What is James Maisel's specialty?

James Maisel (NPI 1720009525) is a Medicare-billing provider whose primary specialty is Ophthalmology in Hicksville, NY.

Where does James Maisel practice?

James Maisel practices in Hicksville, NY, based on the location reported in the CMS Medicare provider datasets for NPI 1720009525.

How much does Medicare pay James Maisel?

James Maisel (NPI 1720009525) received approximately $4.1M in total Medicare Part B payments, serving 935 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1720009525

James MaiselM.D.

OphthalmologyHicksville, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

4,485

Unique beneficiaries

—

Total services

96,173

Distinct HCPCS

Medicare payment

$4.1M

Peer benchmark

Total Medicare services vs. 1,438 Ophthalmology providers in NY — top quintile (cohort median 1,869).

PRESCRIBING · PART D · 2024

Total Rx claims

297

Beneficiaries

—

Total drug cost

$27K

Distinct drugs

Brand share

39.4%

Top prescribed drugs

Dorzolamide Hcl/Timolol Maleat87 claims

Latanoprost87 claims

Bromfenac Sodium21 claims

Difluprednate21 claims

Brimonidine Tartrate19 claims

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

100.0

Cost

0.0

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

1.05%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$4K

Payment records

By payment type

Consulting Fee$2K

Food and Beverage$1K

Top paying entities

Consulting Fee$2K

Food and Beverage$1K

REFERRAL NETWORK

Where James Maisel'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). 16 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Melville, NY	111	392
Northwell Health Laboratories Clinical Laboratory · New Hyde Park, NY	84	370
Sunrise Medical Laboratories, Inc. Clinical Laboratory · Hicksville, NY	66	120
NORTH SHORE UNIVERSITY HOSPITAL	56	115
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	34	133
Rodney Coe Ophthalmology · Bayside, NY	30	64
ENZO CLINICAL LABS, INC.	29	68
NPI 1265587000	24	136
Stephanie Becker Ophthalmology · Hicksville, NY	19	34
ST. FRANCIS HOSPITAL	17	36
MOUNT SINAI HOSPITAL	16	27
JOHN T. MATHER MEMORIAL HOSPITAL	15	43

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