2026 NPPES data Advanced Practice Midwife NPI 1245676881 CRNM CRNP
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MARGIANNA TOMS, CRNM CRNP

Advanced Practice Midwife in HAGERSTOWN, Maryland. 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
3K
Medicare Part D claims · 78 beneficiaries · Advanced Practice Midwife avg: 99
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

MARGIANNA TOMS, CRNM CRNP filed 2,707 Medicare Part D claims in 2023 as a Advanced Practice Midwife in HAGERSTOWN, Maryland, prescribing 89% generic.

3K
Part D claims, 2023
89%
generic prescribing

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.

MARGIANNA TOMS, CRNM CRNP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

2,707 Top 12% higher than 88% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about MARGIANNA TOMS, CRNM CRNP?

Quality data not reported

NPI registry status

Active

Issued 05/21/2013

NPI 1245676881

Primary specialty

Advanced Practice Midwife

Mid-sized

10,893 US NPIs in this specialty

Medicare Part D claims

2,707 2634% vs specialty avg

2023 prescription claims

Specialty avg: 99

Specialty distribution in Maryland

How Advanced Practice Midwife compares to other specialties among Maryland providers

Maryland providers

Advanced Practice Midwife share within Maryland

1. Advanced Practice Midwife42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Advanced Practice Midwife share within Maryland

Specialty board-certification context

Estimated specialty board-certified rate — Advanced Practice Midwife (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Advanced Practice Midwife ABMS/AOA estimate

Est. board-certified rate (Advanced Practice Midwife) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Advanced Practice Midwife) — ABMS / AOA estimate

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).

MARGIANNA TOMS, CRNM CRNP appears in the CMS NPPES registry as a Advanced Practice Midwife provider holding CRNM CRNP credentials at 15844 FAIRVIEW RD, HAGERSTOWN, MD, 21740, with a listed phone of (301) 992-3724. NPI 1245676881 was issued on 05/21/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TOMS 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 2,707 prescription claims written by this provider, covering 78 Medicare beneficiaries and totaling roughly $142K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 1.1%. 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.

Advanced Practice Midwife is a mid-sized specialty nationwide, with 10,893 enrolled providers across 55 states and an average of 99 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

15844 FAIRVIEW RD
HAGERSTOWN, MD 21740

Provider Details

NPI 1245676881
Specialty Advanced Practice Midwife
Credentials CRNM CRNP
Gender Female
NPI Issued 05/21/2013

Hospital and facility affiliations

Facilities where MARGIANNA TOMS, CRNM CRNP 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.

LEGACY CARE LLC
PIKESVILLE, MD

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

MARGIANNA TOMS, CRNM CRNP — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 2,707 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.

2,707
Total Claims
$142K
Total Drug Cost
78
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,814
Total Day Supply
72,330
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$85K
Generic Drug Cost
$56K
Opioid Claims
30 (1.1% rate)
Antibiotic Claims
124

Patient Demographics

Average Patient Age
82.7 years
Avg HCC Risk Score
1.81
Gender Split
83% female / 17% male

Top Prescribed Drugs (Medicare Part D)

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

What MARGIANNA TOMS, CRNM CRNP 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
Levothyroxine Sodium
169
Losartan Potassium
85
Atorvastatin Calcium
83
Furosemide
80
Buspirone Hcl
70
Potassium Chloride
70
Escitalopram Oxalate
67
Hydralazine Hcl
64
Amlodipine Besylate
62
Omeprazole
62

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

Advanced Practice Midwife Overview

How MARGIANNA TOMS, CRNM CRNP fits within the Advanced Practice Midwife landscape nationally.

10,893
Advanced Practice Midwife Providers in US
55
States with Advanced Practice Midwife
99
Avg Claims per Provider

MARGIANNA TOMS, CRNM CRNP's 2,707 claims are above the specialty average of 99.

Nearby Advanced Practice Midwife Providers in Maryland

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

Compare Advanced Practice Midwife nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARGIANNA TOMS, CRNM CRNP's specialty?
MARGIANNA TOMS, CRNM CRNP specializes in Advanced Practice Midwife and practices in HAGERSTOWN, Maryland. Credentials: CRNM CRNP.
How much does MARGIANNA TOMS, CRNM CRNP prescribe under Medicare Part D?
In 2023, MARGIANNA TOMS, CRNM CRNP wrote 2,707 Medicare Part D claims totaling $142K in drug costs for 78 beneficiaries.
Where is MARGIANNA TOMS, CRNM CRNP located?
MARGIANNA TOMS, CRNM CRNP is located at 15844 FAIRVIEW RD, HAGERSTOWN, MD, 21740. Phone: (301) 992-3724.
What is MARGIANNA TOMS, CRNM CRNP's NPI number?
MARGIANNA TOMS, CRNM CRNP's National Provider Identifier (NPI) is 1245676881, issued on 05/21/2013.
Does MARGIANNA TOMS, CRNM CRNP prescribe more brand-name or generic drugs?
MARGIANNA TOMS, CRNM CRNP's prescribing is 11% brand-name and 89% generic drugs by claim count, with $85K in brand drug costs.
Does MARGIANNA TOMS, CRNM CRNP prescribe opioids?
Yes, MARGIANNA TOMS, CRNM CRNP had 30 opioid claims in 2023 with an opioid prescribing rate of 1.1%.
How many Advanced Practice Midwife providers are there in the US?
There are 10,893 Advanced Practice Midwife providers across 55 states in the US. The average Advanced Practice Midwife provider writes 99 Medicare Part D claims per year.
What drugs does MARGIANNA TOMS, CRNM CRNP prescribe most often?
Based on 2023 Medicare Part D data, MARGIANNA TOMS, CRNM CRNP's most frequently prescribed drugs include Levothyroxine Sodium, Losartan Potassium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARGIANNA TOMS, CRNM CRNP accept Medicare?
MARGIANNA TOMS, CRNM CRNP appears in CMS Medicare data with 2,707 Part D claims and 78 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARGIANNA TOMS, CRNM CRNP's credentials?
MARGIANNA TOMS, CRNM CRNP's NPI is 1245676881 with credentials CRNM CRNP. 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.
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