PROVIDER PROFILE · NPI 1861460289

Debra GrinerFNP-C

Nurse PractitionerCasper, WYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,707

Unique beneficiaries

—

Total services

41,490

Distinct HCPCS

Medicare payment

$524K

Peer benchmark

Total Medicare services vs. 376 Nurse Practitioner providers in WY — top quintile (cohort median 392).

PRESCRIBING · PART D · 2024

Total Rx claims

687

Beneficiaries

—

Total drug cost

$457K

Distinct drugs

Brand share

19.7%

Top prescribed drugs

Tamoxifen Citrate109 claims

Potassium Chloride88 claims

Anastrozole84 claims

Warfarin Sodium42 claims

Acyclovir38 claims

QUALITY · MIPS · 2024

Final MIPS score

96.7

Quality

88.2

Cost

0.0

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.91%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

106

By payment type

Food and Beverage$2K

Education$102

REFERRAL NETWORK

Where Debra Griner's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 7 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
WYOMING MEDICAL CENTER INC	38	74
Rafael Perez Pulmonary Disease · Waco, TX	21	23
WITZELING, TODD	16	19
Oleg Ivanov Cardiology · Casper, WY	14	38
Allan Wicks Cardiology · Casper, WY	14	24
Seth Iverson Diagnostic Radiology · Jamestown, NY	13	27
Michael Flaherty Diagnostic Radiology · Mchenry, IL	13	24

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history