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PROVIDER PROFILE · NPI 1992967731

Edison GavilanesMD

PRACTICEAMITYVILLE PULMONOLOGY PLLCSee all providers at this practice →
Internal MedicineAmityville, NYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
Final MIPS score
77.5
Quality
44.3
Cost
69.5
Improvement activities
40.0
Promoting interop.
0.0
Payment adjustment
0.10%
Group
PRESCRIBING · PART D · 2024
Total Rx claims
1,170
Beneficiaries
—
Total drug cost
$501K
Distinct drugs
19
Brand share
82.2%
Top prescribed drugs
Albuterol Sulfate249 claims
Fluticasone/Umeclidin/Vilanter190 claims
Fluticasone/Vilanterol133 claims
Prednisone79 claims
Budesonide/Glycopyr/Formoterol77 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,647
Unique beneficiaries
—
Total services
5,578
Distinct HCPCS
13
Medicare payment
$523K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 7,864 Internal Medicine providers in NY — top quintile (cohort median 552).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
63
By payment type
Food and Beverage$2K
REFERRAL NETWORK

Where Edison Gavilanes'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). 118 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Brian Webber
Diagnostic Radiology · West Islip, NY
285802
NPI 1306807904259797
Sam Davidoff
Pulmonary Disease · Amityville, NY
186542
Asaph Zimmerman
Diagnostic Radiology · West Islip, NY
181473
HUNTER EMS INC.169630
Khalid Noori
Internal Medicine · North Babylon, NY
140830
Michael Gray
Infectious Disease · Bay Shore, NY
140762
Elise Shreck
Diagnostic Radiology · Lindenhurst, NY
137363
NPI 1417924523127303
William Kainzbauer
Diagnostic Radiology · West Islip, NY
127385
Anastasios Manaris
Clinical Cardiac Electrophysiology · West Islip, NY
127288
Adriane Collins
Infectious Disease · West Islip, NY
121661
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.