2026 NPPES data Family Medicine Physician NPI 1275005258 FNP
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Tonya Hamby, FNP

Family Medicine Physician in Columbia, South Carolina. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,640 in Family Medicine Physician, 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
96
Medicare Part D claims · 81 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
70.1/100
▼ 13 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Tonya Hamby, FNP reported a CMS MIPS final score of 70.1/100 - below the 83.1 national average - and filed 96 Medicare Part D claims in 2023.

70.1/100
MIPS score · -13 vs avg
96
Part D claims, 2023
Likely
board-certified (heuristic)

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

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

70 8th percentile higher than 8% 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+: 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

Where Tonya Hamby, FNP sits

This provider among family medicine physician peers

Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Tonya Hamby, FNP writes more Part D claims than 6% of them and scores higher on MIPS quality than 11% - placing this provider in the lower-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 92Tonya Hamby, FNP-Part D claim volume, percentile in specialty: 6 · MIPS quality, percentile: 11
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Tonya Hamby, FNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Tonya Hamby, FNP practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Tonya Hamby, FNP?

Below national average

NPI registry status

Active

Issued 01/01/2019

NPI 1275005258

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

96 97% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

70.1/100 13 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in South Carolina

How Family Medicine Physician compares to other specialties among South Carolina providers

South Carolina providers

Largest specialties in South Carolina (% of in-state providers)

Pharmacist - 6.2%Pharmacist6.2%Mental Health Counselor - 5.1%Mental Health Counselor5.1%Family Nurse Practitioner - 4.6%Family Nurse Practitioner4.6%Physical Therapist - 4.5%Physical Therapist4.5%Behavior Technician - 3.8%Behavior Technician3.8%Speech-Language Pathologist - 3.7%Speech-Language Pathologist3.7%Family Medicine Physician - 3.1%Family Medicine Physician3.1%
Largest specialties in South Carolina (% of in-state providers)

Medicare quality performance, MIPS

Tonya Hamby, FNP's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
70.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) - 70.1/100 vs national avg 83.1

0%100%National avg83%70.1%
MIPS final score (Family Medicine Physician) - 70.1/100 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 Hamby, FNP appears in the CMS NPPES registry as a Family Medicine Physician provider holding FNP credentials at 6251 SAINT ANDREWS RD STE 1, Columbia, SC, 29212, with a listed phone of (803) 791-7175. NPI 1275005258 was issued on 01/01/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Hamby 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 96 prescription claims written by this provider, covering 81 Medicare beneficiaries and totaling roughly $787 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 70.1/100 for the 2023 performance year (Quality 48.2, Cost 53.6), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

6251 SAINT ANDREWS RD STE 1
Columbia, SC 29212

Provider Details

NPI 1275005258
Specialty Family Medicine Physician
Credentials FNP
Gender Female
NPI Issued 01/01/2019

CMS Quality Score (MIPS)

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

70.053
Final Score
Avg: 83.1
48.2211
Quality
53.6223
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Tonya Hamby, FNP 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.

Musc Community Physicians
Elgin, SC
Novant Health Urgent Cares LLC
Myrtle Beach, SC

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

Medicare Part D Prescribing Data

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

96
Total Claims
$787
Total Drug Cost
81
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
100
Total Day Supply
1,003
Generic Drug Cost
$665
Antibiotic Claims
58

Patient Demographics

Average Patient Age
69.3 years
Avg HCC Risk Score
0.97
Gender Split
75% female / 25% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
16

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

Family Medicine Physician Overview

How Tonya Hamby, FNP fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Tonya Hamby, FNP's 96 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as Hamby.

Compare Family Medicine Physician 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 South Carolina medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine Physician 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.

Frequently Asked Questions

What is Tonya Hamby, FNP's specialty?
Tonya Hamby, FNP specializes in Family Medicine Physician and practices in Columbia, South Carolina. Credentials: FNP.
How much does Tonya Hamby, FNP prescribe under Medicare Part D?
In 2023, Tonya Hamby, FNP wrote 96 Medicare Part D claims totaling $787 in drug costs for 81 beneficiaries.
What is Tonya Hamby, FNP's Medicare quality score?
Tonya Hamby, FNP has a CMS MIPS Final Score of 70.1/100 (Quality: 48.2, Cost: 53.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Tonya Hamby, FNP located?
Tonya Hamby, FNP is located at 6251 SAINT ANDREWS RD STE 1, Columbia, SC, 29212. Phone: (803) 791-7175.
What is Tonya Hamby, FNP's NPI number?
Tonya Hamby, FNP's National Provider Identifier (NPI) is 1275005258, issued on 01/01/2019.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Tonya Hamby, FNP prescribe most often?
Based on 2023 Medicare Part D data, Tonya Hamby, FNP's most frequently prescribed drugs include Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Tonya Hamby, FNP accept Medicare?
Tonya Hamby, FNP appears in CMS Medicare data with 96 Part D claims and 81 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Tonya Hamby, FNP's credentials?
Tonya Hamby, FNP's NPI is 1275005258 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

Compiled from official public sources by the PlainDoctor editorial team.