2026 NPPES data Family Nurse Practitioner NPI 1255343349 APRN
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TONI BALDWIN-DUFOUR, APRN

Family Nurse Practitioner in SWANSEA, Illinois. 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
1K
Medicare Part D claims · 327 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.194/100
▼ 6 pts below national avg 83.1 · [object Object]

What the federal data shows

TONI BALDWIN-DUFOUR, APRN reported a CMS MIPS final score of 77.194/100 — below the 83.1 national average — and filed 1,486 Medicare Part D claims in 2023.

77.194/100
MIPS score · -6 vs avg
1K
Part D claims, 2023
86%
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.

TONI BALDWIN-DUFOUR, APRN's MIPS score vs every scored U.S. clinician

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

77 24th percentile higher than 24% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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 TONI BALDWIN-DUFOUR, APRN?

Below national average

NPI registry status

Active

Issued 08/13/2006

NPI 1255343349

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

1,486 22% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

77.194/100 5.905999999999992% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Family Nurse Practitioner compares to other specialties among Illinois providers

Illinois providers

Family Nurse Practitioner share within Illinois

1. Family Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Nurse Practitioner share within Illinois

Medicare quality performance — MIPS

TONI BALDWIN-DUFOUR, APRN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Below national average
MIPS Final Score
77.194/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 77.194/100 vs national avg 83.1

0%100%National avg83%77.2%
MIPS final score (Family Nurse Practitioner) — 77.194/100 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).

TONI BALDWIN-DUFOUR, APRN appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding APRN credentials at 4000 N ILLINOIS LN, SWANSEA, IL, 62226, with a listed phone of (618) 257-6380. NPI 1255343349 was issued on 08/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALDWIN-DUFOUR 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 1,486 prescription claims written by this provider, covering 327 Medicare beneficiaries and totaling roughly $224K 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 77.194/100 for the 2023 performance year (Quality 57.5716, Cost 77.2418), compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

4000 N ILLINOIS LN
SWANSEA, IL 62226

Provider Details

NPI 1255343349
Specialty Family Nurse Practitioner
Credentials APRN
Gender Female
NPI Issued 08/13/2006

CMS Quality Score (MIPS)

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

77.194
Final Score
Avg: 83.1
57.5716
Quality
77.2418
Cost
87
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where TONI BALDWIN-DUFOUR, APRN 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.

FAIRVIEW HEIGHTS MEDICAL GROUP SC
ALTON, IL

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

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to TONI BALDWIN-DUFOUR, APRN. To verify TONI BALDWIN-DUFOUR, APRN's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

TONI BALDWIN-DUFOUR, APRN — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 1,486 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.

1,486
Total Claims
$224K
Total Drug Cost
327
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,776
Total Day Supply
110,749
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$197K
Generic Drug Cost
$26K
Antibiotic Claims
31

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.74
Gender Split
66% female / 34% male
Age Distribution
<65: 49, 65-74: 162, 75-84: 91, 85+: 25

Top Prescribed Drugs (Medicare Part D)

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

What TONI BALDWIN-DUFOUR, APRN 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
Atorvastatin Calcium
104
Levothyroxine Sodium
56
Omeprazole
55
Losartan Potassium
51
Amlodipine Besylate
50
Albuterol Sulfate Hfa
Albuterol Sulfate
46
Metformin Hcl
41
Metoprolol Succinate
40
Lisinopril
33
Montelukast Sodium
32

* 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 TONI BALDWIN-DUFOUR, APRN fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

TONI BALDWIN-DUFOUR, APRN's 1,486 claims are above the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as BALDWIN-DUFOUR.

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is TONI BALDWIN-DUFOUR, APRN's specialty?
TONI BALDWIN-DUFOUR, APRN specializes in Family Nurse Practitioner and practices in SWANSEA, Illinois. Credentials: APRN.
How much does TONI BALDWIN-DUFOUR, APRN prescribe under Medicare Part D?
In 2023, TONI BALDWIN-DUFOUR, APRN wrote 1,486 Medicare Part D claims totaling $224K in drug costs for 327 beneficiaries.
What is TONI BALDWIN-DUFOUR, APRN's Medicare quality score?
TONI BALDWIN-DUFOUR, APRN has a CMS MIPS Final Score of 77.194/100 (Quality: 57.5716, Cost: 77.2418). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TONI BALDWIN-DUFOUR, APRN located?
TONI BALDWIN-DUFOUR, APRN is located at 4000 N ILLINOIS LN, SWANSEA, IL, 62226. Phone: (618) 257-6380.
What is TONI BALDWIN-DUFOUR, APRN's NPI number?
TONI BALDWIN-DUFOUR, APRN's National Provider Identifier (NPI) is 1255343349, issued on 08/13/2006.
Does TONI BALDWIN-DUFOUR, APRN prescribe more brand-name or generic drugs?
TONI BALDWIN-DUFOUR, APRN's prescribing is 14% brand-name and 86% generic drugs by claim count, with $197K in brand drug costs.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 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 TONI BALDWIN-DUFOUR, APRN prescribe most often?
Based on 2023 Medicare Part D data, TONI BALDWIN-DUFOUR, APRN's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TONI BALDWIN-DUFOUR, APRN accept Medicare?
TONI BALDWIN-DUFOUR, APRN appears in CMS Medicare data with 1,486 Part D claims and 327 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TONI BALDWIN-DUFOUR, APRN's credentials?
TONI BALDWIN-DUFOUR, APRN's NPI is 1255343349 with credentials APRN. 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