2026 NPPES data Surgical Assistant NPI 1184285207 NP-C
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AMANDA GIARDINA, NP-C

Surgical Assistant in SAN ANTONIO, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
188
Medicare Part D claims · 74 beneficiaries · Surgical Assistant avg: 936
MIPS score
49.6335/100
▼ 33 pts below national avg 83.1 · [object Object]
Industry payments
$305.26
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

AMANDA GIARDINA, NP-C reported a CMS MIPS final score of 49.6335/100 — below the 83.1 national average — and filed 188 Medicare Part D claims in 2023.

49.6335/100
MIPS score · -33 vs avg
188
Part D claims, 2023
$305.26
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

AMANDA GIARDINA, NP-C's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

50 4th percentile higher than 4% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). This entry sits in this band. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about AMANDA GIARDINA, NP-C?

Below national average

NPI registry status

Active

Issued 06/28/2019

NPI 1184285207

Primary specialty

Surgical Assistant

Niche

4,505 US NPIs in this specialty

Medicare Part D claims

188 80% vs specialty avg

2023 prescription claims

Specialty avg: 936

MIPS final score

49.6335/100 33.466499999999996% pts

Below average band

vs 83.1 national avg

Specialty distribution in Texas

How Surgical Assistant compares to other specialties among Texas providers

Texas providers

Surgical Assistant share within Texas

1. Surgical Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgical Assistant share within Texas

Medicare quality performance — MIPS

AMANDA GIARDINA, NP-C's 2023 MIPS final score plotted against the Surgical Assistant national average

Below national average
MIPS Final Score
49.6335/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgical Assistant) — 49.6335/100 vs national avg 83.1

0%100%National avg83%49.6%
MIPS final score (Surgical Assistant) — 49.6335/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

AMANDA GIARDINA, NP-C appears in the CMS NPPES registry as a Surgical Assistant provider holding NP-C credentials at 4450 MEDICAL DR, SAN ANTONIO, TX, 78229, with a listed phone of (210) 575-3817. NPI 1184285207 was issued on 06/28/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GIARDINA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 188 prescription claims written by this provider, covering 74 Medicare beneficiaries and totaling roughly $1K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 49.6335/100 for the 2023 performance year (Quality 73.2904, Cost 42.1545), compared with the national average of 83.1.

Surgical Assistant is a narrow specialty nationwide, with 4,505 enrolled providers across 52 states and an average of 936 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

4450 MEDICAL DR
SAN ANTONIO, TX 78229

Provider Details

NPI 1184285207
Specialty Surgical Assistant
Credentials NP-C
Gender Female
NPI Issued 06/28/2019

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

49.6335
Final Score
Avg: 83.1
73.2904
Quality
42.1545
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where AMANDA GIARDINA, NP-C bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

METHODIST PHYSICIAN PRACTICES PLLC
SAN ANTONIO, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for AMANDA GIARDINA, NP-C. Source: openpaymentsdata.cms.gov.

Total received

$305

Largest payer

Inspire Medical Systems, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to AMANDA GIARDINA, NP-C. To verify AMANDA GIARDINA, NP-C's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

188
Total Claims
$1K
Total Drug Cost
74
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
199
Total Day Supply
5,088
Brand Drug Cost
$0
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
1.33
Gender Split
54% female / 46% male
Age Distribution
<65: 17, 65-74: 42, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What AMANDA GIARDINA, NP-C prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Meloxicam
100
Methylprednisolone
29
Tizanidine Hcl
29

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Surgical Assistant Overview

How AMANDA GIARDINA, NP-C fits within the Surgical Assistant landscape nationally.

4,505
Surgical Assistant Providers in US
52
States with Surgical Assistant
936
Avg Claims per Provider

AMANDA GIARDINA, NP-C's 188 claims are below the specialty average of 936.

Nearby Surgical Assistant Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as GIARDINA.

Compare Surgical Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is AMANDA GIARDINA, NP-C's specialty?
AMANDA GIARDINA, NP-C specializes in Surgical Assistant and practices in SAN ANTONIO, Texas. Credentials: NP-C.
How much does AMANDA GIARDINA, NP-C prescribe under Medicare Part D?
In 2023, AMANDA GIARDINA, NP-C wrote 188 Medicare Part D claims totaling $1K in drug costs for 74 beneficiaries.
What is AMANDA GIARDINA, NP-C's Medicare quality score?
AMANDA GIARDINA, NP-C has a CMS MIPS Final Score of 49.6335/100 (Quality: 73.2904, Cost: 42.1545). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is AMANDA GIARDINA, NP-C located?
AMANDA GIARDINA, NP-C is located at 4450 MEDICAL DR, SAN ANTONIO, TX, 78229. Phone: (210) 575-3817.
What is AMANDA GIARDINA, NP-C's NPI number?
AMANDA GIARDINA, NP-C's National Provider Identifier (NPI) is 1184285207, issued on 06/28/2019.
How many Surgical Assistant providers are there in the US?
There are 4,505 Surgical Assistant providers across 52 states in the US. The average Surgical Assistant provider writes 936 Medicare Part D claims per year.
What drugs does AMANDA GIARDINA, NP-C prescribe most often?
Based on 2023 Medicare Part D data, AMANDA GIARDINA, NP-C's most frequently prescribed drugs include Meloxicam, Methylprednisolone, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does AMANDA GIARDINA, NP-C accept Medicare?
AMANDA GIARDINA, NP-C appears in CMS Medicare data with 188 Part D claims and 74 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify AMANDA GIARDINA, NP-C's credentials?
AMANDA GIARDINA, NP-C's NPI is 1184285207 with credentials NP-C. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology