NPI registry status
Active
2026 NPPES data Gerontology Nurse Practitioner NPI 1255819157 ARNP-C
Verify on CMS → Toya Alder, ARNP-C
Gerontology Nurse Practitioner in Palm Bay, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,625 in Gerontology 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
2K
Medicare Part D claims · 503 beneficiaries · Gerontology Nurse Practitioner avg: 1K
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$440.65
31 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Toya Alder, ARNP-C reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 2,206 Medicare Part D claims in 2023.
- 75/100
- MIPS score · -8 vs avg
- 2K
- Part D claims, 2023
- $440.65
- 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.
Toya Alder, ARNP-C's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
75 15th percentile higher than 15% 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 Toya Alder, ARNP-C sits
This provider among gerontology nurse practitioner peers
Across the 1,301 gerontology nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Toya Alder, ARNP-C writes more Part D claims than 83% of them and scores higher on MIPS quality than 14% - 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 gerontology nurse practitioner peer from a representative sample of 60; the gold marker is Toya Alder, ARNP-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Toya Alder, ARNP-C?
Below national averagePrimary specialty
Gerontology Nurse Practitioner
Medicare Part D claims
2,206 72% vs specialty avg
MIPS final score
75/100 8.1 pts vs avg
Specialty distribution in Florida
How Gerontology Nurse Practitioner compares to other specialties among Florida providers
Medicare quality performance, MIPS
Toya Alder, ARNP-C's 2023 MIPS final score plotted against the Gerontology Nurse Practitioner national average
- MIPS Final Score
- 75/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gerontology Nurse Practitioner) - 75/100 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).
Toya Alder, ARNP-C appears in the CMS NPPES registry as a Gerontology Nurse Practitioner provider holding ARNP-C credentials at 3255 BAYSIDE LAKES BLVD SE, Palm Bay, FL, 32909, with a listed phone of (772) 226-6859. NPI 1255819157 was issued on 08/02/2018.
Medicare Part D records for calendar year 2023 show 2,206 prescription claims written by this provider, covering 503 Medicare beneficiaries and totaling roughly $162K in drug spend, with an opioid prescribing rate of 3.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.
Gerontology Nurse Practitioner is a mid-sized specialty nationwide, with 9,625 enrolled providers across 54 states and an average of 1,283 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 | 1255819157 |
|---|---|
| Specialty | Gerontology Nurse Practitioner |
| Credentials | ARNP-C |
| Gender | Female |
| NPI Issued | 08/02/2018 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
Avg: 83.1
Reporting: Group practice
Hospital and facility affiliations
Facilities where Toya Alder, ARNP-C 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.
Ballout International LLC
Vero Beach, FL
Florida Health Care OF Brevard
Palm Bay, FL
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 Toya Alder, ARNP-C. Source: openpaymentsdata.cms.gov.
Total received
$441
Largest payer
PFIZER 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.
License & disciplinary context - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Toya Alder, ARNP-C. To verify Toya Alder, ARNP-C's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
2,206
Total Claims
$162K
Total Drug Cost
503
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,609
- Total Day Supply
- 90,731
- Generic Drug Cost
- $37K
- Opioid Claims
- 69 (3.1% rate)
- Antibiotic Claims
- 264
Patient Demographics
- Average Patient Age
- 72.0 years
- Avg HCC Risk Score
- 1.86
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 66, 65-74: 229, 75-84: 162, 85+: 46
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Toya Alder, ARNP-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Methylprednisolone
Methylprednisolone
105 claims
- Amlodipine Besylate
Amlodipine Besylate
99 claims
- Azithromycin
Azithromycin
87 claims
- Montelukast Sodium
Montelukast Sodium
87 claims
- Metformin Hcl
Metformin Hcl
71 claims
- Atorvastatin Calcium
Atorvastatin Calcium
56 claims
- Metoprolol Tartrate
Metoprolol Tartrate
53 claims
- Lisinopril
Lisinopril
52 claims
| Drug | Claims |
|---|---|
| Methylprednisolone | 105 |
| Amlodipine Besylate | 99 |
| Azithromycin | 87 |
| Montelukast Sodium | 87 |
| Metformin Hcl | 71 |
| Atorvastatin Calcium | 56 |
| Metoprolol Tartrate | 53 |
| Lisinopril | 52 |
| Farxiga Dapagliflozin Propanediol | 51 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 49 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gerontology Nurse Practitioner Overview
How Toya Alder, ARNP-C fits within the Gerontology Nurse Practitioner landscape nationally.
9,625
Gerontology Nurse Practitioner Providers in US
54
States with Gerontology Nurse Practitioner
1,283
Avg Claims per Provider
Toya Alder, ARNP-C's 2,206 claims are above the specialty average of 1,283.
Nearby Gerontology Nurse Practitioner Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Alder.
Dr. Gretchen Abbott
APRN
Davenport, FL
Ricardo Acevedo
Miami, FL
Dr. Stephanie Adams
AGNP-C
Tampa, FL
Dr. Sonia Adamson
APRN
Tampa, FL
Dr. Marlene Adesca
ARNP
Lauderhill, FL
Compare Gerontology 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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gerontology 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 Toya Alder, ARNP-C's specialty? ▼
Toya Alder, ARNP-C specializes in Gerontology Nurse Practitioner and practices in Palm Bay, Florida. Credentials: ARNP-C.
How much does Toya Alder, ARNP-C prescribe under Medicare Part D? ▼
In 2023, Toya Alder, ARNP-C wrote 2,206 Medicare Part D claims totaling $162K in drug costs for 503 beneficiaries.
What is Toya Alder, ARNP-C's Medicare quality score? ▼
Toya Alder, ARNP-C has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Toya Alder, ARNP-C located? ▼
Toya Alder, ARNP-C is located at 3255 BAYSIDE LAKES BLVD SE, Palm Bay, FL, 32909. Phone: (772) 226-6859.
What is Toya Alder, ARNP-C's NPI number? ▼
Toya Alder, ARNP-C's National Provider Identifier (NPI) is 1255819157, issued on 08/02/2018.
Does Toya Alder, ARNP-C prescribe opioids? ▼
Yes, Toya Alder, ARNP-C had 69 opioid claims in 2023 with an opioid prescribing rate of 3.1%.
How many Gerontology Nurse Practitioner providers are there in the US? ▼
There are 9,625 Gerontology Nurse Practitioner providers across 54 states in the US. The average Gerontology Nurse Practitioner provider writes 1,283 Medicare Part D claims per year.
What drugs does Toya Alder, ARNP-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Toya Alder, ARNP-C's most frequently prescribed drugs include Methylprednisolone, Amlodipine Besylate, Azithromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Toya Alder, ARNP-C accept Medicare? ▼
Toya Alder, ARNP-C appears in CMS Medicare data with 2,206 Part D claims and 503 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Toya Alder, ARNP-C's credentials? ▼
Toya Alder, ARNP-C's NPI is 1255819157 with credentials ARNP-C. 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.