NPI registry status
Active
2026 NPPES data Sports Medicine (Neuromusculoskeletal Medicine) Physician NPI 1225043045 M.D.
Verify on CMS → 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 545 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 · 476 beneficiaries · Sports Medicine (Neuromusculoskeletal Medicine) Physician avg: 1K
Generic prescribing
59%
generic claims · 37% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
13.7/100
▼ 70 pts below national avg 83.5 · Penalty band
Industry payments
$830.08
56 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Heather Peirce, M.D. reported a CMS MIPS final score of 13.7/100 - below the 83.5 national average - and filed 4,765 Medicare Part D claims in 2024.
- 13.7/100
- MIPS score · -70 vs avg
- 5K
- Part D claims, 2024
- 59%
- 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.
Federal trust snapshot
What official records show about Heather Peirce, M.D.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1225043045), first enumerated 07/30/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 4,765 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 13.7/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Industry payment transparency
$830.08 in reported industry payments (56 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1225043045 · Sports Medicine (Neuromusculoskeletal Medicine) Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-LOW · RX-MID · BOOK-THIN · NEAR-MIPS
- NPI-10 1225043045
- ENUM-LEGACY 2006
- TAX-NARROW 545
- MIPS-LOW 13.7/100
- RX-MID 4,765
- BOOK-THIN 12 in Maryland
- NEAR-MIPS Leonardo Mendoza, MD · 9.5
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- John Anigbogu, M… 0
John Anigbogu, M.D.
0 MIPS pts
- Baptiste Marino,… 0
Baptiste Marino, MD
0 MIPS pts
- Peirce · this pr…
Peirce · this provider
13.7 MIPS pts
- Leonardo Mendoza…
Leonardo Mendoza, MD
23.2 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Heather Peirce, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
14 ≥ 2nd percentile 2% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
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 44 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 93% of them and scores higher on MIPS quality than 14% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one sports medicine (neuromusculoskeletal medicine) physician peer from a representative sample of 43; 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 averagePrimary specialty
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Medicare Part D claims
4,765 305% vs specialty avg
MIPS final score
13.7/100 69.8 pts vs avg
Specialty distribution in Maryland
How Sports Medicine (Neuromusculoskeletal Medicine) Physician compares to other specialties among Maryland providers
Medicare quality performance, MIPS
Heather Peirce, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Neuromusculoskeletal Medicine) Physician national average
- MIPS Final Score
- 13.7/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
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
Measured-score avg: 83.5
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 37.0%
Sports Medicine (Neuromusculoskeletal Medicine) Physician average
37% brand-name claims vs 59% generic, on 4,765 2024 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 2024.
4,765
Total Claims
$1.4M
Total Drug Cost
476
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 12,333.3
- Total Day Supply
- 368,184
- Brand vs Generic
- 37% brand / 59% generic
- Brand Drug Cost
- $1.3M
- Generic Drug Cost
- $65K
- Antibiotic Claims
- 23
Patient Demographics
- Average Patient Age
- 74.1 years
- Avg HCC Risk Score
- 1.25
- Gender Split
- 72% female / 28% male
- Age Distribution
- <65: 39, 65-74: 199, 75-84: 192, 85+: 46
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Heather Peirce, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Levothyroxine Sodium
Levothyroxine Sodium
994 claims
- Synthroid
Synthroid
652 claims
- Liothyronine Sodium 199
Liothyronine Sodium
199 claims
- Metformin Hcl 168
Metformin Hcl
168 claims
- Ozempic 156
Ozempic
156 claims
- Atorvastatin Calcium 130
Atorvastatin Calcium
130 claims
- Trulicity 125
Trulicity
125 claims
- Pravastatin Sodium 119
Pravastatin Sodium
119 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 994 |
| Synthroid Levothyroxine Sodium | 652 |
| Liothyronine Sodium | 199 |
| Metformin Hcl | 168 |
| Ozempic Semaglutide | 156 |
| Atorvastatin Calcium | 130 |
| Trulicity Dulaglutide | 125 |
| Pravastatin Sodium | 119 |
| Jardiance Empagliflozin | 112 |
| Glimepiride | 90 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Neuromusculoskeletal Medicine) Physician in MD →
All providers in Maryland →
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Sports Medicine (Neuromusculoskeletal Medicine) Physician Overview
How Heather Peirce, M.D. fits within the Sports Medicine (Neuromusculoskeletal Medicine) Physician landscape nationally.
545
Sports Medicine (Neuromusculoskeletal Medicine) Physician Providers in US
51
States with Sports Medicine (Neuromusculoskeletal Medicine) Physician
1,177
Avg Claims per Provider
Heather Peirce, M.D.'s 4,765 claims are above the specialty average of 1,177.
Nationwide Sports Medicine (Neuromusculoskeletal Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Peirce, both outside Maryland so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (13.7 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 12 Sports Medicine (Neuromusculoskeletal Medicine) Physician providers enrolled in Maryland, 5 are shown here.
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 2024, Heather Peirce, M.D. wrote 4,765 Medicare Part D claims totaling $1.4M in drug costs for 476 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 average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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 37% brand-name and 59% generic drugs by claim count, with $1.3M in brand drug costs.
How many Sports Medicine (Neuromusculoskeletal Medicine) Physician providers are there in the US? ▼
There are 545 Sports Medicine (Neuromusculoskeletal Medicine) Physician providers across 51 states in the US. The average Sports Medicine (Neuromusculoskeletal Medicine) Physician provider writes 1,177 Medicare Part D claims per year.
What drugs does Heather Peirce, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Heather Peirce, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Synthroid, Liothyronine Sodium. 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 4,765 Part D claims and 476 Medicare beneficiaries in 2024. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.