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Compare the published Medicare service mix of Megan Franklin Pirowski, RN, NP with clinicians in the same registry specialty: Nurse Practitioner (CMS).

VA · Exact areaEdit location

2024 published service data · 444 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Teresa K Thompson, NP

Specialty details in registry · Newport News, VA

Shared published services
2 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
76%Service-mix similarityView profile →

Brandi Nicole Maddigan, ACNP

Nurse Practitioner (CMS) · Roanoke, VA

Shared published services
2 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
76%Service-mix similarityView profile →

Jennifer Engelhorn

Nurse Practitioner (CMS) · Newport News, VA

Shared published services
2 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
75%Service-mix similarityView profile →

Jane Ivers Abernathie, ACNPC-AG

Nurse Practitioner (CMS) · Richmond, VA

Shared published services
2 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Critical care, first 30-74 minutes (99291)
73%Service-mix similarityView profile →

Julie A. Grishaw, ACNP

Nurse Practitioner (CMS) · Charlottesville, VA

Shared published services
2 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Critical care, first 30-74 minutes (99291)
70%Service-mix similarityView profile →

Amy Stutts Martin, N.P.

Nurse Practitioner (CMS) · Roanoke, VA

Shared published services
3 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Critical care, first 30-74 minutes (99291)
  • Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes (99221)
67%Service-mix similarityView profile →

Sharmaine Michele Mccoy, ACNP

Nurse Practitioner (CMS) · Falls Church, VA

Shared published services
2 shared services · view billing descriptions
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
  • Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes (99221)
57%Service-mix similarityView profile →

Gil Christopher Rubia, NP

Nurse Practitioner (CMS) · Richmond, VA

Shared published services
2 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
  • Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)
56%Service-mix similarityView profile →

Amber Autry Stark, NP

Nurse Practitioner (CMS) · Fredericksburg, VA

Shared published services
1 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
55%Service-mix similarityView profile →

Jacqueline Laraway, ACNP-BC

Nurse Practitioner (CMS) · Marion, VA

Shared published services
1 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
55%Service-mix similarityView profile →

Katie Hardy

Nurse Practitioner (CMS) · Midlothian, VA

Shared published services
1 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
55%Service-mix similarityView profile →

Kathy Diane Thomason, ACNPC-AG

Nurse Practitioner (CMS) · Roanoke, VA

Shared published services
1 shared services · view billing descriptions
  • Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)
55%Service-mix similarityView profile →
How this comparison works

We use the same calendar year of CMS Medicare Physician & Other Practitioners data for both providers. Published non-drug service counts are combined by HCPCS code across places of service. We apply log(1 + count), normalize the vectors, and compare them using cosine similarity.

Candidates share the reference provider’s current NPPES primary taxonomy and match the location you enter. We examine up to 500 candidates in NPI order, then show up to 12 with the highest positive similarity within that set. The score is not a percentile, medical recommendation, or prediction. Suppressed services are not estimated. Medicare fee-for-service data does not describe a provider’s entire practice.

Source: CMS Medicare Physician & Other Practitioners - by Provider and Service : 2024-12-01 · Published May 21, 2026.