2026 NPPES data Sports Medicine (Neuromusculoskeletal Medicine) Physician NPI 1225043045 M.D.
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Heather Peirce, M.D.

Sports Medicine (Neuromusculoskeletal Medicine) Physician in Cumberland, Maryland.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 552 in Sports Medicine (Neuromusculoskeletal Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
5K
Medicare Part D claims · 516 beneficiaries · Sports Medicine (Neuromusculoskeletal Medicine) Physician avg: 1K
Generic prescribing
58%
generic claims · 38% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
13.7/100
▼ 69 pts below national avg 83.1 · Penalty band
Industry payments
$830.08
56 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Heather Peirce, M.D. reported a CMS MIPS final score of 13.7/100 - below the 83.1 national average - and filed 5,224 Medicare Part D claims in 2023.

13.7/100
MIPS score · -69 vs avg
5K
Part D claims, 2023
58%
generic prescribing
Likely
board-certified (heuristic)

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.

Heather Peirce, M.D.'s MIPS score vs every scored U.S. clinician

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

14 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). This entry sits in this band. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 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+: 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

Where Heather Peirce, M.D. sits

This provider among sports medicine (neuromusculoskeletal medicine) physician peers

Across the 62 sports medicine (neuromusculoskeletal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Heather Peirce, M.D. writes more Part D claims than 90% of them and scores higher on MIPS quality than 10% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 75Heather Peirce, M.D.-Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 10
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one sports medicine (neuromusculoskeletal medicine) physician peer from a representative sample of 60; the gold marker is Heather Peirce, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Heather Peirce, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Heather Peirce, M.D.?

Below national average

NPI registry status

Active

Issued 07/30/2006

NPI 1225043045

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) Physician

Niche

552 US NPIs in this specialty

Medicare Part D claims

5,224 369% vs specialty avg

2023 prescription claims

Specialty avg: 1,113

MIPS final score

13.7/100 69.4 pts vs avg

Penalty band band

vs 83.1 national avg

Specialty distribution in Maryland

How Sports Medicine (Neuromusculoskeletal Medicine) Physician compares to other specialties among Maryland providers

Maryland providers
Behavior Technician - 14.1%Behavior Technician14.1%Clinical Social Worker - 5.5%Clinical Social Worker5.5%Student in an Organized Health Care Education/Training Program - 4.5%Student in an Organized Health Care Education/Training Program4.5%Home Health Aide - 4.4%Home Health Aide4.4%Physical Therapist - 3.9%Physical Therapist3.9%Pharmacist - 3.6%Pharmacist3.6%Sports Medicine (Neuromusculoskeletal Medicine) Physician - 0%Sports Medicine (Neuromusculoskeletal Medicine) Physician0%
Largest specialties in Maryland (% of in-state providers)

Medicare quality performance, MIPS

Heather Peirce, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Neuromusculoskeletal Medicine) Physician national average

Below national average
MIPS Final Score
13.7/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Neuromusculoskeletal Medicine) Physician) - 13.7/100 vs national avg 83.1

0%100%National avg83%13.7%
MIPS final score (Sports Medicine (Neuromusculoskeletal Medicine) Physician) - 13.7/100 vs national avg 83.1
How MIPS and board certification work

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).

Heather Peirce, M.D. appears in the CMS NPPES registry as a Sports Medicine (Neuromusculoskeletal Medicine) Physician provider holding M.D. credentials at 220 BALTIMORE AVE, Cumberland, MD, 21502, with a listed phone of (301) 724-4050. NPI 1225043045 was issued on 07/30/2006.

Medicare Part D records for calendar year 2023 show 5,224 prescription claims written by this provider, covering 516 Medicare beneficiaries and totaling roughly $1.9 million in drug spend, split 38% brand-name and 58% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 13.7/100 for the 2023 performance year (Quality 0, Cost 45.5), compared with the national average of 83.1.

Sports Medicine (Neuromusculoskeletal Medicine) Physician is a narrow specialty nationwide, with 552 enrolled providers across 51 states and an average of 1,113 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

220 BALTIMORE AVE
Cumberland, MD 21502

Provider Details

NPI 1225043045
Specialty Sports Medicine (Neuromusculoskeletal Medicine) Physician
Credentials M.D.
Gender Female
NPI Issued 07/30/2006

CMS Quality Score (MIPS)

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

13.6517
Final Score
Avg: 83.1
0
Quality
45.5057
Cost

Reporting: Individual

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 Heather Peirce, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$830

Largest payer

ABBVIE 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.

Brand vs generic prescribing mix · Above average

Heather Peirce, M.D. - brand share 38.0%
Sports Medicine (Neuromusculoskeletal Medicine) Physician average

38% brand-name claims vs 58% generic, on 5,224 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

5,224
Total Claims
$1.9M
Total Drug Cost
516
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13,341
Total Day Supply
396,734
Brand vs Generic
38% brand / 58% generic
Brand Drug Cost
$1.8M
Generic Drug Cost
$85K
Antibiotic Claims
31

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
1.28
Gender Split
71% female / 29% male
Age Distribution
<65: 46, 65-74: 222, 75-84: 195, 85+: 53

Top Prescribed Drugs (Medicare Part D)

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

What Heather Peirce, M.D. 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
Levothyroxine Sodium
1,059
Synthroid
Levothyroxine Sodium
717
Metformin Hcl
212
Liothyronine Sodium
178
Atorvastatin Calcium
132
Trulicity
Dulaglutide
130
Pravastatin Sodium
115
Glimepiride
105
Ozempic
Semaglutide
99
Potassium Chloride
87

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

Sports Medicine (Neuromusculoskeletal Medicine) Physician Overview

How Heather Peirce, M.D. fits within the Sports Medicine (Neuromusculoskeletal Medicine) Physician landscape nationally.

552
Sports Medicine (Neuromusculoskeletal Medicine) Physician Providers in US
51
States with Sports Medicine (Neuromusculoskeletal Medicine) Physician
1,113
Avg Claims per Provider

Heather Peirce, M.D.'s 5,224 claims are above the specialty average of 1,113.

Nearby Sports Medicine (Neuromusculoskeletal Medicine) Physician Providers in Maryland

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

Compare Sports Medicine (Neuromusculoskeletal Medicine) Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Maryland medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Sports Medicine (Neuromusculoskeletal Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Heather Peirce, M.D.'s specialty?
Heather Peirce, M.D. specializes in Sports Medicine (Neuromusculoskeletal Medicine) Physician and practices in Cumberland, Maryland. Credentials: M.D..
How much does Heather Peirce, M.D. prescribe under Medicare Part D?
In 2023, Heather Peirce, M.D. wrote 5,224 Medicare Part D claims totaling $1.9M in drug costs for 516 beneficiaries.
What is Heather Peirce, M.D.'s Medicare quality score?
Heather Peirce, M.D. has a CMS MIPS Final Score of 13.7/100 (Quality: 0, Cost: 45.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Heather Peirce, M.D. located?
Heather Peirce, M.D. is located at 220 BALTIMORE AVE, Cumberland, MD, 21502. Phone: (301) 724-4050.
What is Heather Peirce, M.D.'s NPI number?
Heather Peirce, M.D.'s National Provider Identifier (NPI) is 1225043045, issued on 07/30/2006.
Does Heather Peirce, M.D. prescribe more brand-name or generic drugs?
Heather Peirce, M.D.'s prescribing is 38% brand-name and 58% generic drugs by claim count, with $1.8M in brand drug costs.
How many Sports Medicine (Neuromusculoskeletal Medicine) Physician providers are there in the US?
There are 552 Sports Medicine (Neuromusculoskeletal Medicine) Physician providers across 51 states in the US. The average Sports Medicine (Neuromusculoskeletal Medicine) Physician provider writes 1,113 Medicare Part D claims per year.
What drugs does Heather Peirce, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Heather Peirce, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Synthroid, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Heather Peirce, M.D. accept Medicare?
Heather Peirce, M.D. appears in CMS Medicare data with 5,224 Part D claims and 516 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Heather Peirce, M.D.'s credentials?
Heather Peirce, M.D.'s NPI is 1225043045 with credentials M.D.. 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

View source datasets and methodology notes
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

Compiled from official public sources by the PlainDoctor editorial team.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.