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PROVIDER PROFILE · NPI 1720089063

John TumoloM.D.

CardiologySouthbridge, MAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
100.0
Quality
100.0
Cost
85.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.05%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
7,222
Beneficiaries
—
Total drug cost
$1.3M
Distinct drugs
50
Brand share
23.8%
Top prescribed drugs
Metoprolol Succinate1,011 claims
Atorvastatin Calcium905 claims
Apixaban572 claims
Lisinopril398 claims
Furosemide364 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,444
Unique beneficiaries
—
Total services
3,541
Distinct HCPCS
20
Medicare payment
$162K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 693 Cardiology providers in MA — above median (cohort median 1,819).
REFERRAL NETWORK

Where John Tumolo'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). 82 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Elias Belezos
Internal Medicine · Southbridge, MA
102214
Tai Temple
Hospitalist · Southbridge, MA
101243
William Dunn
Internal Medicine · Southbridge, MA
101462
Andrew Marino
Emergency Medicine · Southbridge, MA
76122
Marie King
Emergency Medicine · Worcester, MA
74148
James Stephens
Emergency Medicine · Southbridge, MA
70143
Andrew Bennett
Diagnostic Radiology · Worcester, MA
66120
Sejal Shah
Diagnostic Radiology · Dallas, TX
6586
John Flanagan
Emergency Medicine · Southbridge, MA
65138
Michael Gray
Emergency Medicine · Southbridge, MA
5890
NI MHUIRCHEARTAIGH, JENNIFER5772
OZBAYRAK, RESUL55104
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.