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2026 NPPES data Specialist NPI 1366489270 M.D.
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Kenneth Tozer, M.D.

Specialist in Milan, Tennessee.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,567 in Specialist, 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
1K
Medicare Part D claims · 378 beneficiaries · Specialist avg: 2K
MIPS score
86.5/100
▲ 3 pts above national avg 83.5 · Above neutral
Industry payments
$46.4K
18 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Kenneth Tozer, M.D. reported a CMS MIPS final score of 86.5/100 - above the 83.5 national average - and filed 1,412 Medicare Part D claims in 2024.

86.5/100
MIPS score · +3 vs avg
1K
Part D claims, 2024
$46.4K
industry payments (Sunshine Act)
≥49th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Kenneth Tozer, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1366489270), first enumerated 05/31/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 1,412 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 86.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $46.4K in reported industry payments (18 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1366489270 · Specialist

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-ABOVE · RX-MID · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1366489270
  • ENUM-LEGACY 2006
  • TAX-MEGA 70K Specialist
  • MIPS-ABOVE 86.5/100
  • RX-MID 1,412
  • BOOK-LIGHT 927 in Tennessee
  • PHOTO-FINISH Jennifer Almendarez,… · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Kenneth Tozer, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

87 ≥ 49th percentile 49% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

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

Where Kenneth Tozer, M.D. sits

This provider among specialist peers

Across the 4,261 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Kenneth Tozer, M.D. writes more Part D claims than 64% of them and scores higher on MIPS quality than 57% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 0Kenneth Tozer, M.D., Part D claim volume, percentile in specialty: 64 · MIPS quality, percentile: 57
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one specialist peer from a representative sample of 60; the gold marker is Kenneth Tozer, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Kenneth Tozer, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 05/31/2006

NPI 1366489270

Primary specialty

Specialist

High-volume

69,567 US NPIs in this specialty

Medicare Part D claims

1,412 7% vs specialty avg

2024 prescription claims

Specialty avg: 1,524

MIPS final score

86.5/100 3 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Tennessee

How Specialist compares to other specialties among Tennessee providers

Tennessee providers
Family Nurse Practitioner6.4%Pharmacist5.8%Student in an Organized Heal…4.7%Behavior Technician4.5%Physical Therapist4.2%Registered Nurse3.9%Specialist0.7%
Largest specialties in Tennessee (% of in-state providers)

Medicare quality performance, MIPS

Kenneth Tozer, M.D.'s 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
86.5/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%86.5%
MIPS final score (Specialist) - 86.5/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

4022 LIBERTY ST
Milan, TN 38358
(731) 686-7004

Provider Details

NPI 1366489270
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 05/31/2006

CMS Quality Score (MIPS)

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

86.5346
Final Score
Measured-score avg: 83.5
75.5174
Quality
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where Kenneth Tozer, 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.

Kenneth H. Tozer II, MD
Milan, TN

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 Kenneth Tozer, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$46.4K

Largest payer

ConvaTec Inc.

Most common payment type

Debt forgiveness

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

1,412
Total Claims
$43K
Total Drug Cost
378
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,788.933
Total Day Supply
38,228
Generic Drug Cost
$15K
Opioid Claims
148 (10.5% rate)
Antibiotic Claims
253

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
1.38
Gender Split
62% female / 38% male
Age Distribution
<65: 85, 65-74: 146, 75-84: 118, 85+: 29

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Kenneth Tozer, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Pantoprazole Sodium
 266
Famotidine
 135
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
122
Ondansetron Hcl
 104
Sucralfate
 87
Metronidazole
 60
Levofloxacin
 54
Dicyclomine Hcl
 37
Ondansetron Odt
Ondansetron
33
Clindamycin Hcl
 32

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

More Specialist in TN → All providers in Tennessee → Compare specialties →

Specialist Overview

How Kenneth Tozer, M.D. fits within the Specialist landscape nationally.

69,567
Specialist Providers in US
55
States with Specialist
1,524
Avg Claims per Provider

Kenneth Tozer, M.D.'s 1,412 claims are below the specialty average of 1,524.

Nationwide Specialist peers with similar MIPS or enrollment year

Two federal-record peer sets for Tozer, both outside Tennessee so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (86.5 here).

Jennifer Almendarez 86.5 AZ Meredith Sena 86.5 AZ Monika Swanson 86.5 AZ Anna Yonker-Sell 86.6 VA

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Victor Odarczenko Palatine, IL Paul Savas Williamsburg, VA Maria Boria Rock Hall, MD Jason Dacumos Honolulu, HI

Nearby Specialist Providers in Tennessee

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

One of 927 Specialist providers enrolled in Tennessee, 5 are shown here.

Salim Abdun
PT
Cordova, TN
Colleen Able
PT
Memphis, TN
Dr. Ali Abualhayjaa
MD
Jackson, TN
Dr. John Adams
M.D.
Knoxville, TN
Dr. Thomas Adkins
M.D.
Nashville, TN

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is Kenneth Tozer, M.D.'s specialty? ▼
Kenneth Tozer, M.D. specializes in Specialist and practices in Milan, Tennessee. Credentials: M.D..
How much does Kenneth Tozer, M.D. prescribe under Medicare Part D? ▼
In 2024, Kenneth Tozer, M.D. wrote 1,412 Medicare Part D claims totaling $43K in drug costs for 378 beneficiaries.
What is Kenneth Tozer, M.D.'s Medicare quality score? ▼
Kenneth Tozer, M.D. has a CMS MIPS Final Score of 86.5/100 (Quality: 75.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kenneth Tozer, M.D. located? ▼
Kenneth Tozer, M.D. is located at 4022 LIBERTY ST, Milan, TN, 38358. Phone: (731) 686-7004.
What is Kenneth Tozer, M.D.'s NPI number? ▼
Kenneth Tozer, M.D.'s National Provider Identifier (NPI) is 1366489270, issued on 05/31/2006.
Does Kenneth Tozer, M.D. prescribe opioids? ▼
Yes, Kenneth Tozer, M.D. had 148 opioid claims in 2024 with an opioid prescribing rate of 10.5%.
How many Specialist providers are there in the US? ▼
There are 69,567 Specialist providers across 55 states in the US. The average Specialist provider writes 1,524 Medicare Part D claims per year.
What drugs does Kenneth Tozer, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Kenneth Tozer, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Famotidine, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kenneth Tozer, M.D. accept Medicare? ▼
Kenneth Tozer, M.D. appears in CMS Medicare data with 1,412 Part D claims and 378 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kenneth Tozer, M.D.'s credentials? ▼
Kenneth Tozer, M.D.'s NPI is 1366489270 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.