Joy Marie Miedema, PA-C
NPI 1225319676ActiveIndividual· Physician Assistant· Temecula, CA
Physician Assistant (PA-C) with Scripps Health, practicing in Temecula, California. Their prescriptions cost Medicare Part D more than their services did: $35,355 for 421 claims, against $19,608 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 6 companies reporting payments in 2025, $194.01 in all, mostly food and beverage. Lists Scripps Memorial Hospital - Encinitas and 1 other hospital as hospital affiliations.
Overview
| NPI | 1225319676 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 30, 2011 |
| Last updated in NPPES | Feb 19, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA21777 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 182 |
|---|---|
| Services billed | 267 across 19 procedure codes |
| Paid by Medicare | $19,608 |
Part D prescriptions in 2024
| Prescriptions (claims) | 421 · 783 30-day fills |
|---|---|
| Patients | 207 |
| Total drug cost | $35,355 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Scripps HealthLa Jolla, CA · 1,433 clinicians
Hospital affiliations
- Scripps Memorial Hospital - EncinitasEncinitas, CA
- Scripps Memorial Hospital la JollaLa Jolla, CA
Industry payments (Open Payments)
- 2025$194.01 · 9 payments from 6 companies
- 2024$88.30 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $78.02 | 3 |
| Exact Sciences Corporation | $36.99 | 2 |
| Dexcom, Inc. | $24.23 | 1 |
| Vertex Pharmaceuticals Incorporated | $21.17 | 1 |
| Phathom Pharmaceuticals, Inc. | $20.01 | 1 |
What the 2025 payments were for
- Food and Beverage$194.01 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 66 physician assistants in Temecula · All physician assistants in California