PROVIDER PROFILE · NPI 1912004102

NPI 1912004102

PRACTICECRYSTAL LAKE CLINIC P.C.See all providers at this practice →

MEDICARE UTILIZATION · PART B · 2024

No data available for this provider in 2024.

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where NPI 1912004102'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). 24 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
PAUL OLIVER MEMORIAL HOSPITAL	399	2,205
MUNSON HEALTHCARE MANISTEE HOSPITAL	49	178
Clark Phelps Diagnostic Radiology · Traverse City, MI	47	103
Daniel Boss Diagnostic Radiology · Traverse City, MI	47	76
George Ryckman Family Practice · Benzonia, MI	43	155
James Shirley Diagnostic Radiology · Traverse City, MI	34	69
Farhaan Mir Diagnostic Radiology · Greensboro, NC	31	78
HERBST, ROBERTA	31	61
WILLIAMS, CHARLES	30	70
Ryan Holmes Diagnostic Radiology · Traverse City, MI	29	67
Jesse Johnson Diagnostic Radiology · Traverse City, MI	29	69
SPACE, TODD	27	57

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