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PROVIDER PROFILE · NPI 1932194362

Timothy SchmeltzleD.O.

PRACTICEST. LUKE'S PHYSICIAN GROUP, INC.See all providers at this practice →
Family PracticeEmmaus, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
97.1
Quality
82.3
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.93%
APM Entity
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
7,153
Beneficiaries
—
Total drug cost
$437K
Distinct drugs
109
Brand share
17.0%
Top prescribed drugs
Atorvastatin Calcium430 claims
Levothyroxine Sodium385 claims
Rosuvastatin Calcium345 claims
Amlodipine Besylate297 claims
Montelukast Sodium293 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,108
Unique beneficiaries
—
Total services
1,672
Distinct HCPCS
18
Medicare payment
$124K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 4,194 Family Practice providers in PA — top quintile (cohort median 645).
REFERRAL NETWORK

Where Timothy Schmeltzle'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). 16 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
ST LUKES HOSPITAL2331,535
Sam Bub
Family Medicine · Emmaus, PA
104389
LEHIGH VALLEY HOSPITAL72234
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
62150
Todd Holbrook
Family Practice · Emmaus, PA
2381
GULOTTA, PAUL1844
TICE, BARRY1767
PYTLEWSKI, GERALD1521
Alan Listhaus
Ophthalmology · Allentown, PA
1464
Jay Fisher
Vascular Surgery · Easton, PA
1247
Andrew Shurman
Diagnostic Radiology · Bethlehem, PA
1219
Carol Bub
Family Practice · Emmaus, PA
1134
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.