Bret Metz Noland , PA-C
Physician Assistant • Encinitas, CA
477 N El Camino Real, A202
Encinitas, CA 920241328
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on November 4, 2009; this date does not establish years in practice.
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Published CMS data list 381 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.
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Published Part B service records, 2024:
- 99203 — New patient outpatient office visit: 132 service units.
- 99213 — Established patient outpatient office visit: 95 service units.
- 69210 — Removal of impacted ear wax: 59 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 all 8 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 471 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.
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Published Part D records, 2024:
- Fluticasone Propionate — 143 prescription fills, including refills.
- Azelastine Hcl — 58 prescription fills, including refills.
- Prednisone — 49 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 13 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Encinitas, CA (2024, 20 clinicians with data). Median for this group: 365. Middle half: 177 to 1,024.
More Medicare Part B services than 65% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: 198. Middle half: 71 to 535.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 357 in 2022 to 381 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022–2024.
Practice Location & Contact Primary Location
477 N El Camino Real
A202
Encinitas, CA 920241328
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 1 group name: Sharp Rees-Stealy Medical Group Inc. 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
2009
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
231 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 $33,269 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 $24,561 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
542 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
$10,373 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: $979.87 across 10 records.
By nature of payment
- Food and Beverage: $979.87 across 10 records.
Reporting-company totals (3 largest of 10)
- Edwards Lifesciences Corporation: $183.77 across 1 record.
- bioMerieux Inc: $161.00 across 1 record.
- Medtronic, Inc.: $150.14 across 1 record.
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
17 years (graduated 2009)
CMS Doctors and Clinicians data list 2009 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
2009
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?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Bret Noland 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 Bret Noland 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 Encinitas and California
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Physician Assistant in Encinitas, CA (2024, 20 clinicians with data). Median for this group: 365. Middle half: 177 to 1,024.
More Medicare Part B services than 65% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: 198. Middle half: 71 to 535.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in Encinitas, CA (2024, 20 clinicians with data). Median for this group: $30,428. Middle half: $14,644 to $81,953.
A higher Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: $18,173. Middle half: $6,666 to $41,587.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in Encinitas, CA (2024, 20 clinicians with data). Median for this group: $22,229. Middle half: $9,177 to $60,616.
A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: $13,209. Middle half: $4,792 to $30,879.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Encinitas, CA (2024, 27 clinicians with data). Median for this group: 230. Middle half: 128 to 579.
More Part D prescriptions than 65% of clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: 229. Middle half: 72 to 718.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Encinitas, CA (2024, 27 clinicians with data). Median for this group: $6,113. Middle half: $1,328 to $49,878.
A higher Part D drug cost than 60% of clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: $3,945. Middle half: $709 to $60,209.
53 active clinicians are listed under Physician Assistant with a practice address in Encinitas, CA (14,458 in California).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Encinitas
32.1% of these 53 clinicians have the CMS telehealth indicator.
60.4% of these 53 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services stayed about the same: 357 in 2022 and 381 in 2024.
- 2022: 357
- 2023: 405
- 2024: 381
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Medicare-allowed amount
Medicare-allowed amount increased 13% from $29,484 in 2022 to $33,269 in 2024.
- 2022: $29,484
- 2023: $35,273
- 2024: $33,269
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Paid by Medicare
Paid by Medicare increased 14% from $21,483 in 2022 to $24,561 in 2024.
- 2022: $21,483
- 2023: $25,919
- 2024: $24,561
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 60% from 294 in 2020 to 471 in 2024.
- 2020: 294
- 2021: 361
- 2022: 381
- 2023: 448
- 2024: 471
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30-day fills
30-day fills increased 43% from 378 in 2020 to 542 in 2024.
- 2020: 378
- 2021: 436
- 2022: 475
- 2023: 564
- 2024: 542
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Part D drug cost
Part D drug cost increased 58% from $6,585 in 2020 to $10,373 in 2024.
- 2020: $6,585
- 2021: $8,732
- 2022: $10,624
- 2023: $11,266
- 2024: $10,373
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $139.64 in 2021 to $979.87 in 2025.
- 2021: $139.64
- 2022: $109.57
- 2023: $228.87
- 2025: $979.87
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): fewer than 11 records totaling $979.87.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Edwards Lifesciences Corporation |
Food and Beverage
In-kind items and services
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EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) | General | $183.77 |
| bioMerieux Inc |
Food and Beverage
In-kind items and services
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FILMARRAY | General | $161.00 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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SYMPLICITY G3 | General | $150.14 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
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Symbravo | General | $140.01 |
| Teva Pharmaceuticals USA, Inc. |
Food and Beverage
In-kind items and services
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AUSTEDO XR | General | $132.82 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $121.84 |
| BeOne Medicines USA, Inc. |
Food and Beverage
In-kind items and services
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BRUKINSA | General | $28.94 |
| Merck Sharp & Dohme LLC |
Food and Beverage
In-kind items and services
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KEYTRUDA | General | $25.66 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
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Xhance | General | $19.01 |
| Hikma Pharmaceuticals USA |
Food and Beverage
In-kind items and services
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Ryaltris | General | $16.68 |
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 2021–2023 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, 2022–2024; 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 |
|---|---|---|---|---|
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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132 | 132 | $353.09 | $99.78 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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95 | 68 | $253.78 | $82.22 |
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69210
Removal of impacted ear wax
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59 | 49 | $166.66 | $42.79 |
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31575
Diagnostic exam of voice box using a flexible endoscope
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25 | 25 | $487.76 | $118.22 |
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31231
Diagnostic exam of nasal passages using an endoscope
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24 | 22 | $632.00 | $179.26 |
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99442
Telephone medical discussion with physician, 11-20 minutes
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17 | 15 | $254.00 | $82.89 |
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92504
Exam of ear using a microscope
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16 | 15 | $106.00 | $26.10 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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13 | 11 | $152.69 | $52.17 |
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 |
|---|---|---|---|---|---|
| Fluticasone Propionate | Fluticasone Propionate | 143 | 5,186 | $2,338.05 | 67 |
| Azelastine Hcl | Azelastine Hcl | 58 | 1,895 | $1,833.97 | 33 |
| Prednisone | Prednisone | 49 | 613 | $174.48 | 48 |
| Ipratropium Bromide | Ipratropium Bromide | 34 | 975 | $641.41 | 19 |
| Cefdinir | Cefdinir | 32 | 477 | $1,132.92 | 28 |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 27 | 404 | $1,250.72 | 15 |
| Omeprazole | Omeprazole | 26 | 1,311 | $450.02 | 14 |
| Fluocinolone Acetonide Oil | Fluocinolone Acetonide Oil | 22 | 390 | $1,181.92 | 17 |
| Methylprednisolone | Methylprednisolone | 20 | 120 | $176.00 | 19 |
| Ofloxacin | Ofloxacin | 18 | 218 | $543.04 | 17 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 17 | 200 | $224.63 | 17 |
| Mupirocin | Mupirocin | 14 | 287 | $147.14 | — |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 11 | 137 | $278.92 | 11 |
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
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20110127000599
CA
1456530179
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
Sharp Rees-Stealy Medical Group Inc
2929 Health Ctr Dr, San Diego, CA 921232762
Phone: 8584992600
Sharp Rees-Stealy Medical Group Inc
2020 Genesee Ave, San Diego, CA 921234219
Phone: 8584992600
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Otolaryngology
Doctor of Medicine (M.D.)
Otolaryngology
Doctor of Medicine (M.D.)
Audiologist
Doctor of Audiology
Career & Practice History
NPI enumerated November 04, 2009.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Physician Assistants in Encinitas
- Joseph Roberts, PA-C
- Kenesha Colson, PA-C
- Courtnie Ly, PA
- Shana Forsman, PA-C, MPAP
- Kristina Frederick, PHYSICIAN ASST
- Christine Wong, PA-C
Mailing Address
477 N. El Camino Real, A202
Encinitas, CA 92024
Phone: 7604792100