2026 NPPES data Family Nurse Practitioner NPI 1467793703 FNP
Verify on CMS →

TONYA COLTON, FNP

Family Nurse Practitioner in NEWPORT NEWS, Virginia. 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
29
Medicare Part D claims · 15 beneficiaries · Family Nurse Practitioner avg: 1K
MIPS score
62.1316/100
▼ 21 pts below national avg 83.1 · [object Object]
Industry payments
$1.6K
72 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TONYA COLTON, FNP reported a CMS MIPS final score of 62.1316/100 — below the 83.1 national average — and filed 29 Medicare Part D claims in 2023.

62.1316/100
MIPS score · -21 vs avg
29
Part D claims, 2023
$1.6K
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.

TONYA COLTON, FNP's MIPS score vs every scored U.S. clinician

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

62 6th percentile higher than 6% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 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 TONYA COLTON, FNP?

Below national average

NPI registry status

Active

Issued 03/12/2013

NPI 1467793703

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

29 98% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

62.1316/100 20.968399999999995% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Virginia

How Family Nurse Practitioner compares to other specialties among Virginia providers

Virginia providers

Family Nurse Practitioner share within Virginia

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

Medicare quality performance — MIPS

TONYA COLTON, FNP's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Below national average
MIPS Final Score
62.1316/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 62.1316/100 vs national avg 83.1

0%100%National avg83%62.1%
MIPS final score (Family Nurse Practitioner) — 62.1316/100 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).

TONYA COLTON, FNP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding FNP credentials at 825 DILIGENCE DR STE 100, NEWPORT NEWS, VA, 23606, with a listed phone of (757) 268-7612. NPI 1467793703 was issued on 03/12/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COLTON 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 29 prescription claims written by this provider, covering 15 Medicare beneficiaries and totaling roughly $178 in drug spend. 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 62.1316/100 for the 2023 performance year (Quality 72.4397, Cost 84.6656), 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

825 DILIGENCE DR STE 100
NEWPORT NEWS, VA 23606

Provider Details

NPI 1467793703
Specialty Family Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 03/12/2013

CMS Quality Score (MIPS)

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

62.1316
Final Score
Avg: 83.1
72.4397
Quality
84.6656
Cost
0
Promoting Interoperability

Reporting: Group practice

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 TONYA COLTON, FNP. Source: openpaymentsdata.cms.gov.

Total received

$1.6K

Largest payer

ITI, Inc. (d/b/a Intra-Cellular Therapies, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

29
Total Claims
$178
Total Drug Cost
15
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
31
Total Day Supply
574
Generic Drug Cost
$102

Patient Demographics

Average Patient Age
68.5 years
Avg HCC Risk Score
0.93

Family Nurse Practitioner Overview

How TONYA COLTON, FNP 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

TONYA COLTON, FNP's 29 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Virginia

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

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

Frequently Asked Questions

What is TONYA COLTON, FNP's specialty?
TONYA COLTON, FNP specializes in Family Nurse Practitioner and practices in NEWPORT NEWS, Virginia. Credentials: FNP.
How much does TONYA COLTON, FNP prescribe under Medicare Part D?
In 2023, TONYA COLTON, FNP wrote 29 Medicare Part D claims totaling $178 in drug costs for 15 beneficiaries.
What is TONYA COLTON, FNP's Medicare quality score?
TONYA COLTON, FNP has a CMS MIPS Final Score of 62.1316/100 (Quality: 72.4397, Cost: 84.6656). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TONYA COLTON, FNP located?
TONYA COLTON, FNP is located at 825 DILIGENCE DR STE 100, NEWPORT NEWS, VA, 23606. Phone: (757) 268-7612.
What is TONYA COLTON, FNP's NPI number?
TONYA COLTON, FNP's National Provider Identifier (NPI) is 1467793703, issued on 03/12/2013.
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.
Does TONYA COLTON, FNP accept Medicare?
TONYA COLTON, FNP appears in CMS Medicare data with 29 Part D claims and 15 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TONYA COLTON, FNP's credentials?
TONYA COLTON, FNP's NPI is 1467793703 with credentials FNP. 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