2026 NPPES data Primary Care Nurse Practitioner NPI 1346781069 DNP, APRN, FNP-C
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Danielle Toal, DNP, APRN, FNP-C

Primary Care Nurse Practitioner in Cape Girardeau, Missouri. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 10,138 in Primary Care Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration — see our methodology.

Federal data — no proprietary rating. We show these CMS records as-is — no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
836
Medicare Part D claims · 330 beneficiaries · Primary Care Nurse Practitioner avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.1/100
▲ 12 pts above national avg 83.1 · Exceptional
Industry payments
$3.2K
137 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Danielle Toal, DNP, APRN, FNP-C reported a CMS MIPS final score of 95.1/100 — above the 83.1 national average — and filed 836 Medicare Part D claims in 2023.

95.1/100
MIPS score · +12 vs avg
836
Part D claims, 2023
93%
generic prescribing
$3.2K
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

Danielle Toal, DNP, APRN, FNP-C's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

95 Top 21% higher than 79% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Danielle Toal, DNP, APRN, FNP-C sits

This provider among primary care nurse practitioner peers

Across the 958 primary care nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Danielle Toal, DNP, APRN, FNP-C writes more Part D claims than 55% of them and scores higher on MIPS quality than 79% — placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 60Danielle Toal, DNP, APRN, FNP-C — Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 79
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one primary care nurse practitioner peer from a representative sample of 60; the gold marker is Danielle Toal, DNP, APRN, FNP-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Danielle Toal, DNP, APRN, FNP-C?

High performer (top quartile)

NPI registry status

Active

Issued 03/14/2017

NPI 1346781069

Primary specialty

Primary Care Nurse Practitioner

Mid-sized

10,138 US NPIs in this specialty

Medicare Part D claims

836 39% vs specialty avg

2023 prescription claims

Specialty avg: 1,363

MIPS final score

95.1/100 12 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Missouri

How Primary Care Nurse Practitioner compares to other specialties among Missouri providers

Missouri providers

Largest specialties in Missouri (% of in-state providers)

Pharmacist — 4.8%Pharmacist4.8%Professional Counselor — 4.8%Professional Counselor4.8%Speech-Language Pathologist — 4.5%Speech-Language Pathologist4.5%Clinical Social Worker — 4.5%Clinical Social Worker4.5%Family Nurse Practitioner — 4.3%Family Nurse Practitioner4.3%Physical Therapist — 4%Physical Therapist4%Primary Care Nurse Practitioner — 0.1%Primary Care Nurse Practitioner0.1%
Largest specialties in Missouri (% of in-state providers)

Medicare quality performance — MIPS

Danielle Toal, DNP, APRN, FNP-C's 2023 MIPS final score plotted against the Primary Care Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
95.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Primary Care Nurse Practitioner) — 95.1/100 vs national avg 83.1

0%100%National avg83%95.1%
MIPS final score (Primary Care Nurse Practitioner) — 95.1/100 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).

Danielle Toal, DNP, APRN, FNP-C appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider holding DNP, APRN, FNP-C credentials at 2116 MEGAN DR, Cape Girardeau, MO, 63701, with a listed phone of (573) 335-7546. NPI 1346781069 was issued on 03/14/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Toal 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 836 prescription claims written by this provider, covering 330 Medicare beneficiaries and totaling roughly $517K in drug spend, split 7% brand-name and 93% generic by claim count. 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 95.1/100 for the 2023 performance year (Quality 95, Cost 88.7), compared with the national average of 83.1.

Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,138 enrolled providers across 54 states and an average of 1,363 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

2116 MEGAN DR
Cape Girardeau, MO 63701

Provider Details

NPI 1346781069
Specialty Primary Care Nurse Practitioner
Credentials DNP, APRN, FNP-C
Gender Female
NPI Issued 03/14/2017

CMS Quality Score (MIPS)

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

95.1142
Final Score
Avg: 83.1
95
Quality
88.714
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Danielle Toal, DNP, APRN, FNP-C 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.

Advanced Dermatology OF Southeast Missouri PC
Cape Girardeau, 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).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Danielle Toal, DNP, APRN, FNP-C. Source: openpaymentsdata.cms.gov.

Total received

$3.2K

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

Danielle Toal, DNP, APRN, FNP-C — brand share 7.0%
Primary Care Nurse Practitioner average

7% brand-name claims vs 93% generic, on 836 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

836
Total Claims
$517K
Total Drug Cost
330
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
924
Total Day Supply
22,585
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$489K
Generic Drug Cost
$28K
Antibiotic Claims
47

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
1.25
Gender Split
67% female / 33% male
Age Distribution
<65: 42, 65-74: 151, 75-84: 107, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

What Danielle Toal, DNP, APRN, FNP-C prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Ketoconazole
186
Triamcinolone Acetonide
133
Clobetasol Propionate
121
Doxycycline Hyclate
75
Mupirocin
49
Nystatin
29
Mometasone Furoate
24
Fluticasone Propionate
22
Hydroxychloroquine Sulfate
22
Skyrizi Pen
Risankizumab-Rzaa
14

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

Primary Care Nurse Practitioner Overview

How Danielle Toal, DNP, APRN, FNP-C fits within the Primary Care Nurse Practitioner landscape nationally.

10,138
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider

Danielle Toal, DNP, APRN, FNP-C's 836 claims are below the specialty average of 1,363.

Nearby Primary Care Nurse Practitioner Providers in Missouri

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

Compare Primary Care Nurse Practitioner nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Missouri medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Primary Care Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Danielle Toal, DNP, APRN, FNP-C's specialty?
Danielle Toal, DNP, APRN, FNP-C specializes in Primary Care Nurse Practitioner and practices in Cape Girardeau, Missouri. Credentials: DNP, APRN, FNP-C.
How much does Danielle Toal, DNP, APRN, FNP-C prescribe under Medicare Part D?
In 2023, Danielle Toal, DNP, APRN, FNP-C wrote 836 Medicare Part D claims totaling $517K in drug costs for 330 beneficiaries.
What is Danielle Toal, DNP, APRN, FNP-C's Medicare quality score?
Danielle Toal, DNP, APRN, FNP-C has a CMS MIPS Final Score of 95.1/100 (Quality: 95, Cost: 88.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Danielle Toal, DNP, APRN, FNP-C located?
Danielle Toal, DNP, APRN, FNP-C is located at 2116 MEGAN DR, Cape Girardeau, MO, 63701. Phone: (573) 335-7546.
What is Danielle Toal, DNP, APRN, FNP-C's NPI number?
Danielle Toal, DNP, APRN, FNP-C's National Provider Identifier (NPI) is 1346781069, issued on 03/14/2017.
Does Danielle Toal, DNP, APRN, FNP-C prescribe more brand-name or generic drugs?
Danielle Toal, DNP, APRN, FNP-C's prescribing is 7% brand-name and 93% generic drugs by claim count, with $489K in brand drug costs.
How many Primary Care Nurse Practitioner providers are there in the US?
There are 10,138 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
What drugs does Danielle Toal, DNP, APRN, FNP-C prescribe most often?
Based on 2023 Medicare Part D data, Danielle Toal, DNP, APRN, FNP-C's most frequently prescribed drugs include Ketoconazole, Triamcinolone Acetonide, Clobetasol Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Danielle Toal, DNP, APRN, FNP-C accept Medicare?
Danielle Toal, DNP, APRN, FNP-C appears in CMS Medicare data with 836 Part D claims and 330 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Danielle Toal, DNP, APRN, FNP-C's credentials?
Danielle Toal, DNP, APRN, FNP-C's NPI is 1346781069 with credentials DNP, APRN, FNP-C. 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

Compiled from official public sources by the PlainDoctor editorial team.