2026 NPPES data Gerontology Nurse Practitioner NPI 1255819157 ARNP-C
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TOYA ALDER, ARNP-C

Gerontology Nurse Practitioner in PALM BAY, Florida. 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
2K
Medicare Part D claims · 503 beneficiaries · Gerontology Nurse Practitioner avg: 1K
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$440.65
31 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TOYA ALDER, ARNP-C is a Gerontology Nurse Practitioner ([object Object]) practicing in PALM BAY, Florida with a Medicare Part D prescribing footprint of 2K claims across 503 beneficiaries . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $440.65 across 31 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TOYA ALDER, ARNP-C reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 2,206 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

TOYA ALDER, ARNP-C at a glance

Below national average

NPI registry status

Active

Issued 08/02/2018

NPI 1255819157

Primary specialty

Gerontology Nurse Practitioner

Mid-sized

9,625 US NPIs in this specialty

Medicare Part D claims

2,206 72% vs specialty avg

2023 prescription claims

Specialty avg: 1,283

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Gerontology Nurse Practitioner compares to other specialties among Florida providers

Florida providers

Gerontology Nurse Practitioner share within Florida

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

Medicare quality performance — MIPS

TOYA ALDER, ARNP-C's 2023 MIPS final score plotted against the Gerontology Nurse Practitioner national average

Below 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

0%100%National avg83%75%
MIPS final score (Gerontology Nurse Practitioner) — 75/100 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).

TOYA ALDER, ARNP-C is a Gerontology Nurse Practitioner provider practicing in PALM BAY, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: ARNP-C. NPI: 1255819157. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALDER 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 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%. 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 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

3255 BAYSIDE LAKES BLVD SE
PALM BAY, FL 32909

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.

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.

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

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

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