Tiffany Lynn Gies, APRN/FNP-C
NPI 1801508494ActiveIndividual· Nurse Practitioner, Family· Alliance, NE
Nurse Practitioner, Family (APRN/FNP-C) with Box Butte General Hospital, practicing in Alliance, Nebraska. Their prescriptions cost Medicare Part D more than their services did: $39,710 for 770 claims, against $11,996 paid for services in 2024. Lilly USA, LLC was the largest of 4 companies reporting payments in 2025, $76.80 in all, mostly food and beverage. Lists Box Butte General Hospital as a hospital affiliation.
Overview
| NPI | 1801508494 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN/FNP-C |
| Sole proprietor | No |
| NPI issued | Dec 15, 2022 |
| Last updated in NPPES | Aug 17, 2026 |
| Certified by provider | Aug 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | F11220445 | NE |
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 - Nurse Practitioner (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 76 |
|---|---|
| Services billed | 237 across 12 procedure codes |
| Paid by Medicare | $11,996 |
Part D prescriptions in 2024
| Prescriptions (claims) | 770 · 995 30-day fills |
|---|---|
| Patients | 317 |
| Total drug cost | $39,710 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Box Butte General HospitalAlliance, NE · 62 clinicians
Hospital affiliation
- Box Butte General HospitalAlliance, NE
Industry payments (Open Payments)
- 2025$76.80 · 4 payments from 4 companies
- 2024$37.13 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $23.73 | 1 |
| Novartis Pharmaceuticals Corporation | $20.80 | 1 |
| Boston Scientific Corporation | $18.13 | 1 |
| Astrazeneca Pharmaceuticals LP | $14.14 | 1 |
What the 2025 payments were for
- Food and Beverage$76.80 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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