Sarah Bier, CNM
NPI 1962920884ActiveIndividual· Advanced Practice Midwife· Chicago, IL
Advanced Practice Midwife (CNM) with The Thresholds and 1 other group, practicing in Chicago, Illinois. Their prescriptions cost Medicare Part D more than their services did: $415,468 for 873 claims, against $9,695 paid for services in 2024. Teva Pharmaceuticals USA, Inc. was the largest of 13 companies reporting payments in 2025, $2,350 in all, mostly food and beverage.
Overview
| NPI | 1962920884 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNM |
| Sole proprietor | No |
| NPI issued | Aug 30, 2017 |
| Last updated in NPPES | Feb 24, 2026 |
| Certified by provider | Feb 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Advanced Practice Midwife Primary | 367A00000X | 277.002720 | IL |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 209.027217 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Nurse Midwife (Cnm) (IL); Practitioner - Nurse Practitioner (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 50 |
|---|---|
| Services billed | 213 across 6 procedure codes |
| Paid by Medicare | $9,695 |
Part D prescriptions in 2024
| Prescriptions (claims) | 873 · 1,028 30-day fills |
|---|---|
| Patients | 88 |
| Total drug cost | $415,468 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- The ThresholdsChicago, IL · 22 clinicians
- Roueen Rafeyan MD LtdChicago, IL · 5 clinicians
Industry payments (Open Payments)
- 2025$2,350 · 106 payments from 13 companies
- 2024$2,871 · 132 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Teva Pharmaceuticals USA, Inc. | $497.63 | 15 |
| Axsome Therapeutics, Inc. | $259.96 | 13 |
| Abbvie Inc. | $246.28 | 7 |
| E.R. Squibb & Sons, L.L.C. | $235.92 | 15 |
| Alkermes, Inc. | $219.10 | 12 |
What the 2025 payments were for
- Food and Beverage$2,127 · 104 payments
- Education$222.98 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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