PROVIDER PROFILE · NPI 1821070244

John MadisonM.D.

Pulmonary DiseaseWorcester, MAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,024

Unique beneficiaries

—

Total services

2,106

Distinct HCPCS

Medicare payment

$30K

Peer benchmark

Total Medicare services vs. 402 Pulmonary Disease providers in MA — top quintile (cohort median 573).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

83.0

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

1.05%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where John Madison'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). 36 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
DESAI, CHARU	122	306
Quest Diagnostics Massachusetts Llc Clinical Laboratory · Marlborough, MA	95	192
NPI 1104881671	83	163
Eric Schmidlin Diagnostic Radiology · Worcester, MA	81	156
Scott Kopec Pulmonary Disease · Worcester, MA	54	129
Gerard Aurigemma Cardiology · Worcester, MA	51	85
DAIGNAULT, CORY	50	110
Paulo Oliveira Pulmonary Disease · Worcester, MA	44	110
Ryan Shipe Pulmonary Disease · Hopedale, MA	38	94
RAFATZAND, KHASHAYAR	28	67
KORNFELD, HARDY	22	41
MAKI, DENNIS	22	40

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