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. 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
5K
Medicare Part D claims · 516 beneficiaries · Sports Medicine (Neuromusculoskeletal Medicine) Physician avg: 1K
Generic prescribing
62%
generic claims · 38% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
13.6517/100
▼ 69 pts below national avg 83.1 · [object Object]
Industry payments
$830.08
56 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: HEATHER PEIRCE, M.D. is a Sports Medicine (Neuromusculoskeletal Medicine) Physician ([object Object]) practicing in CUMBERLAND, Maryland with a Medicare Part D prescribing footprint of 5K claims across 516 beneficiaries — 38% brand-name prescribing . Their CMS MIPS Final Score of 13.6517/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $830.08 across 56 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: HEATHER PEIRCE, M.D. reported a CMS MIPS final score of 13.6517 out of 100, below the 83.1 national average, and filed 5,224 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

HEATHER PEIRCE, M.D. at a glance

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

13.6517/100 69.44829999999999% pts

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

Sports Medicine (Neuromusculoskeletal Medicine) Physician share within Maryland

1. Sports Medicine (Neuromusculoskeletal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Neuromusculoskeletal Medicine) Physician share within Maryland

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
13.6517/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Neuromusculoskeletal Medicine) Physician) — 13.6517/100 vs national avg 83.1

0%100%National avg83%13.7%
MIPS final score (Sports Medicine (Neuromusculoskeletal Medicine) Physician) — 13.6517/100 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).

HEATHER PEIRCE, M.D. is a Sports Medicine (Neuromusculoskeletal Medicine) Physician provider practicing in CUMBERLAND, Maryland, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1225043045. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PEIRCE 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 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 62% generic by claim count. 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 13.6517/100 for the 2023 performance year (Quality 0, Cost 45.5057), 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%
Specialty average (est.)

38% brand-name claims vs 62% 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 / 62% 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.

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 →

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 13.6517/100 (Quality: 0, Cost: 45.5057). 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 62% 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

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