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PROVIDER PROFILE · NPI 1861482556

Malcolm FosterM.D.

CardiologyKnoxville, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,148
Unique beneficiaries
—
Total services
2,480
Distinct HCPCS
26
Medicare payment
$149K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 374 Cardiology providers in TN — above median (cohort median 2,451).
REFERRAL NETWORK

Where Malcolm Foster'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). 22 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
METRO KNOXVILLE HMA LLC6691,943
John Goodwin
Diagnostic Radiology · Knoxville, TN
123290
BROOME, MONROE59114
William Smith
Emergency Medicine · Opelousas, LA
53103
Rural/Metro Of Tennessee, L.P.
Ambulance Service Provider · Knoxville, TN
50162
Douglas Holland
Emergency Medicine · Knoxville, TN
46108
LINDSAY, WILLIAM40113
Jeffrey Douglas
Infectious Disease · Knoxville, TN
38126
Nilamkumar Patel
Clinical Cardiac Electrophysiology · Knoxville, TN
3492
Timothy Ballard
Nurse Practitioner · Knoxville, TN
3251
PARKWEST MEDICAL CENTER3062
POWERS, WILLIAM3078
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.
PRESCRIBING · PART D · 2024
Total Rx claims
4,257
Beneficiaries
—
Total drug cost
$1.0M
Distinct drugs
56
Brand share
37.7%
Top prescribed drugs
Clopidogrel Bisulfate478 claims
Rosuvastatin Calcium340 claims
Atorvastatin Calcium309 claims
Apixaban284 claims
Evolocumab234 claims
QUALITY · MIPS · 2024
Final MIPS score
88.1
Quality
73.9
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.55%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$87K
Payment records
218
By payment type
Consulting Fee$36K
Compensation for serving as faculty or as a speaker for a medical education program$26K
Travel and Lodging$10K
Food and Beverage$8K
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$7K