Michelle B Nepple , PA-C
Physician Assistant โข Waterloo, IA
1717 W Ridgeway Ave
Waterloo, IA 50701
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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Michelle Nepple is listed in NPPES under Physician Assistant.
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NPI assigned on October 5, 2005; this date does not establish years in practice.
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Published CMS data list 696 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 81003 โ Automated urinalysis test: 201 service units.
- 51798 โ Ultrasound measurement of bladder capacity after voiding: 183 service units.
- 99213 โ Established patient outpatient office visit: 171 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ 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 6 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,749 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tamsulosin Hcl โ 504 prescription fills, including refills.
- Myrbetriq (Mirabegron) โ 339 prescription fills, including refills.
- Finasteride โ 238 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 21 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Waterloo, IA (2024, 22 clinicians with data). Median for this group: 287. Middle half: 171 to 771.
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Iowa (2024, 816 clinicians with data). Median for this group: 298. Middle half: 123 to 703.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 670 in 2020 to 696 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1717 W Ridgeway Ave
Waterloo, IA 50701
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Waterloo, IA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Allen Memorial Hospital Corporation; The Finley Hospital. 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
2003
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
223 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 โ by Provider, 2024.
Medicare-allowed amount
About $26,798 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 โ by Provider and Service, 2024.
Paid by Medicare
About $19,737 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 โ by Provider and Service, 2024.
30-day fills
3,247 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
$235,937 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 โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $95.68 across 4 records.
By nature of payment
- Food and Beverage: $95.68 across 4 records.
Reporting-company totals
- Boston Scientific Corporation: $63.35 across 2 records.
- ABBVIE INC.: $16.50 across 1 record.
- Janssen Pharmaceuticals, Inc: $15.83 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
23 years (graduated 2003)
CMS Doctors and Clinicians data list 2003 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
2005
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.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
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, โDoes your provider accept Medicare as full payment?โ
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)
Michelle Nepple 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 Michelle Nepple 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 Waterloo and Iowa
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Waterloo, IA (2024, 22 clinicians with data). Median for this group: 287. Middle half: 171 to 771.
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Iowa (2024, 816 clinicians with data). Median for this group: 298. Middle half: 123 to 703.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Waterloo, IA (2024, 22 clinicians with data). Median for this group: $21,756. Middle half: $9,107 to $58,830.
A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Iowa (2024, 816 clinicians with data). Median for this group: $19,026. Middle half: $8,646 to $37,827.
Paid by Medicare
A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in Waterloo, IA (2024, 22 clinicians with data). Median for this group: $15,604. Middle half: $6,783 to $41,889.
A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in Iowa (2024, 816 clinicians with data). Median for this group: $13,777. Middle half: $6,384 to $27,709.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Waterloo, IA (2024, 24 clinicians with data). Median for this group: 478. Middle half: 143 to 1,332.
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Iowa (2024, 934 clinicians with data). Median for this group: 305. Middle half: 94 to 1,210.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Waterloo, IA (2024, 24 clinicians with data). Median for this group: $24,105. Middle half: $826 to $240,710.
A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Iowa (2024, 934 clinicians with data). Median for this group: $4,784. Middle half: $711 to $109,573.
32 active clinicians are listed under Physician Assistant with a practice address in Waterloo, IA (1,525 in Iowa).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Waterloo
3.1% of these 32 clinicians have the CMS telehealth indicator.
62.5% of these 32 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: 670 in 2020 and 696 in 2024.
- 2020: 670
- 2021: 592
- 2022: 582
- 2023: 634
- 2024: 696
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Medicare-allowed amount
Medicare-allowed amount increased 13% from $23,761 in 2020 to $26,798 in 2024.
- 2020: $23,761
- 2021: $24,278
- 2022: $21,258
- 2023: $24,303
- 2024: $26,798
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Paid by Medicare
Paid by Medicare increased 11% from $17,713 in 2020 to $19,737 in 2024.
- 2020: $17,713
- 2021: $18,041
- 2022: $15,193
- 2023: $17,780
- 2024: $19,737
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 27% from 1,379 in 2020 to 1,749 in 2024.
- 2020: 1,379
- 2021: 1,390
- 2022: 1,322
- 2023: 1,412
- 2024: 1,749
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30-day fills
30-day fills increased 33% from 2,437 in 2020 to 3,247 in 2024.
- 2020: 2,437
- 2021: 2,682
- 2022: 2,626
- 2023: 2,726
- 2024: 3,247
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Part D drug cost
Part D drug cost increased 19% from $198,201 in 2020 to $235,937 in 2024.
- 2020: $198,201
- 2021: $233,764
- 2022: $220,308
- 2023: $200,102
- 2024: $235,937
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $115.69 in 2021 to $95.68 in 2025.
- 2021: $115.69
- 2022: $97.59
- 2023: $16.04
- 2024: $54.31
- 2025: $95.68
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 ยท 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 โ December 31, 2025): fewer than 11 records totaling $95.68.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
Axonics | General | $40.97 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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Axonics | General | $22.38 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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LUPRON DEPOT | General | $16.50 |
| Janssen Pharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
ERLEADA | General | $15.83 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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 โ by Provider and Service data, 2017โ2024; 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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81003
Automated urinalysis test
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201 | 150 | $6.00 | $2.19 |
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51798
Ultrasound measurement of bladder capacity after voiding
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183 | 149 | $37.07 | $9.96 |
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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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171 | 143 | $168.56 | $71.26 |
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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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80 | 69 | $237.90 | $100.06 |
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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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44 | 30 | $104.41 | $44.09 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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17 | 17 | $335.06 | $141.49 |
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 |
|---|---|---|---|---|---|
| Tamsulosin Hcl | Tamsulosin Hcl | 504 | 32,538 | $10,476.33 | 125 |
| Myrbetriq | Mirabegron | 339 | 11,589 | $173,055.25 | 48 |
| Finasteride | Finasteride | 238 | 17,666 | $3,948.10 | 63 |
| Trospium Chloride | Trospium Chloride | 122 | 4,994 | $6,646.38 | 25 |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 81 | 4,904 | $1,786.82 | 21 |
| Solifenacin Succinate | Solifenacin Succinate | 65 | 4,078 | $2,006.29 | 18 |
| Doxycycline Hyclate | Doxycycline Hyclate | 54 | 2,027 | $742.85 | 18 |
| Gemtesa | Vibegron | 52 | 1,728 | $26,786.86 | โ |
| Amitriptyline Hcl | Amitriptyline Hcl | 41 | 1,935 | $274.03 | โ |
| Trimethoprim | Trimethoprim | 33 | 1,582 | $2,067.56 | โ |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 32 | 766 | $331.30 | 16 |
| Cephalexin | Cephalexin | 29 | 808 | $165.05 | 18 |
| Oxybutynin Chloride | Oxybutynin Chloride | 26 | 2,107 | $542.08 | โ |
| Methenamine Hippurate | Methenamine Hippurate | 26 | 1,136 | $1,374.61 | โ |
| Estradiol | Estradiol | 18 | 1,872 | $1,748.89 | 12 |
| Potassium Citrate Er | Potassium Citrate | 16 | 680 | $990.54 | โ |
| Silodosin | Silodosin | 16 | 720 | $829.69 | โ |
| Testosterone Cypionate | Testosterone Cypionate | 15 | 420 | $137.53 | โ |
| Fesoterodine Fumarate Er | Fesoterodine Fumarate | 15 | 690 | $1,348.46 | โ |
| Nitrofurantoin Mono-Macro | Nitrofurantoin Monohyd/M-Cryst | 14 | 375 | $333.00 | 11 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 13 | 1,170 | $345.07 | โ |
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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20031112000128
IA
0840103115
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
Allen Memorial Hospital Corporation
1717 W Ridgeway Ave, Waterloo, IA 507014543
Phone: 3192330340
Allen Memorial Hospital Corporation
1825 Logan Ave, Waterloo, IA 507031916
Phone: 3192353913
Allen Memorial Hospital Corporation
233 Vold Dr, Waterloo, IA 507031256
Phone: 31923550900
The Finley Hospital
1500 Delhi St, Dubuque, IA 520016319
Phone: 5635575971
Secondary Practice Locations
2413 W Ridgeway Ave
Waterloo, IA 507014306
Phone: 3192330340
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Urology
Urology
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner (Certified), Family Nurse Practitioner (Board Certified)
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Urology
Doctor of Medicine (M.D.)
Urology
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 1717 W RIDGEWAY AVE, WATERLOO, IA 50701 (Tel: 3192330340)
Registered at 1717 W RIDGEWAY AVE, WATERLOO, IA 507014543 (Tel: 3192330340)
NPI status registered as active in NPPES database
Registered at 2413 W RIDGEWAY AVE, WATERLOO, IA 507014306 (Tel: 3192330340)
Registered at 2413 W RIDGEWAY AVE, WATERLOO, IA 507014306 (Tel: 3192330340)
Recorded as MICHELLE NEPPLE, PAC
Physician Assistant (license number reported to NPPES: IA 1505)
NPI status registered as active in NPPES database
Registered at 200 HAWKINS DR, 3RCP, IOWA CITY, IA 522421009 (Tel: 3194672406)
Registered at 200 HAWKINS DR, 3 RCP, IOWA CITY, IA 522421009 (Tel: 3194672406)
Recorded as MICHELLE NEPPLE, PAC
Physician Assistant (license number reported to NPPES: IA 1505)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Waterloo
- Rebecca Chittenden, PA
- Linsey High, PA-C
- Mary Nading, PA-C
- Andrea Hansen, PA
- Carolyn Steenhoek, PA-C
- Jamie Foster, PA-C
Mailing Address
1717 W Ridgeway Ave
Waterloo, IA 507014543
Phone: 3192330340