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Miranda R Dethier , PA-C

Physician Assistant • Menomonee Falls, WI

Active NPI 1760770960 Individual Practitioner Female Practitioner
Practice location in NPPES

W165n5595 Creekwood Xing
Menomonee Falls, WI 530510685

Call 2622521050 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

W165n5595 Creekwood Xing

Menomonee Falls, WI 530510685

Telephone 2622521050
Fax 2625254781
Organization at the Same NPPES Address or Phone
Prohealth Medical Group Inc Facility NPI 1912290909

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare-allowed amount

About $13,384 in 2018

The total amount Medicare approved for these services in 2018. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

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, 2018.

Paid by Medicare

About $8,498 in 2018

The part of the Medicare-allowed amount that Medicare itself paid in 2018, after patients' deductibles and coinsurance.

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, 2018.

30-day fills

6,283 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

$225,044 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2011

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?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Miranda Dethier 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Miranda Dethier 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Menomonee Falls and Wisconsin

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Menomonee Falls, WI (2024, 26 clinicians with data). Median for this group: 198. Middle half: 61 to 1,159.

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Wisconsin (2024, 2,083 clinicians with data). Median for this group: 195. Middle half: 67 to 674.

Part D drug cost

A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Menomonee Falls, WI (2024, 26 clinicians with data). Median for this group: $7,581. Middle half: $747 to $89,050.

A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Wisconsin (2024, 2,083 clinicians with data). Median for this group: $2,439. Middle half: $549 to $63,260.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Miranda Dethier are from 2018.

42 active clinicians are listed under Physician Assistant with a practice address in Menomonee Falls, WI (3,476 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Menomonee Falls

16.7% of these 42 clinicians have the CMS telehealth indicator.

69% of these 42 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2018.

CMS Part B · Data Year 2018
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2017 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, 2017–2018; 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
165 101 $160.05 $64.28
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
64 51 $95.47 $41.70
71046 X-ray of chest, 2 views
12 12 $86.67 $9.05

Source: CMS Part B by Provider and Service, 2018; 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.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 405 25,976 $3,483.53 106
Levothyroxine Sodium Levothyroxine Sodium 244 15,042 $2,114.94 56
Omeprazole Omeprazole 175 9,909 $2,437.68 48
Alendronate Sodium Alendronate Sodium 151 9,664 $1,123.20 39
Lisinopril Lisinopril 145 10,061 $1,072.40 48
Losartan Potassium Losartan Potassium 106 8,324 $1,132.08 34
Sertraline Hcl Sertraline Hcl 102 5,051 $736.45 20
Amlodipine Besylate Amlodipine Besylate 93 6,110 $625.78 30
Simvastatin Simvastatin 86 7,122 $1,044.76 28
Metoprolol Succinate Metoprolol Succinate 86 5,054 $1,116.28 24
Gabapentin Gabapentin 77 2,974 $657.91 17
Furosemide Furosemide 75 3,727 $495.53 20
Metformin Hcl Er Metformin Hcl 75 3,789 $956.71 20
Metformin Hcl Metformin Hcl 70 4,043 $618.99 20
Warfarin Sodium Warfarin Sodium 63 3,378 $581.82 —
Potassium Chloride Potassium Chloride 59 2,793 $1,180.18 13
Metoprolol Tartrate Metoprolol Tartrate 56 2,333 $378.93 —
Albuterol Sulfate Hfa Albuterol Sulfate 50 1,561 $1,226.80 17
Famotidine Famotidine 48 2,710 $840.44 12
Hydrochlorothiazide Hydrochlorothiazide 47 3,674 $193.02 15
Rosuvastatin Calcium Rosuvastatin Calcium 46 2,795 $861.01 14
Fluticasone Propionate Fluticasone Propionate 43 1,860 $1,047.34 13
Eliquis Apixaban 41 1,782 $35,470.34 —
Pantoprazole Sodium Pantoprazole Sodium 40 2,397 $640.02 —
Benazepril Hcl Benazepril Hcl 38 2,662 $725.70 11

(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: 2026-06-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WI 2758-23

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1760770960 (WI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20110811000731

Enrollment State Jurisdiction

WI

PECOS Control ID

3779752548

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Abigail Davis , DNP

Nurse Practitioner

NPI 1225559321

Doctor of Nursing Practice

Emily Jeska , FNP-BC

Nurse Practitioner - Family

NPI 1861026494

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
📍
Updated Practice Location June 23, 2026

Registered at W165N5595 CREEKWOOD XING, MENOMONEE FALLS, WI 530510685 (Tel: 2622521050)

📍
Updated Business Mailing Address June 23, 2026

Registered at 470 E RED PINE CIR, DOUSMAN, WI 531188828 (Tel: 6089218334)

âś…
NPI Profile Active May 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2017

Registered at 840 W RACINE ST, JEFFERSON, WI 535491053 (Tel: 9206746000)

📍
Updated Business Mailing Address May 03, 2017

Registered at PO BOX 249, FORT ATKINSON, WI 535380249 (Tel: 9205685411)

👤
Provider Name / Credentials Updated May 03, 2017

Recorded as MIRANDA DETHIER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2017

Physician Assistant (license number reported to NPPES: WI 2758-23)

âś…
NPI Profile Active January 29, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) January 29, 2016

Registered at 1155 N MAYFAIR RD, TOSA WALK-IN CLINIC, MILWAUKEE, WI 532263462 (Tel: 4149557299)

📍
Business Mailing Address (Initial Record) January 29, 2016

Registered at 1155 N MAYFAIR RD, TOSA WALK-IN CLINIC, MILWAUKEE, WI 532263462 (Tel: 4149557299)

👤
Provider Name / Credentials (Initial Record) January 29, 2016

Recorded as MIRANDA DETHIER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2016

Physician Assistant (license number reported to NPPES: WI 2758-23)

🟢
Initial NPI Registration & Enumeration July 21, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760770960
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2011
Last Update: June 23, 2026
Sole Proprietor: No

Other Physician Assistants in Menomonee Falls

All Physician Assistants in Menomonee Falls

Mailing Address

470 E Red Pine Cir

Dousman, WI 531188828

Phone: 6089218334

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.