What is Debra Griner's specialty?

Debra Griner (NPI 1861460289) is a Medicare-billing provider whose primary specialty is Nurse Practitioner in Casper, WY.

Where does Debra Griner practice?

Debra Griner practices in Casper, WY, based on the location reported in the CMS Medicare provider datasets for NPI 1861460289.

How much does Medicare pay Debra Griner?

Debra Griner (NPI 1861460289) received approximately $2.2M in total Medicare Part B payments, serving 642 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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 · 2025

Total received

$2K

Payment records

By payment type

Food and Beverage$2K

Education$99

Top paying entities

Food and Beverage$2K

Education$99

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

Healthparse Signals

Monitor this provider for changes — dated NPI change events