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Surgeon profile

Nichole Twedt, PA

Physician Assistant · West Des Moines, IA 50266NPI 1619922465

Database refreshed July 2026Live NPPES registry· Industry payments CY2025ⓘ sources

Checking live NPPES registry…

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Tracked procedure volumes

Latest federal claims release with year-over-year momentum. Orthopedics & cardiology tracked — more specialties coming.

187 Medicare cases/yr
177 patients
2 procedures
ProcedureCasesTrendPatients
Total Knee Replacement (TKA) CPT 27447132≈ flat123
Total Hip Replacement (THA) CPT 2713055-13%54

Industry relationships

CMS Open Payments, CY2025 general payments (published June 2026) — who already pays this surgeon.

Pulling CY2025 industry payments + 7-year history…