Cynthia S. Lewin , ARNP
Nurse Practitioner - Family • Sergeant Bluff, IA
319 Sergeant Square Dr
Sergeant Bluff, IA 510547729
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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Cynthia Lewin is listed in NPPES under Nurse Practitioner - Family.
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NPI assigned on April 19, 2006; this date does not establish years in practice.
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Published CMS data list 1,283 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: 314 service units.
- 36415 — Insertion of needle into vein for collection of blood sample: 204 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: 198 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 16 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 5,734 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:
- Levothyroxine Sodium — 301 prescription fills, including refills.
- Atorvastatin Calcium — 270 prescription fills, including refills.
- Omeprazole — 173 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 147 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner - Family in Iowa (2024, 917 clinicians with data). Median for this group: 308. Middle half: 111 to 699.
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 2,977 in 2020 to 1,283 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
319 Sergeant Square Dr
Sergeant Bluff, IA 510547729
CMS Doctors and Clinicians lists 1 group name: Iowa Physicians Clinic Medical Foundation. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
1996
What Public CMS Data Show
Nurse Practitioner - Family: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
163 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 $72,367 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 $54,105 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
9,676 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
$309,873 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: $248.92 across 2 records.
By nature of payment
- Food and Beverage: $248.92 across 2 records.
Reporting-company totals
- ABBVIE INC.: $124.46 across 1 record.
- Boehringer Ingelheim Pharmaceuticals, Inc.: $124.46 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
30 years (graduated 1996)
CMS Doctors and Clinicians data list 1996 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, CMS release of October 2, 2026.
NPI first issued
2006
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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Cynthia Lewin 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 Cynthia Lewin 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 Sergeant Bluff and Iowa
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner - Family in Iowa (2024, 917 clinicians with data). Median for this group: 308. Middle half: 111 to 699.
Too few clinicians listed under Nurse Practitioner - Family in Sergeant Bluff have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner - Family in Iowa (2024, 917 clinicians with data). Median for this group: $21,502. Middle half: $7,326 to $44,329.
Too few clinicians listed under Nurse Practitioner - Family in Sergeant Bluff have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 85% of clinicians listed under Nurse Practitioner - Family in Iowa (2024, 917 clinicians with data). Median for this group: $15,593. Middle half: $5,333 to $32,879.
Too few clinicians listed under Nurse Practitioner - Family in Sergeant Bluff have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner - Family in Iowa (2024, 1,263 clinicians with data). Median for this group: 629. Middle half: 152 to 2,354.
Too few clinicians listed under Nurse Practitioner - Family in Sergeant Bluff have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Nurse Practitioner - Family in Iowa (2024, 1,263 clinicians with data). Median for this group: $34,976. Middle half: $1,615 to $174,142.
Too few clinicians listed under Nurse Practitioner - Family in Sergeant Bluff have Medicare Part D data for 2024 to compare.
1 active clinicians are listed under Nurse Practitioner - Family with a practice address in Sergeant Bluff, IA (2,000 in Iowa).
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 decreased 57% from 2,977 in 2020 to 1,283 in 2024.
- 2020: 2,977
- 2021: 3,229
- 2022: 2,543
- 2023: 1,082
- 2024: 1,283
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Medicare-allowed amount
Medicare-allowed amount decreased 30% from $103,106 in 2020 to $72,367 in 2024.
- 2020: $103,106
- 2021: $127,077
- 2022: $111,922
- 2023: $72,341
- 2024: $72,367
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Paid by Medicare
Paid by Medicare decreased 30% from $77,408 in 2020 to $54,105 in 2024.
- 2020: $77,408
- 2021: $95,285
- 2022: $85,001
- 2023: $53,612
- 2024: $54,105
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 5,361 in 2020 and 5,734 in 2024.
- 2020: 5,361
- 2021: 5,182
- 2022: 5,278
- 2023: 5,238
- 2024: 5,734
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30-day fills
30-day fills increased 10% from 8,763 in 2020 to 9,676 in 2024.
- 2020: 8,763
- 2021: 8,649
- 2022: 8,790
- 2023: 8,597
- 2024: 9,676
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Part D drug cost
Part D drug cost increased 13% from $273,778 in 2020 to $309,873 in 2024.
- 2020: $273,778
- 2021: $270,973
- 2022: $265,404
- 2023: $298,382
- 2024: $309,873
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 80% from $1,273.89 in 2021 to $248.92 in 2025.
- 2021: $1,273.89
- 2022: $432.21
- 2023: $289.15
- 2024: $127.20
- 2025: $248.92
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, 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 $248.92.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
JARDIANCE | General | $124.46 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $124.46 |
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 2016–2023 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, 2017–2024; 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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314 | 132 | $238.36 | $100.80 |
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36415
Insertion of needle into vein for collection of blood sample
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204 | 119 | $9.00 | $8.65 |
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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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198 | 108 | $38.96 | $13.01 |
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99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
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138 | 25 | $145.33 | $49.19 |
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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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99 | 72 | $169.05 | $71.31 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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93 | 93 | $301.58 | $101.84 |
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G0008
Administration of influenza virus vaccine
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43 | 43 | $58.00 | $29.94 |
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90662
Influenza vaccine split virus, preservative free
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41 | 41 | $97.66 | $81.34 |
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99439
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
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29 | 12 | $110.17 | $37.56 |
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99495
Transitional care management services for problem of at least moderate complexity
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26 | 24 | $477.38 | $162.20 |
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96127
Assessment of emotional or behavioral problems
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23 | 20 | $71.00 | $4.05 |
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71046
X-ray of chest, 2 views
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18 | 18 | $52.11 | $20.76 |
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81002
Urinalysis, manual test
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16 | 13 | $9.00 | $3.41 |
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93005
Routine electrocardiogram (ecg) using at least 12 leads with tracing
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15 | 15 | $21.67 | $5.54 |
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87428
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
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14 | 12 | $229.43 | $68.88 |
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G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
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12 | 12 | $384.67 | $129.85 |
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 |
|---|---|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 301 | 18,304 | $2,652.45 | 62 |
| Atorvastatin Calcium | Atorvastatin Calcium | 270 | 16,436 | $2,464.90 | 58 |
| Omeprazole | Omeprazole | 173 | 11,946 | $1,975.86 | 47 |
| Pantoprazole Sodium | Pantoprazole Sodium | 153 | 8,977 | $2,218.02 | 34 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 149 | 2,293 | $1,861.13 | 27 |
| Amlodipine Besylate | Amlodipine Besylate | 133 | 9,354 | $639.94 | 36 |
| Eliquis | Apixaban | 133 | 2,906 | $57,608.94 | 14 |
| Sertraline Hcl | Sertraline Hcl | 118 | 5,552 | $666.86 | 22 |
| Alprazolam | Alprazolam | 117 | 2,913 | $276.17 | 19 |
| Gabapentin | Gabapentin | 110 | 6,094 | $2,103.45 | 23 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 104 | 7,037 | $730.83 | 28 |
| Lisinopril | Lisinopril | 101 | 7,645 | $402.40 | 32 |
| Potassium Chloride | Potassium Chloride | 99 | 3,580 | $2,198.73 | 13 |
| Furosemide | Furosemide | 90 | 5,192 | $396.50 | 24 |
| Meloxicam | Meloxicam | 86 | 3,501 | $349.11 | 28 |
| Lorazepam | Lorazepam | 84 | 1,872 | $518.69 | 12 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 83 | 1,823 | $2,014.61 | 29 |
| Metformin Hcl | Metformin Hcl | 82 | 5,995 | $541.13 | 20 |
| Zolpidem Tartrate | Zolpidem Tartrate | 82 | 3,360 | $417.24 | 11 |
| Hydrochlorothiazide | Hydrochlorothiazide | 70 | 5,684 | $241.05 | 22 |
| Duloxetine Hcl | Duloxetine Hcl | 70 | 4,609 | $1,822.68 | 15 |
| Simvastatin | Simvastatin | 64 | 5,828 | $308.19 | 23 |
| Metoprolol Succinate | Metoprolol Succinate | 62 | 4,364 | $606.17 | 15 |
| Fluoxetine Hcl | Fluoxetine Hcl | 62 | 2,672 | $573.30 | 13 |
| Losartan Potassium | Losartan Potassium | 61 | 4,668 | $285.90 | 19 |
(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
NUCC Taxonomy Code: 363LF0000X
NUCC Taxonomy Code: 363LF0000X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20060330000699
IA
5395753461
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, CMS release of October 2, 2026
Iowa Physicians Clinic Medical Foundation
319 Sergeant Square Dr, Sergeant Bluff, IA 510547729
Phone: 7129432500
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Registered Nurse Practitioner
Career & Practice History
NPI enumerated April 19, 2006.
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 November 2026.
NPI Administrative Meta
Mailing Address
319 Sergeant Square Dr
Sergeant Bluff, IA 510547729
Phone: 7129432500