2026 NPPES data Hematology & Oncology Physician NPI 1205802741 M.D.
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ADDISON TOLENTINO, M.D.

Hematology & Oncology Physician in KANSAS CITY, Missouri. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 316 beneficiaries · Hematology & Oncology Physician avg: 847
MIPS score
96.722/100
▲ 14 pts above national avg 83.1 · [object Object]
What the federal data reveals: ADDISON TOLENTINO, M.D. is a Hematology & Oncology Physician ([object Object]) practicing in KANSAS CITY, Missouri with a Medicare Part D prescribing footprint of 2K claims across 316 beneficiaries . Their CMS MIPS Final Score of 96.722/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ADDISON TOLENTINO, M.D. reported a CMS MIPS final score of 96.722 out of 100, above the 83.1 national average, and filed 1,629 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ADDISON TOLENTINO, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ADDISON TOLENTINO, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 02/24/2006

NPI 1205802741

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

1,629 92% vs specialty avg

2023 prescription claims

Specialty avg: 847

MIPS final score

96.722/100 13.622% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Missouri

How Hematology & Oncology Physician compares to other specialties among Missouri providers

Missouri providers

Hematology & Oncology Physician share within Missouri

1. Hematology & Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology & Oncology Physician share within Missouri

Medicare quality performance — MIPS

ADDISON TOLENTINO, M.D.'s 2023 MIPS final score plotted against the Hematology & Oncology Physician national average

High performer (top quartile)
MIPS Final Score
96.722/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology & Oncology Physician) — 96.722/100 vs national avg 83.1

0%100%National avg83%96.7%
MIPS final score (Hematology & Oncology Physician) — 96.722/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ADDISON TOLENTINO, M.D. is a Hematology & Oncology Physician provider practicing in KANSAS CITY, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1205802741. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ADDISON TOLENTINO, M.D. appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding M.D. credentials at 4321 WASHINGTON ST STE 4000, KANSAS CITY, MO, 64111, with a listed phone of (816) 932-3300. NPI 1205802741 was issued on 02/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TOLENTINO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,629 prescription claims written by this provider, covering 316 Medicare beneficiaries and totaling roughly $1.8 million in drug spend, with an opioid prescribing rate of 5.5%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.722/100 for the 2023 performance year (Quality 94.0401), compared with the national average of 83.1.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

4321 WASHINGTON ST STE 4000
KANSAS CITY, MO 64111

Provider Details

NPI 1205802741
Specialty Hematology & Oncology Physician
Credentials M.D.
Gender Male
NPI Issued 02/24/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

96.722
Final Score
Avg: 83.1
94.0401
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ADDISON TOLENTINO, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SAINT LUKES PHYSICIAN GROUP INC
LEES SUMMIT, MO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,629
Total Claims
$1.8M
Total Drug Cost
316
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,045
Total Day Supply
85,608
Generic Drug Cost
$258K
Opioid Claims
90 (5.5% rate)
Antibiotic Claims
88

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.85
Gender Split
70% female / 30% male
Age Distribution
<65: 22, 65-74: 140, 75-84: 121, 85+: 33

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Letrozole
165
Anastrozole
123
Hydroxyurea
93
Eliquis
Apixaban
82
Xarelto
Rivaroxaban
77
Tamoxifen Citrate
76
Ondansetron Hcl
65
Acyclovir
45
Oxycodone Hcl
40
Potassium Chloride
37

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Hematology & Oncology Physician Overview

How ADDISON TOLENTINO, M.D. fits within the Hematology & Oncology Physician landscape nationally.

11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider

ADDISON TOLENTINO, M.D.'s 1,629 claims are above the specialty average of 847.

Nearby Hematology & Oncology Physician Providers in Missouri

Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as TOLENTINO.

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ADDISON TOLENTINO, M.D.'s specialty?
ADDISON TOLENTINO, M.D. specializes in Hematology & Oncology Physician and practices in KANSAS CITY, Missouri. Credentials: M.D..
How much does ADDISON TOLENTINO, M.D. prescribe under Medicare Part D?
In 2023, ADDISON TOLENTINO, M.D. wrote 1,629 Medicare Part D claims totaling $1.8M in drug costs for 316 beneficiaries.
What is ADDISON TOLENTINO, M.D.'s Medicare quality score?
ADDISON TOLENTINO, M.D. has a CMS MIPS Final Score of 96.722/100 (Quality: 94.0401). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ADDISON TOLENTINO, M.D. located?
ADDISON TOLENTINO, M.D. is located at 4321 WASHINGTON ST STE 4000, KANSAS CITY, MO, 64111. Phone: (816) 932-3300.
What is ADDISON TOLENTINO, M.D.'s NPI number?
ADDISON TOLENTINO, M.D.'s National Provider Identifier (NPI) is 1205802741, issued on 02/24/2006.
Does ADDISON TOLENTINO, M.D. prescribe opioids?
Yes, ADDISON TOLENTINO, M.D. had 90 opioid claims in 2023 with an opioid prescribing rate of 5.5%.
How many Hematology & Oncology Physician providers are there in the US?
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does ADDISON TOLENTINO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ADDISON TOLENTINO, M.D.'s most frequently prescribed drugs include Letrozole, Anastrozole, Hydroxyurea. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ADDISON TOLENTINO, M.D. accept Medicare?
ADDISON TOLENTINO, M.D. appears in CMS Medicare data with 1,629 Part D claims and 316 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ADDISON TOLENTINO, M.D.'s credentials?
ADDISON TOLENTINO, M.D.'s NPI is 1205802741 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology