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PROVIDER PROFILE · NPI 1902800766

Thomas RuffoloMD

GastroenterologyWashington, NCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
QUALITY · MIPS · 2024
Final MIPS score
97.0
Quality
82.4
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.92%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$14K
Payment records
39
By payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$12K
Food and Beverage$1K
Travel and Lodging$829
PRESCRIBING · PART D · 2024
Total Rx claims
63
Beneficiaries
—
Total drug cost
$79K
Distinct drugs
4
Brand share
38.1%
Top prescribed drugs
Omeprazole21 claims
Famotidine18 claims
Diphenoxylate Hcl/Atropine12 claims
Upadacitinib12 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
482
Unique beneficiaries
—
Total services
491
Distinct HCPCS
10
Medicare payment
$38K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 491 Gastroenterology providers in NC — below median (cohort median 652).
REFERRAL NETWORK

Where Thomas Ruffolo'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). 46 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Eric Finical
Diagnostic Radiology · Greenville, NC
116231
PITT COUNTY MEMORIAL HOSPITAL, INC62162
John Inzerillo
Hematology · Washington, NC
47170
Russell Wilford
Internal Medicine · Pollocksville, NC
47233
MANN, RICHARD46201
CAH ACQUISITION COMPANY 1 LLC44158
Kelly Brillant
Physician Assistant · Washington, NC
4197
Umberto Fontana
Cardiology · Hendersonville, NC
4195
Michael Smith
Cardiology · Greenville, NC
3677
Richard Young
Internal Medicine · Washington, NC
36126
Kimberly Smith
Emergency Medicine · Washington, NC
36111
William Hope
Diagnostic Radiology · Newport News, VA
3366
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.