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PROVIDER PROFILE · NPI 1841233269

Stephen SummersM.D.

PRACTICEUMMHCSee all providers at this practice →
Pulmonary DiseaseWorcester, 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
83.0
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
1.05%
APM Entity
PRESCRIBING · PART D · 2024
Total Rx claims
902
Beneficiaries
—
Total drug cost
$296K
Distinct drugs
19
Brand share
70.3%
Top prescribed drugs
Albuterol Sulfate165 claims
Fluticasone/Umeclidin/Vilanter100 claims
Fluticasone Propionate74 claims
Umeclidinium Bromide71 claims
Prednisone58 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
523
Unique beneficiaries
—
Total services
781
Distinct HCPCS
11
Medicare payment
$69K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 402 Pulmonary Disease providers in MA — above median (cohort median 573).
REFERRAL NETWORK

Where Stephen Summers'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). 38 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
DESAI, CHARU123668
Quest Diagnostics Massachusetts Llc
Clinical Laboratory · Marlborough, MA
88320
NPI 110488167179299
Eric Schmidlin
Diagnostic Radiology · Worcester, MA
76266
Paulo Oliveira
Pulmonary Disease · Worcester, MA
38359
Gerard Aurigemma
Cardiology · Worcester, MA
3681
Scott Kopec
Pulmonary Disease · Worcester, MA
34142
RAFATZAND, KHASHAYAR28186
Stephen Krinzman
Pulmonary Disease · Worcester, MA
28232
DAIGNAULT, CORY2792
Louis Marone
Diagnostic Radiology · Brooklyn, NY
2796
Peter Bagley
Pulmonary Disease · Rockport, ME
25110
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.