NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1255343349 APRN
Verify on CMS → Toni Baldwin-Dufour, APRN
Family Nurse Practitioner in Swansea, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 210,832 in Family Nurse Practitioner, 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
1K
Medicare Part D claims · 327 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
84%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.2/100
▼ 6 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Toni Baldwin-Dufour, APRN reported a CMS MIPS final score of 77.2/100 - below the 83.1 national average - and filed 1,486 Medicare Part D claims in 2023.
- 77.2/100
- MIPS score · -6 vs avg
- 1K
- Part D claims, 2023
- 84%
- 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
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
Where Toni Baldwin-Dufour, APRN sits
This provider among family nurse practitioner peers
Across the 27,154 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Toni Baldwin-Dufour, APRN writes more Part D claims than 75% of them and scores higher on MIPS quality than 21% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Toni Baldwin-Dufour, APRN. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Toni Baldwin-Dufour, APRN?
Below national averagePrimary specialty
Family Nurse Practitioner
Medicare Part D claims
1,486 22% vs specialty avg
MIPS final score
77.2/100 5.9 pts vs avg
Specialty distribution in Illinois
How Family Nurse Practitioner compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Toni Baldwin-Dufour, APRN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 77.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Nurse Practitioner) - 77.2/100 vs national avg 83.1
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).
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.
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 84% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.2/100 for the 2023 performance year (Quality 57.6, Cost 77.2), compared with the national average of 83.1.
Family Nurse Practitioner is a high-volume specialty nationwide, with 210,832 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
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%
Family Nurse Practitioner average
14% brand-name claims vs 84% 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 / 84% 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
- Atorvastatin Calcium
Atorvastatin Calcium
104 claims
- Levothyroxine Sodium
Levothyroxine Sodium
56 claims
- Omeprazole
Omeprazole
55 claims
- Losartan Potassium
Losartan Potassium
51 claims
- Amlodipine Besylate
Amlodipine Besylate
50 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
46 claims
- Metformin Hcl 41
Metformin Hcl
41 claims
- Metoprolol Succinate 40
Metoprolol Succinate
40 claims
| 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.
210,832
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.
Dr. Deborah Aaron
FNP
Chicago, IL
Dr. Lawrence Abah
APN
Aurora, IL
Theresa Abbadusky
Pekin, IL
Dr. Nadia Abbasi-Kling
FNP-BC
Chicago, IL
Dr. Manar Abdalla
FNP
Chicago, IL
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Illinois medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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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 77.2/100 (Quality: 57.6, Cost: 77.2). 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 84% generic drugs by claim count, with $197K in brand drug costs.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 210,832 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
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
Compiled from official public sources by the PlainDoctor editorial team.
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.