Elizabeth Kirshner , NP
Nurse Practitioner • Romulus, MI
9650 Wayne Rd
Romulus, MI 481741551
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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Elizabeth Kirshner is listed in NPPES under Nurse Practitioner.
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NPI assigned on July 21, 2008; this date does not establish years in practice.
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Published CMS data list 29 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- 99214 — Established patient outpatient office visit: 29 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 3,099 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:
- Buprenorphine-Naloxone (Buprenorphine Hcl/Naloxone Hcl) — 1,814 prescription fills, including refills.
- Buprenorphine Hcl — 215 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 191 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 18 records in the table · Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,581 clinicians with data). Median for this group: 360. Middle half: 97 to 1,478.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 463 in 2019 to 29 in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019–2023.
Practice Location & Contact Primary Location
9650 Wayne Rd
Romulus, MI 481741551
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $2,441 in 2023
The total amount Medicare approved for these services in 2023. 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, 2023.
Paid by Medicare
About $1,838 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, 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, 2023.
30-day fills
3,254 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
$315,566 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 2021
All general payments: $171.50 across 3 records.
By nature of payment
- Food and Beverage: $171.50 across 3 records.
Reporting-company totals
- BIODELIVERY SCIENCES INTERNATIONAL, INC.: $76.42 across 1 record.
- Salix Pharmaceuticals, a division of Bausch Health US, LLC: $59.29 across 1 record.
- AbbVie Inc.: $35.79 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 2021 (published June 30, 2026).
NPI first issued
2008
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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)
Elizabeth Kirshner 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 Elizabeth Kirshner 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 Romulus and Michigan
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,581 clinicians with data). Median for this group: 360. Middle half: 97 to 1,478.
Too few clinicians listed under Nurse Practitioner in Romulus have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,581 clinicians with data). Median for this group: $24,697. Middle half: $1,472 to $176,540.
Too few clinicians listed under Nurse Practitioner in Romulus have Medicare Part D data for 2024 to compare.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Elizabeth Kirshner are from 2023.
2 active clinicians are listed under Nurse Practitioner with a practice address in Romulus, MI (3,576 in Michigan).
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 94% from 463 in 2019 to 29 in 2023.
- 2019: 463
- 2020: 341
- 2021: 332
- 2022: 75
- 2023: 29
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Medicare-allowed amount
Medicare-allowed amount decreased 94% from $38,221 in 2019 to $2,441 in 2023.
- 2019: $38,221
- 2020: $30,723
- 2021: $37,498
- 2022: $6,840
- 2023: $2,441
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Paid by Medicare
Paid by Medicare decreased 93% from $27,156 in 2019 to $1,838 in 2023.
- 2019: $27,156
- 2020: $22,636
- 2021: $27,640
- 2022: $3,341
- 2023: $1,838
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 23% from 2,522 in 2020 to 3,099 in 2024.
- 2020: 2,522
- 2021: 2,359
- 2022: 2,786
- 2023: 2,917
- 2024: 3,099
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30-day fills
30-day fills increased 22% from 2,664 in 2020 to 3,254 in 2024.
- 2020: 2,664
- 2021: 2,507
- 2022: 2,948
- 2023: 3,060
- 2024: 3,254
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Part D drug cost
Part D drug cost stayed about the same: $313,235 in 2020 and $315,566 in 2024.
- 2020: $313,235
- 2021: $280,177
- 2022: $338,064
- 2023: $332,700
- 2024: $315,566
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2021 only.
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2021), 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 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $171.50.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| BIODELIVERY SCIENCES INTERNATIONAL, INC. |
Food and Beverage
In-kind items and services
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BELBUCA | General | $76.42 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
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RELISTOR | General | $59.29 |
| AbbVie Inc. |
Food and Beverage
In-kind items and services
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UBRELVY | General | $35.79 |
Source: CMS Open Payments, program year 2021, 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 2016–2022 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, 2017–2023; 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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29 | 24 | $200.00 | $84.17 |
Source: CMS Part B by Provider and Service, 2023; 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 |
|---|---|---|---|---|---|
| Buprenorphine-Naloxone | Buprenorphine Hcl/Naloxone Hcl | 1,814 | 55,320 | $201,754.50 | 265 |
| Buprenorphine Hcl | Buprenorphine Hcl | 215 | 6,206 | $8,383.73 | 33 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 191 | 5,662 | $3,920.59 | 47 |
| Gabapentin | Gabapentin | 160 | 5,104 | $1,860.35 | 26 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 149 | 4,340 | $478.84 | 36 |
| Buprenorphine | Buprenorphine | 136 | 3,784 | $33,659.24 | 33 |
| Trazodone Hcl | Trazodone Hcl | 113 | 4,080 | $370.00 | 20 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 70 | 1,994 | $642.44 | 11 |
| Suboxone | Buprenorphine Hcl/Naloxone Hcl | 54 | 1,702 | $21,797.82 | — |
| Zubsolv | Buprenorphine Hcl/Naloxone Hcl | 44 | 1,315 | $17,136.90 | — |
| Phenobarbital | Phenobarbital | 30 | 756 | $382.65 | — |
| Tramadol Hcl | Tramadol Hcl | 25 | 587 | $324.18 | — |
| Pregabalin | Pregabalin | 25 | 810 | $485.07 | — |
| Belbuca | Buprenorphine Hcl | 23 | 665 | $20,640.86 | — |
| Fentanyl | Fentanyl | 15 | 450 | $774.14 | — |
| Methadone Hcl | Methadone Hcl | 12 | 337 | $152.78 | — |
| Varenicline Tartrate | Varenicline Tartrate | 12 | 348 | $2,694.98 | — |
| Morphine Sulfate Er | Morphine Sulfate | 11 | 330 | $107.03 | — |
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: 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
I20040526000380
MI
4688655657
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History
NPI enumerated July 21, 2008.
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
Mailing Address
9650 Wayne Rd
Romulus, MI 481741551
Phone: 7349411400