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Compare the published Medicare service mix of Lauren Sarah Debski, NP with clinicians in the same registry specialty: Specialty details in registry.

SAN MARCOS, CA · 10 milesEdit location
Within 10 miles · Approximate ZIP-area distance

Approximate straight-line distances between ZIP-area centers; a city search starts from the average of its ZIP centers. Uses the primary reported practice ZIP, not an exact office address or driving distance. Records without matched coordinates are excluded. How distance works

2024 published service data · 21 eligible profiles compared. Similarity describes billing patterns, not quality, outcomes, or suitability for your care.

Laurie Anne Costa, PMHNP-BC

Nurse Practitioner (CMS) · Carlsbad, CA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
99%Service-mix similarity~9.0 milesView profile →

Ashley Falcone, PMHNP

Specialty details in registry · Carlsbad, CA

Shared published services
3 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
93%Service-mix similarity~9.0 milesView profile →

Marita G Dailo, PMHNP-BC

Nurse Practitioner (CMS) · Encinitas, CA

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
82%Service-mix similarity~8.1 milesView profile →

Annabelle C. Touponce

Nurse Practitioner (CMS) · San Diego, CA

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
82%Service-mix similarity~9.1 milesView profile →

Jennifer Kalia-Overlie, DNP, PMHNP-BC

Nurse Practitioner (CMS) · Carlsbad, CA

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
82%Service-mix similarity~9.0 milesView profile →

Christine Rieger, FNP, PMHNP, DNP

Nurse Practitioner (CMS) · Escondido, CA

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
74%Service-mix similarity~6.2 milesView profile →

Chantal Flanagan, PMHNP-BC

Nurse Practitioner (CMS) · Encinitas, CA

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
73%Service-mix similarity~8.1 milesView profile →

Paula Harwood Mckenna, RN, PMHNP-BC

Nurse Practitioner (CMS) · Encinitas, CA

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
72%Service-mix similarity~8.1 milesView profile →

Chandra Faith Rogers, PMHNP

Nurse Practitioner (CMS) · San Diego, CA

Shared published services
1 shared services · view billing descriptions
  • Psychotherapy with evaluation and management visit, 30 minutes (90833)
56%Service-mix similarity~9.1 milesView profile →

Thy Ai Lam

Nurse Practitioner (CMS) · Vista, CA

Shared published services
1 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
51%Service-mix similarity~6.1 milesView profile →

Suzanne Marie Simmons, PMHNP-BC

Nurse Practitioner (CMS) · Oceanside, CA

Shared published services
1 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
47%Service-mix similarity~7.6 milesView profile →

Stella Alah Tih, NP

Specialty details in registry · Carlsbad, CA

Shared published services
2 shared services · view billing descriptions
  • Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)
  • Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)
44%Service-mix similarity~9.0 milesView 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 approximate distance 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.