NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1861069874 FNP
Verify on CMS → Kim Tong, FNP
Family Nurse Practitioner in La Jolla, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 210,832 in Family 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
358
Medicare Part D claims · 119 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
72%
generic claims · 28% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.6/100
▲ 7 pts above national avg 83.5 · Exceptional
Industry payments
$68.69
3 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Kim Tong, FNP reported a CMS MIPS final score of 90.6/100 - above the 83.5 national average - and filed 358 Medicare Part D claims in 2023.
- 90.6/100
- MIPS score · +7 vs avg
- 358
- Part D claims, 2023
- 72%
- generic prescribing
- $68.69
- 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.
CMS NPPES provider registry desk
NPI 1861069874 · Family Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-ABOVE · RX-LIGHT · BOOK-MID · PHOTO-FINISH
- NPI-10 1861069874
- ENUM-RECENT 2021
- TAX-MEGA 211K Family Nurse
- MIPS-ABOVE 90.6/100
- RX-LIGHT 358
- BOOK-MID 15,115 in California
- PHOTO-FINISH Melissa Hoehler · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Tong · this prov…
Tong · this provider
90.6 MIPS pts
- Melissa Hoehler …
Melissa Hoehler
90.6 MIPS pts
- Teresa Dumpe · n…
Teresa Dumpe
90.6 MIPS pts
- Cristi Hicks · n…
Cristi Hicks
90.6 MIPS pts
- Samuel Nix · near
Samuel Nix
90.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Kim Tong, FNP'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.
91 ≥ 58th percentile 58% of 454,083 measured providers are in lower value bands
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 Kim Tong, FNP sits
This provider among family nurse practitioner peers
Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Kim Tong, FNP writes more Part D claims than 47% of them and scores higher on MIPS quality than 63% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Kim Tong, FNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Kim Tong, FNP?
High performer (top quartile)Primary specialty
Family Nurse Practitioner
Medicare Part D claims
358 71% vs specialty avg
MIPS final score
90.6/100 7.1 pts vs avg
Specialty distribution in California
How Family Nurse Practitioner compares to other specialties among California providers
Medicare quality performance, MIPS
Kim Tong, FNP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 90.6/100
- vs 83.5 national avg · 2023 performance year
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
Provider Details
| NPI | 1861069874 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | FNP |
| Gender | Female |
| NPI Issued | 06/08/2021 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.5648
Final Score
Measured-score avg: 83.5
87.1296
Quality
90
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Kim Tong, FNP 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.
Regents OF The University OF California
La Jolla, CA
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 Kim Tong, FNP. Source: openpaymentsdata.cms.gov.
Total received
$69
Largest payer
Incyte Corporation
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.
License & disciplinary context - California MBC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Kim Tong, FNP. To verify Kim Tong, FNP's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Kim Tong, FNP - brand share 28.0%
Family Nurse Practitioner average
28% brand-name claims vs 72% generic, on 358 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.
358
Total Claims
$1.4M
Total Drug Cost
119
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 432
- Total Day Supply
- 11,449
- Brand vs Generic
- 28% brand / 72% generic
- Brand Drug Cost
- $1.1M
- Generic Drug Cost
- $247K
- Opioid Claims
- 25 (7.0% rate)
Patient Demographics
- Average Patient Age
- 72.9 years
- Avg HCC Risk Score
- 2.61
- Gender Split
- 51% female / 49% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Kim Tong, FNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Anastrozole
Anastrozole
37 claims
- Abiraterone Acetate
Abiraterone Acetate
31 claims
- Orgovyx
Orgovyx
27 claims
- Prednisone
Prednisone
20 claims
- Revlimid
Revlimid
20 claims
- Letrozole
Letrozole
16 claims
- Ibrance 14
Ibrance
14 claims
- Alendronate Sodium 11
Alendronate Sodium
11 claims
| Drug | Claims |
|---|---|
| Anastrozole | 37 |
| Abiraterone Acetate | 31 |
| Orgovyx Relugolix | 27 |
| Prednisone | 20 |
| Revlimid Lenalidomide | 20 |
| Letrozole | 16 |
| Ibrance Palbociclib | 14 |
| Alendronate Sodium | 11 |
| Dexamethasone | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How Kim Tong, FNP fits within the Family Nurse Practitioner landscape nationally.
210,832
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider
Kim Tong, FNP's 358 claims are below the specialty average of 1,222.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Tong, both outside California so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (90.6 here).
Same NPPES enumeration year (2021)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Tong.
One of 15,115 Family Nurse Practitioner providers enrolled in California, 5 are shown here.
Dr. Danielle Aaroe
FAMILY NURSE PRACTIT
Oroville, CA
Joshua Aaron
Mission Hills, CA
Dr. Orly Aaron
NP
San Francisco, CA
Paris Gilbert Russ Aaron
Sacramento, CA
Dr. Alvin Joseph Abad
FNP-C
San Francisco, CA
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Kim Tong, FNP's specialty? ▼
Kim Tong, FNP specializes in Family Nurse Practitioner and practices in La Jolla, California. Credentials: FNP.
How much does Kim Tong, FNP prescribe under Medicare Part D? ▼
In 2023, Kim Tong, FNP wrote 358 Medicare Part D claims totaling $1.4M in drug costs for 119 beneficiaries.
What is Kim Tong, FNP's Medicare quality score? ▼
Kim Tong, FNP has a CMS MIPS Final Score of 90.6/100 (Quality: 87.1). 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 Kim Tong, FNP located? ▼
Kim Tong, FNP is located at 3855 HEALTH SCIENCES DR, La Jolla, CA, 92093. Phone: (800) 926-8273.
What is Kim Tong, FNP's NPI number? ▼
Kim Tong, FNP's National Provider Identifier (NPI) is 1861069874, issued on 06/08/2021.
Does Kim Tong, FNP prescribe more brand-name or generic drugs? ▼
Kim Tong, FNP's prescribing is 28% brand-name and 72% generic drugs by claim count, with $1.1M in brand drug costs.
Does Kim Tong, FNP prescribe opioids? ▼
Yes, Kim Tong, FNP had 25 opioid claims in 2023 with an opioid prescribing rate of 7.0%.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 210,832 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Kim Tong, FNP prescribe most often? ▼
Based on 2023 Medicare Part D data, Kim Tong, FNP's most frequently prescribed drugs include Anastrozole, Abiraterone Acetate, Orgovyx. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kim Tong, FNP accept Medicare? ▼
Kim Tong, FNP appears in CMS Medicare data with 358 Part D claims and 119 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kim Tong, FNP's credentials? ▼
Kim Tong, FNP's NPI is 1861069874 with credentials FNP. 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 (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
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 May 2026.