PROVIDER PROFILE · NPI 1730181009

Mark CepelaM.D.

OphthalmologyCrestview Hills, KYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

475

Unique beneficiaries

—

Total services

2,042

Distinct HCPCS

Medicare payment

$96K

Peer benchmark

Total Medicare services vs. 186 Ophthalmology providers in KY — above median (cohort median 1,932).

PRESCRIBING · PART D · 2024

Total Rx claims

197

Beneficiaries

—

Total drug cost

$1K

Distinct drugs

Brand share

73.6%

Top prescribed drugs

Hydrocodone/Acetaminophen58 claims

Erythromycin Base50 claims

Azithromycin24 claims

Valacyclovir Hcl24 claims

Diazepam14 claims

QUALITY · MIPS · 2024

Final MIPS score

93.0

Quality

86.0

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.76%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$745

Payment records

By payment type

Food and Beverage$745

Top paying entities

Food and Beverage$745

REFERRAL NETWORK

Where Mark Cepela'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). 6 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
St Elizabeth Medical Center, Inc Portable X-Ray Supplier · Edgewood, KY	78	206
Sharon Duttweiler-Esser Certified Registered Nurse Anesthetist (CRNA) · Edgewood, KY	30	60
Quest Diagnostics Llc Il Clinical Laboratory · Schaumburg, IL	22	46
Samir Patel Dermatology · Mason, OH	18	34
ST ELIZABETH MEDICAL CENTER, INC	16	37
BETHESDA HOSPITAL INC	16	30

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