Miranda Pierce
Nurse Practitioner • Lompoc, CA
136 N Third St
Lompoc, CA 934367002
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 October 24, 2022; this date does not establish years in practice.
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Published CMS data list 543 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:
- 99214 — Established patient outpatient office visit: 264 service units.
- 99213 — Established patient outpatient office visit: 124 service units.
- G2211 — Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 40 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 10 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,004 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:
- Amlodipine Besylate — 103 prescription fills, including refills.
- Atorvastatin Calcium — 84 prescription fills, including refills.
- Levothyroxine Sodium — 68 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 36 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: 201. Middle half: 73 to 538.
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 488 in 2023 to 543 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023–2024.
Practice Location & Contact Primary Location
136 N Third St
Lompoc, CA 934367002
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: Lompoc Valley Medical Center; Santa Ynez River Physicians Pc. 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
2022
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
119 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 $49,771 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 $36,285 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
1,890 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
$87,106 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: $369.52 across 13 records.
By nature of payment
- Food and Beverage: $369.52 across 13 records.
Reporting-company totals (3 largest of 9)
- Novo Nordisk Inc: $151.77 across 3 records.
- Eli Lilly and Company: $51.07 across 2 records.
- Pfizer Inc.: $41.45 across 2 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
4 years (graduated 2022)
CMS Doctors and Clinicians data list 2022 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
2022
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)
Miranda Pierce 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 Miranda Pierce 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 Lompoc and California
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: 201. Middle half: 73 to 538.
Too few clinicians listed under Nurse Practitioner in Lompoc have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: $18,428. Middle half: $6,851 to $46,917.
Too few clinicians listed under Nurse Practitioner in Lompoc have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: $13,640. Middle half: $4,992 to $34,836.
Too few clinicians listed under Nurse Practitioner in Lompoc have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in California (2024, 3,221 clinicians with data). Median for this group: 248. Middle half: 63 to 852.
Too few clinicians listed under Nurse Practitioner in Lompoc have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Nurse Practitioner in California (2024, 3,221 clinicians with data). Median for this group: $13,982. Middle half: $995 to $121,041.
Too few clinicians listed under Nurse Practitioner in Lompoc have Medicare Part D data for 2024 to compare.
4 active clinicians are listed under Nurse Practitioner with a practice address in Lompoc, CA (8,237 in California).
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.
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Medicare Part B services
Medicare Part B services increased 11% from 488 in 2023 to 543 in 2024.
- 2023: 488
- 2024: 543
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $50,101 in 2023 and $49,771 in 2024.
- 2023: $50,101
- 2024: $49,771
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Paid by Medicare
Paid by Medicare stayed about the same: $37,643 in 2023 and $36,285 in 2024.
- 2023: $37,643
- 2024: $36,285
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 114% from 469 in 2023 to 1,004 in 2024.
- 2023: 469
- 2024: 1,004
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30-day fills
30-day fills increased 163% from 719 in 2023 to 1,890 in 2024.
- 2023: 719
- 2024: 1,890
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Part D drug cost
Part D drug cost increased 250% from $24,885 in 2023 to $87,106 in 2024.
- 2023: $24,885
- 2024: $87,106
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $159.65 in 2023 to $369.52 in 2025.
- 2023: $159.65
- 2024: $223.99
- 2025: $369.52
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): 13 records totaling $369.52.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $122.84 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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FARXIGA | General | $30.11 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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MOUNJARO | General | $27.92 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
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— | General | $26.97 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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MOUNJARO | General | $23.15 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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PREVNAR 20 | General | $21.39 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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PREVNAR 20 | General | $20.06 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
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— | General | $19.74 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Wegovy | General | $19.72 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $19.26 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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SHINGRIX | General | $17.52 |
| Reprise Biomedical, Inc. |
Food and Beverage
In-kind items and services
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Miro3D | General | $11.63 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Wegovy | General | $9.21 |
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 2022–2023 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, 2023–2024; 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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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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264 | 76 | $282.00 | $115.23 |
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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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124 | 61 | $200.00 | $82.03 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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40 | 28 | $34.00 | $14.30 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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27 | 27 | $275.00 | $116.89 |
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96127
Assessment of emotional or behavioral problems
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18 | 18 | $11.00 | $5.15 |
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99284
Emergency department visit with moderate level of medical decision making
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16 | 16 | $1107.50 | $100.73 |
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90662
Influenza vaccine split virus, preservative free
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14 | 14 | $130.00 | $81.82 |
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99285
Emergency department visit with high level of medical decision making
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14 | 14 | $1601.43 | $145.21 |
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G0008
Administration of influenza virus vaccine
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14 | 14 | $30.00 | $29.40 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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12 | 11 | $32.00 | $13.00 |
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 |
|---|---|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 103 | 6,308 | $362.63 | 22 |
| Atorvastatin Calcium | Atorvastatin Calcium | 84 | 5,626 | $620.63 | 25 |
| Levothyroxine Sodium | Levothyroxine Sodium | 68 | 4,440 | $699.01 | 17 |
| Lisinopril | Lisinopril | 61 | 4,701 | $528.44 | 16 |
| Metformin Hcl | Metformin Hcl | 60 | 3,180 | $271.92 | 14 |
| Simvastatin | Simvastatin | 48 | 3,180 | $285.22 | — |
| Ozempic | Semaglutide | 46 | 1,372 | $41,509.03 | — |
| Gabapentin | Gabapentin | 38 | 2,144 | $1,398.79 | 12 |
| Omeprazole | Omeprazole | 37 | 1,754 | $461.13 | — |
| Losartan Potassium | Losartan Potassium | 35 | 2,730 | $320.55 | 13 |
| Trazodone Hcl | Trazodone Hcl | 28 | 2,024 | $236.48 | — |
| Fluticasone Propionate | Fluticasone Propionate | 27 | 1,530 | $370.07 | 16 |
| Potassium Chloride | Potassium Chloride | 25 | 783 | $167.69 | — |
| Telmisartan | Telmisartan | 25 | 1,470 | $368.93 | — |
| Furosemide | Furosemide | 22 | 594 | $20.98 | — |
| Hydrochlorothiazide | Hydrochlorothiazide | 19 | 1,350 | $157.12 | — |
| Diazepam | Diazepam | 18 | 540 | $43.27 | — |
| Pantoprazole Sodium | Pantoprazole Sodium | 17 | 1,350 | $229.50 | — |
| Famotidine | Famotidine | 17 | 1,170 | $249.95 | — |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 16 | 660 | $94.13 | — |
| Ezetimibe | Ezetimibe | 16 | 660 | $42.82 | — |
| Rybelsus | Semaglutide | 15 | 450 | $14,879.37 | — |
| Mounjaro | Tirzepatide | 15 | 420 | $14,568.48 | — |
| Meloxicam | Meloxicam | 14 | 720 | $36.66 | — |
| Citalopram Hbr | Citalopram Hydrobromide | 14 | 1,140 | $53.60 | — |
(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: 2022-10-24NUCC 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
I20230111001368
CA
6507236668
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
Santa Ynez River Physicians Pc
1515 E Ocean Ave, Lompoc, CA 934367092
Phone: 8057373300
Lompoc Valley Medical Center
136 N 3rd St, Lompoc, CA 934367002
Phone: 8057373300
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Career & Practice History
NPI enumerated October 24, 2022.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from November 2022 to August 2026.
NPI Administrative Meta
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Mailing Address
136 N Third St
Lompoc, CA 934367002
Phone: 8057361253