Amparo Estera Macariola
Nurse Practitioner • Avondale, AZ
950 E Van Buren St
Avondale, AZ 853231506
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Amparo Macariola is listed in NPPES under Nurse Practitioner.
-
NPI assigned on November 11, 2014; this date does not establish years in practice.
-
Published CMS data list 259 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 181 service units.
- 99204 — New patient outpatient office visit: 78 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
-
Published CMS data list 761 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Gabapentin — 107 prescription fills, including refills.
- Donepezil Hcl — 82 prescription fills, including refills.
- Levetiracetam — 59 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 28 records in the table · Guide: How to read Medicare Part D prescriber data
-
Close to the middle for Medicare Part B services among clinicians listed under Nurse Practitioner in Arizona (2024, 618 clinicians with data). Median for this group: 304. Middle half: 114 to 768.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 68 in 2021 to 259 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021–2024.
Practice Location & Contact Primary Location
950 E Van Buren St
Avondale, AZ 853231506
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Circle The City; Phoenix Neurology And Sleep Medicine Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2014
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
139 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $29,488 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $21,586 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
1,063 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$171,173 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $2,324.77 across 129 records.
By nature of payment
- Food and Beverage: $2,189.82 across 127 records.
- Education: $134.95 across 2 records.
Reporting-company totals (3 largest of 26)
- JAZZ PHARMACEUTICALS INC.: $418.24 across 12 records.
- ABBVIE INC.: $362.45 across 24 records.
- UCB, Inc.: $250.43 across 12 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
12 years (graduated 2014)
CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2014
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Amparo Macariola has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Amparo Macariola as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Avondale and Arizona
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Nurse Practitioner in Arizona (2024, 618 clinicians with data). Median for this group: 304. Middle half: 114 to 768.
Too few clinicians listed under Nurse Practitioner in Avondale have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Nurse Practitioner in Arizona (2024, 618 clinicians with data). Median for this group: $24,217. Middle half: $9,430 to $60,508.
Too few clinicians listed under Nurse Practitioner in Avondale have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Nurse Practitioner in Arizona (2024, 618 clinicians with data). Median for this group: $17,824. Middle half: $6,512 to $45,984.
Too few clinicians listed under Nurse Practitioner in Avondale have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Nurse Practitioner in Arizona (2024, 705 clinicians with data). Median for this group: 368. Middle half: 91 to 1,188.
Too few clinicians listed under Nurse Practitioner in Avondale have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Arizona (2024, 705 clinicians with data). Median for this group: $19,716. Middle half: $1,586 to $167,412.
Too few clinicians listed under Nurse Practitioner in Avondale have Medicare Part D data for 2024 to compare.
10 active clinicians are listed under Nurse Practitioner with a practice address in Avondale, AZ (1,430 in Arizona).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services increased 281% from 68 in 2021 to 259 in 2024.
- 2021: 68
- 2022: 292
- 2023: 313
- 2024: 259
-
Medicare-allowed amount
Medicare-allowed amount increased 268% from $8,012 in 2021 to $29,488 in 2024.
- 2021: $8,012
- 2022: $32,570
- 2023: $34,502
- 2024: $29,488
-
Paid by Medicare
Paid by Medicare increased 246% from $6,247 in 2021 to $21,586 in 2024.
- 2021: $6,247
- 2022: $23,782
- 2023: $24,296
- 2024: $21,586
-
Medicare Part D prescriptions
Medicare Part D prescriptions decreased 58% from 1,828 in 2020 to 761 in 2024.
- 2020: 1,828
- 2021: 130
- 2022: 258
- 2023: 528
- 2024: 761
-
30-day fills
30-day fills decreased 65% from 3,049 in 2020 to 1,063 in 2024.
- 2020: 3,049
- 2021: 226
- 2022: 335
- 2023: 761
- 2024: 1,063
-
Part D drug cost
Part D drug cost increased 144% from $70,239 in 2020 to $171,173 in 2024.
- 2020: $70,239
- 2021: $1,776
- 2022: $12,333
- 2023: $54,586
- 2024: $171,173
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $596.02 in 2021 to $2,324.77 in 2025.
- 2021: $596.02
- 2022: $2,371.47
- 2023: $2,389.86
- 2024: $2,377.87
- 2025: $2,324.77
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 129 records totaling $2,324.77.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| JAZZ PHARMACEUTICALS INC. |
Education
In-kind items and services
|
XYWAV | General | $90.00 |
| JAZZ PHARMACEUTICALS INC. |
Education
In-kind items and services
|
XYWAV | General | $44.95 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
|
Rystiggo | General | $40.11 |
| JAZZ PHARMACEUTICALS INC. |
Food and Beverage
In-kind items and services
|
XYWAV | General | $39.64 |
| JAZZ PHARMACEUTICALS INC. |
Food and Beverage
In-kind items and services
|
XYWAV | General | $38.03 |
| JAZZ PHARMACEUTICALS INC. |
Food and Beverage
In-kind items and services
|
XYWAV | General | $37.23 |
| JAZZ PHARMACEUTICALS INC. |
Food and Beverage
In-kind items and services
|
XYWAV | General | $35.60 |
| JAZZ PHARMACEUTICALS INC. |
Food and Beverage
In-kind items and services
|
XYWAV | General | $35.26 |
| JAZZ PHARMACEUTICALS INC. |
Food and Beverage
In-kind items and services
|
XYWAV | General | $34.11 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
UBRELVY | General | $31.55 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
PIPELINE | General | $30.25 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
UBRELVY | General | $28.41 |
| JAZZ PHARMACEUTICALS INC. |
Food and Beverage
In-kind items and services
|
XYWAV | General | $28.31 |
| Impel Pharmaceuticals LLC |
Food and Beverage
Cash or cash equivalent
|
TRUDHESA | General | $27.93 |
| Impel Pharmaceuticals LLC |
Food and Beverage
Cash or cash equivalent
|
TRUDHESA | General | $27.93 |
| Neurelis, Inc. |
Food and Beverage
In-kind items and services
|
VALTOCO | General | $27.46 |
| GE HEALTHCARE |
Food and Beverage
In-kind items and services
|
— | General | $27.27 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
|
Nayzilam | General | $27.06 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $26.47 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
NURTEC ODT | General | $25.94 |
| Genentech, Inc. |
Food and Beverage
In-kind items and services
|
Ocrevus | General | $25.79 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
|
Nayzilam | General | $25.42 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
KESIMPTA | General | $25.31 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
|
Briviact | General | $25.27 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
KISUNLA | General | $24.72 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2021–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
181 | 105 | $268.00 | $103.81 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
78 | 78 | $413.00 | $137.16 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 107 | 4,740 | $1,467.86 | 38 |
| Donepezil Hcl | Donepezil Hcl | 82 | 4,235 | $986.27 | 23 |
| Levetiracetam | Levetiracetam | 59 | 2,163 | $3,339.53 | 11 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 50 | 1,805 | $451.64 | — |
| Divalproex Sodium | Divalproex Sodium | 34 | 815 | $1,308.74 | — |
| Trazodone Hcl | Trazodone Hcl | 33 | 1,720 | $145.71 | 12 |
| Clonazepam | Clonazepam | 32 | 934 | $213.99 | — |
| Memantine Hcl | Memantine Hcl | 31 | 1,256 | $593.33 | — |
| Topiramate | Topiramate | 28 | 1,754 | $153.75 | 11 |
| Sumatriptan Succinate | Sumatriptan Succinate | 24 | 708 | $175.84 | — |
| Armodafinil | Armodafinil | 23 | 690 | $1,070.85 | — |
| Qulipta | Atogepant | 23 | 690 | $24,903.21 | — |
| Zolpidem Tartrate | Zolpidem Tartrate | 21 | 584 | $89.91 | — |
| Eszopiclone | Eszopiclone | 21 | 622 | $378.66 | — |
| Amitriptyline Hcl | Amitriptyline Hcl | 18 | 720 | $232.22 | — |
| Ropinirole Hcl | Ropinirole Hcl | 17 | 990 | $268.46 | — |
| Duloxetine Hcl | Duloxetine Hcl | 17 | 870 | $412.00 | — |
| Zolpidem Tartrate Er | Zolpidem Tartrate | 16 | 463 | $369.04 | — |
| Pregabalin | Pregabalin | 16 | 780 | $459.99 | — |
| Tizanidine Hcl | Tizanidine Hcl | 14 | 412 | $169.98 | — |
| Propranolol Hcl Er | Propranolol Hcl | 13 | 750 | $255.66 | — |
| Ingrezza | Valbenazine Tosylate | 13 | 390 | $113,999.88 | — |
| Sunosi | Solriamfetol Hcl | 13 | 390 | $8,959.83 | — |
| Dayvigo | Lemborexant | 12 | 342 | $3,556.97 | — |
| Clopidogrel | Clopidogrel Bisulfate | 11 | 330 | $36.49 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-09-08NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20201013003109
AZ
3971884669
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Phoenix Neurology And Sleep Medicine Pllc
2940 N Litchfield Rd, Goodyear, AZ 853957830
Phone: 6235350050
Circle The City
220 S 12th Ave, Phoenix, AZ 850073101
Phone: 6022588282
Circle The City
210 S 12th Ave, Phoenix, AZ 850073101
Phone: 6022544282
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Registered Nurse
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 950 E VAN BUREN ST, AVONDALE, AZ 853231506 (Tel: 6233446800)
Registered at 2929 E THOMAS RD, PHOENIX, AZ 850168034 (Tel: 6024705000)
Nurse Practitioner (license number reported to NPPES: AZ 237149)
NPI status registered as active in NPPES database
Registered at 2743 HIGHLAND AVE, NATIONAL CITY, CA 919507410 (Tel: 6194742284)
Registered at 3680 MARLESTA DR, SAN DIEGO, CA 921114753 (Tel: 8585985938)
Recorded as AMPARO MACARIOLA
Nurse Practitioner (license number reported to NPPES: CA 95001709)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Avondale
- Clarrissa Gober, NP
- Mary Storts, AG-ACNP
- Helena In't Veld, FNP-C
- Kia Lambeth
- Cynthia Martinez, FNP-C
- Meaghan Payne, FNP
Mailing Address
2929 E Thomas Rd
Phoenix, AZ 850168034
Phone: 6024705000