Destiny Ann Brewer, NP
Nurse Practitioner · Melbourne
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
Offices
1 location · Brevard Physician Associates PLLC · 221 clinicians in this group
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Destiny Ann Brewer’s office at (321) 434-7000 to ask if they take your plan before you enroll.
Original Medicare doctor bills
$16,920
Medicare paid this office $16,920 for 172 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Emergency department visit with high level of medical decision making | 87 | $9,930 | $114 |
| Emergency department visit with moderate level of medical decision making | 44 | $3,088 | $70 |
| Critical care, first 30-74 minutes | 14 | $1,981 | $141 |
| Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less | 12 | $332 | $28 |
Who their Medicare patients are
172 Original Medicare patients in 2024. Average age 76 · Under 65 8% · 85 and older 22% · Women 51% · Also on Medicaid 14% · Health risk score 1.65. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.
Conditions among them: High blood pressure 75% · Coronary heart disease 37% · Diabetes 35% · Chronic kidney disease 33% · Atrial fibrillation 30% · Depression 30% · COPD 24% · Cancer 22% · Dementia 22% · Heart failure 21% · Stroke 17%.
The office billed $164,625, Medicare allowed $22,547 and paid $16,920; for 192 services of 21 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 172 | 192 | 76 | 1.65 | $164,625 | $16,920 |
| 2023 | 313 | 522 | 74 | 1.55 | $247,679 | $33,535 |
| 2022 | 398 | 1,176 | 73 | 0.92 | $146,134 | $48,645 |
| 2021 | 668 | 1,738 | 72 | 0.92 | $256,285 | $83,389 |
| 2020 | 226 | 471 | 72 | 1.08 | $72,539 | $25,395 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 9 services
| Emergency department visit with high level of medical decision making | 133 | $15,848 | $117 |
| Emergency department visit with moderate level of medical decision making | 79 | $6,337 | $78 |
| New patient visit (30+ min) | 40 | $2,789 | $70 |
| Short return visit (20+ min) | 37 | $1,964 | $52 |
| Critical care, first 30-74 minutes | 13 | $1,884 | $145 |
| Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 17 | $589 | $35 |
| Detection test by immunoassay with direct visual observation for influenza virus | 17 | $551 | $16 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 30 | $169 | $5 |
| Injection of drug or substance under skin or into muscle | 11 | $93 | $8 |
2022: 11 services
| New patient visit (30+ min) | 138 | $11,612 | $84 |
| Short return visit (20+ min) | 141 | $9,794 | $63 |
| Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 222 | $9,762 | $42 |
| Return visit (30+ min) | 41 | $3,834 | $89 |
| New patient visit (45+ min) | 30 | $3,782 | $126 |
| Detection test by immunoassay with direct visual observation for influenza virus | 91 | $2,960 | $16 |
| New patient visit (15+ min) | 37 | $2,225 | $60 |
| Short return visit | 35 | $1,559 | $45 |
| Injection of drug or substance under skin or into muscle | 29 | $407 | $9 |
| Urinalysis, manual test | 39 | $137 | $3 |
| Injection, ketorolac tromethamine, per 15 mg | 15 | $13 | None |
2021: 19 services
| New patient visit (30+ min) | 254 | $19,970 | $79 |
| Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 356 | $17,549 | $45 |
| Return visit (30+ min) | 160 | $15,509 | $86 |
| Short return visit (20+ min) | 196 | $14,253 | $67 |
| New patient visit (45+ min) | 45 | $5,187 | $115 |
| New patient visit (15+ min) | 42 | $2,581 | $61 |
| Short return visit | 31 | $1,441 | $46 |
| Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 27 | $1,437 | $51 |
| Detection test by immunoassay with direct visual observation for influenza virus | 26 | $894 | $17 |
| Injection of drug or substance under skin or into muscle | 38 | $523 | $9 |
| X-ray of knee, 1-2 views | 13 | $296 | $21 |
| Urinalysis, manual test | 76 | $282 | $3 |
| Diphtheria and tetanus vaccine (7 years or older) | 13 | $253 | $19 |
| X-ray of chest, 2 views | 14 | $238 | $17 |
| Administration of vaccine | 13 | $135 | $10 |
| Injection, methylprednisolone acetate, 40 mg | 11 | $50 | None |
| Injection, ketorolac tromethamine, per 15 mg | 21 | $20 | None |
| Injection, ceftriaxone sodium, per 250 mg | 11 | $14 | None |
| Injection, dexamethasone sodium phosphate, 1 mg | 17 | $10 | None |
2020: 5 services
| New patient visit (30+ min) | 81 | $7,013 | $87 |
| Short return visit (20+ min) | 86 | $5,356 | $62 |
| Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 110 | $5,111 | $45 |
| Return visit (30+ min) | 53 | $4,436 | $84 |
| Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 28 | $1,437 | $51 |
Medicaid work
$1,687 in 2024
Medicaid paid $1,687 for 35 billed services this clinician did in 2024, up to 16 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| EMERGENCY DEPT VISIT MOD MDM | 35 | $1,687 |
| 2024 | 35 | 1 | 16 | $1,687 |
| 2023 | 388 | 3 | 52 | $14,939 |
| 2022 | 591 | 4 | 22 | $3,136 |
| 2021 | 446 | 4 | 47 | $20,634 |
| 2020 | 106 | 3 | 23 | $4,434 |
See the largest Medicaid services in earlier years
2023
| EMERGENCY DEPT VISIT MOD MDM | 256 | $9,090 |
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 70 | $3,637 |
| EMERGENCY DEPT VISIT LOW MDM | 62 | $2,211 |
2022
| SARSCOV CORONAVIRUS AG IA | 297 | $2,414 |
| Short return visit (20+ min) | 40 | $722 |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza | 26 | $0 |
| Global fee urgent care centers | 228 | $0 |
2021
| SARSCOV CORONAVIRUS AG IA | 267 | $9,897 |
| Global fee urgent care centers | 103 | $8,360 |
| Short return visit (20+ min) | 60 | $1,315 |
| New patient visit (30+ min) | 16 | $1,063 |
2020
| Short return visit (20+ min) | 57 | $1,947 |
| New patient visit (30+ min) | 14 | $1,878 |
| SARSCOV CORONAVIRUS AG IA | 35 | $609 |
Drugs they prescribed that Part D paid
$6,446
Pharmacies billed $6,446 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 0% of their Part D prescriptions (0 of 268) in 2024. At or below the middle of the specialty; the typical nurse practitioner clinician is at 0%.
250 generic and fewer than 11 brand-name prescriptions · $6,446 in drug cost · 118 antibiotic prescriptions to 108 people.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
| Cephalexin | 54 | $303 | $6 |
| Ondansetron Odt | 30 | $167 | $6 |
| Amoxicillin-Clavulanate Potass | 18 | $164 | $9 |
| Mupirocin | 12 | $101 | $8 |
| Methylprednisolone | 11 | $91 | $8 |
See all 8 drugs
| Cephalexin | 54 | $303 | $6 |
| Ondansetron Odt | 30 | $167 | $6 |
| Amoxicillin-Clavulanate Potass | 18 | $164 | $9 |
| Mupirocin | 12 | $101 | $8 |
| Methylprednisolone | 11 | $91 | $8 |
| Dicyclomine | 13 | $82 | $6 |
| Methocarbamol | 21 | $50 | $2 |
| Sulfamethoxazole-Trimethoprim | 11 | $35 | $3 |
Year by year
| 2024 | 268 | 193 | 0% (0) | None | $6,446 |
| 2023 | 335 | 213 | None | None | $3,324 |
| 2022 | 442 | 298 | None | 5% | $6,506 |
| 2021 | 628 | 397 | None | None | $7,420 |
| 2020 | 124 | 79 | 0% (0) | None | $1,885 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 9 drugs
| Amoxicillin-Clavulanate Potass | 35 | $437 | $12 |
| Cephalexin | 38 | $327 | $9 |
| Methylprednisolone | 35 | $311 | $9 |
| Doxycycline Hyclate | 16 | $259 | $16 |
| Azithromycin | 30 | $146 | $5 |
| Dicyclomine | 11 | $92 | $8 |
| Mupirocin | 12 | $91 | $8 |
| Methocarbamol | 12 | $48 | $4 |
| Prednisone | 15 | $36 | $2 |
2022: 12 drugs
| Azithromycin | 75 | $473 | $6 |
| Amoxicillin-Clavulanate Potass | 34 | $447 | $13 |
| Doxycycline Hyclate | 19 | $419 | $22 |
| Lagevrio (Eua) | 29 | $299 | $10 |
| Methylprednisolone | 30 | $247 | $8 |
| Cephalexin | 29 | $238 | $8 |
| Mupirocin | 22 | $228 | $10 |
| Nitrofurantoin Mono-Macro | 14 | $177 | $13 |
| Amoxicillin | 21 | $132 | $6 |
| Ciprofloxacin | 18 | $109 | $6 |
| Prednisone | 21 | $57 | $3 |
| Sulfamethoxazole-Trimethoprim | 11 | $52 | $5 |
2021: 15 drugs
| Albuterol Sulfate Hfa | 25 | $981 | $39 |
| Methylprednisolone | 60 | $606 | $10 |
| Azithromycin | 98 | $596 | $6 |
| Doxycycline Hyclate | 41 | $575 | $14 |
| Nitrofurantoin Mono-Macro | 36 | $461 | $13 |
| Amoxicillin-Clavulanate Potass | 27 | $334 | $12 |
| Mupirocin | 38 | $273 | $7 |
| Cephalexin | 57 | $244 | $4 |
| Amoxicillin | 37 | $222 | $6 |
| Erythromycin | 17 | $192 | $11 |
| Ciprofloxacin | 35 | $172 | $5 |
| Fluconazole | 13 | $108 | $8 |
| Triamcinolone Acetonide | 12 | $96 | $8 |
| Sulfamethoxazole-Trimethoprim | 17 | $55 | $3 |
| Prednisone | 18 | $47 | $3 |
2020: 1 drug
| Azithromycin | 13 | $76 | $6 |
Money from drug and device companies
$5 in 2021
A payment is not proof that care is biased.
| Genentech USA | Xofluza | $5 | 1 payment
|
See the published payment
| Genentech USA | Meals · 2021-01-15 | Xofluza | $5 |
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 75.0 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1760004055
- Licence
- CA 95014332, FL APRN11004949
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 363LF0000X (363LF0000X)
- Mailing address
- 1440 Felton St, Deltona, FL, 32725
- NPI first listed
- 2020-05-11
- NPI last updated
- 2020-09-06
- NPI record certified
- 2020-09-06
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 275 W Cocoa Beach Cswy, Cocoa Beach, FL, 32931