2026 NPPES data Nuclear Cardiology Physician NPI 1497715023 MD, FACC
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LORIANNA FLETCHER, MD, FACC

Nuclear Cardiology Physician in SAN LUIS OBISPO, California. 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
8K
Medicare Part D claims · 1K beneficiaries · Nuclear Cardiology Physician avg: 4K
MIPS score
83.0057/100
▼ 0 pts below national avg 83.1 · [object Object]

What the federal data shows

LORIANNA FLETCHER, MD, FACC reported a CMS MIPS final score of 83.0057/100 — below the 83.1 national average — and filed 8,026 Medicare Part D claims in 2023.

83.0057/100
MIPS score · 0 vs avg
8K
Part D claims, 2023
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.

LORIANNA FLETCHER, MD, FACC's MIPS score vs every scored U.S. clinician

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

83 42nd percentile higher than 42% 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%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

LORIANNA FLETCHER, MD, FACC practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 LORIANNA FLETCHER, MD, FACC?

Near national average

NPI registry status

Active

Issued 03/27/2006

NPI 1497715023

Primary specialty

Nuclear Cardiology Physician

Rare

374 US NPIs in this specialty

Medicare Part D claims

8,026 100% vs specialty avg

2023 prescription claims

Specialty avg: 4,019

MIPS final score

83.0057/100 0.09429999999998984% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Nuclear Cardiology Physician compares to other specialties among California providers

California providers

Nuclear Cardiology Physician share within California

1. Nuclear Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nuclear Cardiology Physician share within California

Medicare quality performance — MIPS

LORIANNA FLETCHER, MD, FACC's 2023 MIPS final score plotted against the Nuclear Cardiology Physician national average

Near national average
MIPS Final Score
83.0057/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nuclear Cardiology Physician) — 83.0057/100 vs national avg 83.1

0%100%National avg83%83%
MIPS final score (Nuclear Cardiology Physician) — 83.0057/100 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).

LORIANNA FLETCHER, MD, FACC appears in the CMS NPPES registry as a Nuclear Cardiology Physician provider holding MD, FACC credentials at 1941 JOHNSON AVE, SAN LUIS OBISPO, CA, 93401, with a listed phone of (805) 782-8844. NPI 1497715023 was issued on 03/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FLETCHER 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 8,026 prescription claims written by this provider, covering 1,003 Medicare beneficiaries and totaling roughly $1.7 million 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 83.0057/100 for the 2023 performance year (Quality 79.7403, Cost 64.4453), compared with the national average of 83.1.

Nuclear Cardiology Physician is a narrow specialty nationwide, with 374 enrolled providers across 37 states and an average of 4,019 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

1941 JOHNSON AVE
SAN LUIS OBISPO, CA 93401

Provider Details

NPI 1497715023
Specialty Nuclear Cardiology Physician
Credentials MD, FACC
Gender Female
NPI Issued 03/27/2006

CMS Quality Score (MIPS)

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

83.0057
Final Score
Avg: 83.1
79.7403
Quality
64.4453
Cost
99
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where LORIANNA FLETCHER, MD, FACC 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.

PACIFIC CENTRAL COAST HEALTH CENTERS
SAN LUIS OBISPO, CA

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

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to LORIANNA FLETCHER, MD, FACC. To verify LORIANNA FLETCHER, MD, FACC's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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.

8,026
Total Claims
$1.7M
Total Drug Cost
1,003
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
21,707
Total Day Supply
649,770
Generic Drug Cost
$167K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
77.5 years
Avg HCC Risk Score
1.22
Gender Split
53% female / 47% male
Age Distribution
<65: 11, 65-74: 368, 75-84: 428, 85+: 196

Top Prescribed Drugs (Medicare Part D)

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

What LORIANNA FLETCHER, MD, FACC 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
Metoprolol Succinate
1,110
Atorvastatin Calcium
916
Eliquis
Apixaban
618
Amlodipine Besylate
582
Losartan Potassium
493
Rosuvastatin Calcium
327
Lisinopril
311
Carvedilol
300
Hydrochlorothiazide
234
Xarelto
Rivaroxaban
203

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

Nuclear Cardiology Physician Overview

How LORIANNA FLETCHER, MD, FACC fits within the Nuclear Cardiology Physician landscape nationally.

374
Nuclear Cardiology Physician Providers in US
37
States with Nuclear Cardiology Physician
4,019
Avg Claims per Provider

LORIANNA FLETCHER, MD, FACC's 8,026 claims are above the specialty average of 4,019.

Nearby Nuclear Cardiology Physician Providers in California

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

Compare Nuclear Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LORIANNA FLETCHER, MD, FACC's specialty?
LORIANNA FLETCHER, MD, FACC specializes in Nuclear Cardiology Physician and practices in SAN LUIS OBISPO, California. Credentials: MD, FACC.
How much does LORIANNA FLETCHER, MD, FACC prescribe under Medicare Part D?
In 2023, LORIANNA FLETCHER, MD, FACC wrote 8,026 Medicare Part D claims totaling $1.7M in drug costs for 1,003 beneficiaries.
What is LORIANNA FLETCHER, MD, FACC's Medicare quality score?
LORIANNA FLETCHER, MD, FACC has a CMS MIPS Final Score of 83.0057/100 (Quality: 79.7403, Cost: 64.4453). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LORIANNA FLETCHER, MD, FACC located?
LORIANNA FLETCHER, MD, FACC is located at 1941 JOHNSON AVE, SAN LUIS OBISPO, CA, 93401. Phone: (805) 782-8844.
What is LORIANNA FLETCHER, MD, FACC's NPI number?
LORIANNA FLETCHER, MD, FACC's National Provider Identifier (NPI) is 1497715023, issued on 03/27/2006.
How many Nuclear Cardiology Physician providers are there in the US?
There are 374 Nuclear Cardiology Physician providers across 37 states in the US. The average Nuclear Cardiology Physician provider writes 4,019 Medicare Part D claims per year.
What drugs does LORIANNA FLETCHER, MD, FACC prescribe most often?
Based on 2023 Medicare Part D data, LORIANNA FLETCHER, MD, FACC's most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LORIANNA FLETCHER, MD, FACC accept Medicare?
LORIANNA FLETCHER, MD, FACC appears in CMS Medicare data with 8,026 Part D claims and 1,003 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LORIANNA FLETCHER, MD, FACC's credentials?
LORIANNA FLETCHER, MD, FACC's NPI is 1497715023 with credentials MD, FACC. 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