2026 NPPES data Adult Health Nurse Practitioner NPI 1720415185 APN
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THERESA TOMY, APN

Adult Health Nurse Practitioner in FLEMINGTON, New Jersey. 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
233
Medicare Part D claims · 64 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
26%
generic claims · 74% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.4858/100
▼ 3 pts below national avg 83.1 · [object Object]
Industry payments
$489.94
29 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

THERESA TOMY, APN reported a CMS MIPS final score of 80.4858/100 — below the 83.1 national average — and filed 233 Medicare Part D claims in 2023.

80.4858/100
MIPS score · -3 vs avg
233
Part D claims, 2023
26%
generic prescribing
$489.94
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.

THERESA TOMY, APN's MIPS score vs every scored U.S. clinician

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

80 33rd percentile higher than 33% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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

What does the federal data show about THERESA TOMY, APN?

Near national average

NPI registry status

Active

Issued 10/01/2013

NPI 1720415185

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

233 81% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

80.4858/100 2.6141999999999967% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Jersey

How Adult Health Nurse Practitioner compares to other specialties among New Jersey providers

New Jersey providers

Adult Health Nurse Practitioner share within New Jersey

1. Adult Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Nurse Practitioner share within New Jersey

Medicare quality performance — MIPS

THERESA TOMY, APN's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

Near national average
MIPS Final Score
80.4858/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) — 80.4858/100 vs national avg 83.1

0%100%National avg83%80.5%
MIPS final score (Adult Health Nurse Practitioner) — 80.4858/100 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).

THERESA TOMY, APN appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding APN credentials at 2100 WESCOTT DR, FLEMINGTON, NJ, 08822, with a listed phone of (908) 788-6100. NPI 1720415185 was issued on 10/01/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TOMY 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 233 prescription claims written by this provider, covering 64 Medicare beneficiaries and totaling roughly $101K in drug spend, split 74% brand-name and 26% 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 80.4858/100 for the 2023 performance year (Quality 82.8605, Cost 52.092), compared with the national average of 83.1.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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

2100 WESCOTT DR
FLEMINGTON, NJ 08822

Provider Details

NPI 1720415185
Specialty Adult Health Nurse Practitioner
Credentials APN
Gender Female
NPI Issued 10/01/2013

CMS Quality Score (MIPS)

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

80.4858
Final Score
Avg: 83.1
82.8605
Quality
52.092
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where THERESA TOMY, APN 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.

HUNTERDON SPECIALTY CARE PC
FLEMINGTON, NJ

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 THERESA TOMY, APN. Source: openpaymentsdata.cms.gov.

Total received

$490

Largest payer

GlaxoSmithKline, LLC.

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 · Brand-heavy

THERESA TOMY, APN — brand share 74.0%
Specialty average (est.)

74% brand-name claims vs 26% generic, on 233 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.

233
Total Claims
$101K
Total Drug Cost
64
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
314
Total Day Supply
8,637
Brand vs Generic
74% brand / 26% generic
Brand Drug Cost
$97K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
75.1 years
Avg HCC Risk Score
1.64
Gender Split
73% female / 27% male

Top Prescribed Drugs (Medicare Part D)

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

What THERESA TOMY, APN 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
Albuterol Sulfate Hfa
Albuterol Sulfate
58
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
33
Spiriva Respimat
Tiotropium Bromide
26
Breo Ellipta
Fluticasone/Vilanterol
21
Symbicort
Budesonide/Formoterol Fumarate
18
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
12
Bevespi Aerosphere
Glycopyrrolate/Formoterol Fum
11

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

Adult Health Nurse Practitioner Overview

How THERESA TOMY, APN fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

THERESA TOMY, APN's 233 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as TOMY.

Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is THERESA TOMY, APN's specialty?
THERESA TOMY, APN specializes in Adult Health Nurse Practitioner and practices in FLEMINGTON, New Jersey. Credentials: APN.
How much does THERESA TOMY, APN prescribe under Medicare Part D?
In 2023, THERESA TOMY, APN wrote 233 Medicare Part D claims totaling $101K in drug costs for 64 beneficiaries.
What is THERESA TOMY, APN's Medicare quality score?
THERESA TOMY, APN has a CMS MIPS Final Score of 80.4858/100 (Quality: 82.8605, Cost: 52.092). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THERESA TOMY, APN located?
THERESA TOMY, APN is located at 2100 WESCOTT DR, FLEMINGTON, NJ, 08822. Phone: (908) 788-6100.
What is THERESA TOMY, APN's NPI number?
THERESA TOMY, APN's National Provider Identifier (NPI) is 1720415185, issued on 10/01/2013.
Does THERESA TOMY, APN prescribe more brand-name or generic drugs?
THERESA TOMY, APN's prescribing is 74% brand-name and 26% generic drugs by claim count, with $97K in brand drug costs.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does THERESA TOMY, APN prescribe most often?
Based on 2023 Medicare Part D data, THERESA TOMY, APN's most frequently prescribed drugs include Albuterol Sulfate Hfa, Anoro Ellipta, Spiriva Respimat. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THERESA TOMY, APN accept Medicare?
THERESA TOMY, APN appears in CMS Medicare data with 233 Part D claims and 64 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THERESA TOMY, APN's credentials?
THERESA TOMY, APN's NPI is 1720415185 with credentials APN. 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