NPI registry status
Active
2026 NPPES data Obstetrics & Gynecology Physician NPI 1316991177 MD
Verify on CMS → Kimberly Toler, MD
Obstetrics & Gynecology Physician in Spartanburg, South Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 44,326 in Obstetrics & Gynecology Physician, 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
516
Medicare Part D claims · 136 beneficiaries · Obstetrics & Gynecology Physician avg: 179
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.1/100
▲ 13 pts above national avg 83.5 · Exceptional
Industry payments
$343.74
20 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Kimberly Toler, MD reported a CMS MIPS final score of 96.1/100 - above the 83.5 national average - and filed 516 Medicare Part D claims in 2023.
- 96.1/100
- MIPS score · +13 vs avg
- 516
- Part D claims, 2023
- 86%
- generic prescribing
- Likely
- board-certified (heuristic)
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 1316991177 · Obstetrics & Gynecology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ELITE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1316991177
- ENUM-LEGACY 2006
- TAX-MID 44K Obstetrics &
- MIPS-ELITE 96.1/100
- RX-LIGHT 516
- BOOK-LIGHT 731 in South Carolina
- PHOTO-FINISH Sharai Amaya · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Toler · this pro…
Toler · this provider
96.1 MIPS pts
- Megan Nguyen · h…
Megan Nguyen
96.1 MIPS pts
- Sharai Amaya · n…
Sharai Amaya
96.1 MIPS pts
- Erin Dainty · near
Erin Dainty
96.1 MIPS pts
- Michael James · …
Michael James
96.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Kimberly Toler, MD'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.
96 ≥ 82nd percentile 82% 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 Kimberly Toler, MD sits
This provider among obstetrics & gynecology physician peers
Across the 7,360 obstetrics & gynecology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kimberly Toler, MD writes more Part D claims than 93% of them and scores higher on MIPS quality than 84% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one obstetrics & gynecology physician peer from a representative sample of 60; the gold marker is Kimberly Toler, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Kimberly Toler, MD 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).
What does the federal data show about Kimberly Toler, MD?
High performer (top quartile)Primary specialty
Obstetrics & Gynecology Physician
Medicare Part D claims
516 188% vs specialty avg
MIPS final score
96.1/100 12.6 pts vs avg
Specialty distribution in South Carolina
How Obstetrics & Gynecology Physician compares to other specialties among South Carolina providers
Medicare quality performance, MIPS
Kimberly Toler, MD's 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average
- MIPS Final Score
- 96.1/100
- 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 | 1316991177 |
|---|---|
| Specialty | Obstetrics & Gynecology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 05/19/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
96.0864
Final Score
Measured-score avg: 83.5
92.1728
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Kimberly Toler, MD 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.
Spartanburg Medical Center
★★☆☆☆ 2/5
Spartanburg, SC
Acute Care Hospitals
CMS CCN: 420007
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 Kimberly Toler, MD. Source: openpaymentsdata.cms.gov.
Total received
$344
Largest payer
Astellas Pharma US 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 · Typical
Kimberly Toler, MD - brand share 14.0%
Obstetrics & Gynecology Physician average
14% brand-name claims vs 86% generic, on 516 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.
516
Total Claims
$52K
Total Drug Cost
136
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 962
- Total Day Supply
- 25,907
- Brand vs Generic
- 14% brand / 86% generic
- Brand Drug Cost
- $34K
- Generic Drug Cost
- $18K
- Antibiotic Claims
- 33
Patient Demographics
- Average Patient Age
- 69.1 years
- Avg HCC Risk Score
- 0.86
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Kimberly Toler, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Estradiol
Estradiol
132 claims
- Fluconazole 45
Fluconazole
45 claims
- Valacyclovir 23
Valacyclovir
23 claims
- Alendronate Sodium 19
Alendronate Sodium
19 claims
- Zolpidem Tartrate 17
Zolpidem Tartrate
17 claims
- Venlafaxine Hcl Er 16
Venlafaxine Hcl Er
16 claims
- Myrbetriq 15
Myrbetriq
15 claims
- Nystatin-Triamcino… 14
Nystatin-Triamcinolone
14 claims
| Drug | Claims |
|---|---|
| Estradiol | 132 |
| Fluconazole | 45 |
| Valacyclovir Valacyclovir Hcl | 23 |
| Alendronate Sodium | 19 |
| Zolpidem Tartrate | 17 |
| Venlafaxine Hcl Er Venlafaxine Hcl | 16 |
| Myrbetriq Mirabegron | 15 |
| Nystatin-Triamcinolone Nystatin/Triamcinolone Acet | 14 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 14 |
| Escitalopram Oxalate | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Obstetrics & Gynecology Physician in SC →
All providers in South Carolina →
Compare specialties →
Obstetrics & Gynecology Physician Overview
How Kimberly Toler, MD fits within the Obstetrics & Gynecology Physician landscape nationally.
44,326
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider
Kimberly Toler, MD's 516 claims are above the specialty average of 179.
Nationwide Obstetrics & Gynecology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Toler, both outside South Carolina so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (96.1 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Obstetrics & Gynecology Physician Providers in South Carolina
Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as Toler.
One of 731 Obstetrics & Gynecology Physician providers enrolled in South Carolina, 5 are shown here.
Dr. Sara Janne Aarsland
M.D.
Charleston, SC
Amanda Abraira
Spartanburg, SC
Dr. Christopher Accetta
MD
Summerville, SC
Dr. Riddick Ackerman
M.D.
Walterboro, SC
Dr. Lauren Adams
MD
Charleston, SC
Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Kimberly Toler, MD's specialty? ▼
Kimberly Toler, MD specializes in Obstetrics & Gynecology Physician and practices in Spartanburg, South Carolina. Credentials: MD.
How much does Kimberly Toler, MD prescribe under Medicare Part D? ▼
In 2023, Kimberly Toler, MD wrote 516 Medicare Part D claims totaling $52K in drug costs for 136 beneficiaries.
What is Kimberly Toler, MD's Medicare quality score? ▼
Kimberly Toler, MD has a CMS MIPS Final Score of 96.1/100 (Quality: 92.2). 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 Kimberly Toler, MD located? ▼
Kimberly Toler, MD is located at 1686 SKYLYN DRIVE, Spartanburg, SC, 29307. Phone: (864) 585-3456.
What is Kimberly Toler, MD's NPI number? ▼
Kimberly Toler, MD's National Provider Identifier (NPI) is 1316991177, issued on 05/19/2006.
Does Kimberly Toler, MD prescribe more brand-name or generic drugs? ▼
Kimberly Toler, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $34K in brand drug costs.
How many Obstetrics & Gynecology Physician providers are there in the US? ▼
There are 44,326 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
What drugs does Kimberly Toler, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Kimberly Toler, MD's most frequently prescribed drugs include Estradiol, Fluconazole, Valacyclovir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kimberly Toler, MD accept Medicare? ▼
Kimberly Toler, MD appears in CMS Medicare data with 516 Part D claims and 136 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kimberly Toler, MD's credentials? ▼
Kimberly Toler, MD's NPI is 1316991177 with credentials MD. 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.