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PROVIDER PROFILE · NPI 1841400520

James WilsonMD

Pulmonary DiseasePlano, TXI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
110
By payment type
Food and Beverage$2K
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
0.0
Cost
62.6
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
1,139
Beneficiaries
—
Total drug cost
$498K
Distinct drugs
28
Brand share
57.4%
Top prescribed drugs
Albuterol Sulfate146 claims
Fluticasone/Umeclidin/Vilanter133 claims
Prednisone102 claims
Montelukast Sodium82 claims
Azithromycin69 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
987
Unique beneficiaries
—
Total services
1,542
Distinct HCPCS
20
Medicare payment
$110K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 664 Pulmonary Disease providers in TX — above median (cohort median 1,111).
REFERRAL NETWORK

Where James Wilson'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). 75 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
John Kim
Diagnostic Radiology · Seattle, WA
115902
HUGHES, JOHN931,735
Omar Colon Gutierrez
Physical Medicine and Rehabilitation · Plano, TX
87697
Michael Blackmon
Pulmonary Disease · Plano, TX
841,738
Christopher Blewett
Pulmonary Disease · Plano, TX
831,420
Steven Davidoff
Pulmonary Disease · Plano, TX
761,298
Careflite
Ambulance Service Provider · Grand Prairie, TX
59244
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF PLANO, LLC57117
Francis Wu
Diagnostic Radiology · Plano, TX
54280
Andrew Small
Diagnostic Radiology · Plano, TX
54250
Bao-Tram Nguyen
Diagnostic Radiology · Plano, TX
49242
Amanda Donohoe
Diagnostic Radiology · Plano, TX
47344
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.