America Holdings Clinical Laboratory · Birmingham, AL	18	72
Ajay Ravi Diagnostic Radiology · Gainesville, GA	17	53
WETHERINGTON, ROBERT	17	22
HOOPER, TREVOR	16	65
Puya Davoodi Plastic and Reconstructive Surgery · Gainesville, GA	16	54
Matthew Scott Diagnostic Radiology · Macon, GA	12	26
Robert Balotin Diagnostic Radiology · Gainesville, GA	12	51

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