What is James Pilkington's specialty?

James Pilkington (NPI 1972548147) is a Medicare-billing provider whose primary specialty is General Surgery in Alma, MI.

Where does James Pilkington practice?

James Pilkington practices in Alma, MI, based on the location reported in the CMS Medicare provider datasets for NPI 1972548147.

How much does Medicare pay James Pilkington?

James Pilkington (NPI 1972548147) received approximately $105K in total Medicare Part B payments, serving 451 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1972548147

James PilkingtonMD

General SurgeryAlma, MII

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

616

Unique beneficiaries

—

Total services

676

Distinct HCPCS

Medicare payment

$62K

Peer benchmark

Total Medicare services vs. 741 General Surgery providers in MI — top quintile (cohort median 205).

PRESCRIBING · PART D · 2024

Total Rx claims

177

Beneficiaries

—

Total drug cost

$920

Distinct drugs

Brand share

52.5%

Top prescribed drugs

Hydrocodone/Acetaminophen93 claims

Omeprazole29 claims

Pantoprazole Sodium23 claims

Metronidazole17 claims

Ciprofloxacin Hcl15 claims

QUALITY · MIPS · 2024

Final MIPS score

84.6

Quality

62.1

Cost

87.1

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.41%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$120

Payment records

By payment type

Food and Beverage$120

Top paying entities

Food and Beverage$120

REFERRAL NETWORK

Where James Pilkington'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
Bradford Winans Diagnostic Radiology · Denver, NC	108	311
MYMICHIGAN MEDICAL CENTER ALMA	68	196
Mobile Medical Response Inc Ambulance Service Provider · Saginaw, MI	40	123
BOGE, RONALD	39	84
Kyle Gilde Anesthesiology · Mt Pleasant, MI	39	80
ISABELLA CITIZENS FOR HEALTH, INC.	34	88
Lakshmi Shankariah Internal Medicine · Mt Pleasant, MI	33	131
Daniel Wilkerson Emergency Medicine · Fraser, MI	31	118
DAUPHINEE, KENNETH	27	57
MYMICHIGAN MEDICAL CENTER ALMA	26	82
Sudeep Mohan Cardiology · Alma, MI	24	101
Abraham Krepostman Cardiology · Alma, MI	22	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

Healthparse Signals

Monitor this provider for changes — dated NPI change events