2026 NPPES data Obstetrics & Gynecology Physician NPI 1316991177 MD
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KIMBERLY TOLER, MD

Obstetrics & Gynecology Physician in SPARTANBURG, South Carolina. 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
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
96.0864/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$343.74
20 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KIMBERLY TOLER, MD reported a CMS MIPS final score of 96.0864/100 — above the 83.1 national average — and filed 516 Medicare Part D claims in 2023.

96.0864/100
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.

KIMBERLY TOLER, MD's MIPS score vs every scored U.S. clinician

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

96 Top 17% higher than 83% 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

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)

NPI registry status

Active

Issued 05/19/2006

NPI 1316991177

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,313 US NPIs in this specialty

Medicare Part D claims

516 188% vs specialty avg

2023 prescription claims

Specialty avg: 179

MIPS final score

96.0864/100 12.986400000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in South Carolina

How Obstetrics & Gynecology Physician compares to other specialties among South Carolina providers

South Carolina providers

Obstetrics & Gynecology Physician share within South Carolina

1. Obstetrics & Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics & Gynecology Physician share within South Carolina

Medicare quality performance — MIPS

KIMBERLY TOLER, MD's 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average

High performer (top quartile)
MIPS Final Score
96.0864/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics & Gynecology Physician) — 96.0864/100 vs national avg 83.1

0%100%National avg83%96.1%
MIPS final score (Obstetrics & Gynecology Physician) — 96.0864/100 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).

KIMBERLY TOLER, MD appears in the CMS NPPES registry as a Obstetrics & Gynecology Physician provider holding MD credentials at 1686 SKYLYN DRIVE, SPARTANBURG, SC, 29307, with a listed phone of (864) 585-3456. NPI 1316991177 was issued on 05/19/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TOLER 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 516 prescription claims written by this provider, covering 136 Medicare beneficiaries and totaling roughly $52K in drug spend, split 14% brand-name and 86% 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 96.0864/100 for the 2023 performance year (Quality 92.1728), compared with the national average of 83.1.

Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,313 enrolled providers across 56 states and an average of 179 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

1686 SKYLYN DRIVE
SPARTANBURG, SC 29307

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
Avg: 83.1
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%
Specialty average (est.)

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

Obstetrics & Gynecology Physician Overview

How KIMBERLY TOLER, MD fits within the Obstetrics & Gynecology Physician landscape nationally.

44,313
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.

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.

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 96.0864/100 (Quality: 92.1728). The national average MIPS Final Score is 83.1. 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 44,313 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

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