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

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