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PROVIDER PROFILE · NPI 1811283831

James GilbertDO

PRACTICEDIAGNOSTIC PATHOLOGY SERV PCSee all providers at this practice →
Internal MedicineChattanooga, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
127
Beneficiaries
—
Total drug cost
$23K
Distinct drugs
8
Brand share
37.8%
Top prescribed drugs
Apixaban37 claims
Prednisone19 claims
Amlodipine Besylate13 claims
Levofloxacin12 claims
Oxycodone Hcl12 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
420
Unique beneficiaries
—
Total services
840
Distinct HCPCS
4
Medicare payment
$64K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,907 Internal Medicine providers in TN — above median (cohort median 791).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
94.3
Quality
92.6
Cost
0.0
Improvement activities
40.0
Promoting interop.
93.2
Payment adjustment
0.81%
APM Entity
REFERRAL NETWORK

Where James Gilbert'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). 50 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MEMORIAL HEALTH CARE SYSTEM INC.4191,955
PIEZ, CHARLES113469
RIMER, THOMAS109491
George Watson
Diagnostic Radiology · Chattanooga, TN
96496
William Rowlett
Diagnostic Radiology · Chattanooga, TN
87365
Kilton Kingsman
Diagnostic Radiology · Chattanooga, TN
68233
Kevin Luce
Internal Medicine · Chattanooga, TN
63261
Subhash Virani
Internal Medicine · Chattanooga, TN
62595
County Of Hamilton
Ambulance Service Provider · Chattanooga, TN
60243
James Marcum
Cardiology · Cleveland, TN
59178
MILLS, ROBERT52155
Cristina Florea
Hospitalist · Chattanooga, TN
48147
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.