MS. STACY D MIERAU (PA-C) – Physician Assistant, NPI 1629054895
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
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Provider Addresses for MS. STACY D MIERAU (PA-C)
10, Santa Rosa Street, San Luis Obispo, San Luis Obispo County, California, 93407-0283, United States
SUITE 201
SAN LUIS OBISPO, CA 934055825
Phone: (805) 544-7246
Fax: (805) 782-8097
Type: Mailing
921 OAK PARK BLVD STE 204
PISMO BEACH, CA 934493400
Phone: (805) 473-4949
Fax: (805) 473-3165
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $373.
Total Amount is formed as General ($373) + Research ($0) + Ownership ($0) = $373.
Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($258).
Total Amount
$373
General + Research + Ownership
Payments
5
Total payment records
General Amount
$373
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $258 |
| Boston Scientific Corporation | $116 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-06-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120606000078 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1030 | Injection, methylprednisolone acetate, 40 mg | 837 | 211 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 396 | 286 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 363 | 210 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 136 | 12 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 114 | 114 | $0 |
Insurance plans in this area (ZIP 93405)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CA | 27447 | Repair of knee joint | 54 | 52 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| Physician Assistant | CA | |
| Orthopedic Surgery | CA | |
| Hand Surgery, Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| - | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA |
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