NPI registry status
Active
2026 NPPES data Gynecology Physician NPI 1538401260 MD
Verify on CMS → Toya Gordon, MD
Gynecology Physician in Collegeville, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,906 in Gynecology 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
412
Medicare Part D claims · 133 beneficiaries · Gynecology Physician avg: 295
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.2/100
▼ 2 pts below national avg 83.1 · Above neutral
Industry payments
$295.75
13 payments · CMS Open Payments (Sunshine Act)
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
Toya Gordon, MD reported a CMS MIPS final score of 81.2/100 - below the 83.1 national average - and filed 412 Medicare Part D claims in 2023.
- 81.2/100
- MIPS score · -2 vs avg
- 412
- Part D claims, 2023
- 78%
- generic prescribing
- 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.
Toya Gordon, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
81 36th percentile higher than 36% 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 Gordon, MD sits
This provider among gynecology physician peers
Across the 551 gynecology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Toya Gordon, MD writes more Part D claims than 71% of them and scores higher on MIPS quality than 34% - 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 gynecology physician peer from a representative sample of 60; the gold marker is Toya Gordon, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Toya Gordon, MD 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 Toya Gordon, MD?
Near national averagePrimary specialty
Gynecology Physician
Medicare Part D claims
412 40% vs specialty avg
MIPS final score
81.2/100 1.9 pts vs avg
Specialty distribution in Pennsylvania
How Gynecology Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Toya Gordon, MD's 2023 MIPS final score plotted against the Gynecology Physician national average
- MIPS Final Score
- 81.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gynecology Physician) - 81.2/100 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).
Toya Gordon, MD appears in the CMS NPPES registry as a Gynecology Physician provider holding MD credentials at 300 SPRINGHOUSE DR STE 100, Collegeville, PA, 19426, with a listed phone of (510) 435-3893. NPI 1538401260 was issued on 03/20/2013.
Medicare Part D records for calendar year 2023 show 412 prescription claims written by this provider, covering 133 Medicare beneficiaries and totaling roughly $59K in drug spend, split 22% brand-name and 78% generic by claim count, with an opioid prescribing rate of 11.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.2/100 for the 2023 performance year (Quality 74.6, Cost 65.2), compared with the national average of 83.1.
Gynecology Physician is a narrow specialty nationwide, with 3,906 enrolled providers across 53 states and an average of 295 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 | 1538401260 |
|---|---|
| Specialty | Gynecology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 03/20/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
81.1913
Final Score
Avg: 83.1
74.5659
Quality
65.2384
Cost
97
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Toya Gordon, MD 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.
Phoenixville Clinic Company LLC
Limerick, PA
Tower Health Medical Group
West Reading, PA
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 Gordon, MD. Source: openpaymentsdata.cms.gov.
Total received
$296
Largest payer
ABBVIE 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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Toya Gordon, MD. To verify Toya Gordon, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Toya Gordon, MD - brand share 22.0%
Gynecology Physician average
22% brand-name claims vs 78% generic, on 412 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.
412
Total Claims
$59K
Total Drug Cost
133
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 621
- Total Day Supply
- 12,990
- Brand vs Generic
- 22% brand / 78% generic
- Brand Drug Cost
- $48K
- Generic Drug Cost
- $11K
- Opioid Claims
- 49 (11.9% rate)
- Antibiotic Claims
- 123
Patient Demographics
- Average Patient Age
- 73.8 years
- Avg HCC Risk Score
- 1.32
- Gender Split
- 100% female / 0% male
- Age Distribution
- <65: 13, 65-74: 54, 75-84: 51, 85+: 15
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Toya Gordon, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Cephalexin
Cephalexin
43 claims
- Methenamine Hippur…
Methenamine Hippurate
37 claims
- Nitrofurantoin Mon…
Nitrofurantoin Mono-Macro
34 claims
- Alprazolam
Alprazolam
24 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
24 claims
- Gemtesa
Gemtesa
23 claims
- Ibuprofen
Ibuprofen
20 claims
- Estradiol 17
Estradiol
17 claims
| Drug | Claims |
|---|---|
| Cephalexin | 43 |
| Methenamine Hippurate | 37 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 34 |
| Alprazolam | 24 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 24 |
| Gemtesa Vibegron | 23 |
| Ibuprofen | 20 |
| Estradiol | 17 |
| Oxycodone Hcl | 16 |
| Ciprofloxacin Hcl | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gynecology Physician Overview
How Toya Gordon, MD fits within the Gynecology Physician landscape nationally.
3,906
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider
Toya Gordon, MD's 412 claims are above the specialty average of 295.
Nearby Gynecology Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Gordon.
Dr. Sharan Abdul-Rahman
MD, MBA
Philadelphia, PA
Dr. Alexi Achenbach
MD
Lebanon, PA
Dr. Donald Adams
M.D.
Lemoyne, PA
Dr. Gill Alderfer
MD
Ridley Park, PA
Dr. Taffy Anderson
MD
Hershey, PA
Compare Gynecology 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gynecology 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.
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Frequently Asked Questions
What is Toya Gordon, MD's specialty? ▼
Toya Gordon, MD specializes in Gynecology Physician and practices in Collegeville, Pennsylvania. Credentials: MD.
How much does Toya Gordon, MD prescribe under Medicare Part D? ▼
In 2023, Toya Gordon, MD wrote 412 Medicare Part D claims totaling $59K in drug costs for 133 beneficiaries.
What is Toya Gordon, MD's Medicare quality score? ▼
Toya Gordon, MD has a CMS MIPS Final Score of 81.2/100 (Quality: 74.6, Cost: 65.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Toya Gordon, MD located? ▼
Toya Gordon, MD is located at 300 SPRINGHOUSE DR STE 100, Collegeville, PA, 19426. Phone: (510) 435-3893.
What is Toya Gordon, MD's NPI number? ▼
Toya Gordon, MD's National Provider Identifier (NPI) is 1538401260, issued on 03/20/2013.
Does Toya Gordon, MD prescribe more brand-name or generic drugs? ▼
Toya Gordon, MD's prescribing is 22% brand-name and 78% generic drugs by claim count, with $48K in brand drug costs.
Does Toya Gordon, MD prescribe opioids? ▼
Yes, Toya Gordon, MD had 49 opioid claims in 2023 with an opioid prescribing rate of 11.9%.
How many Gynecology Physician providers are there in the US? ▼
There are 3,906 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does Toya Gordon, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Toya Gordon, MD's most frequently prescribed drugs include Cephalexin, Methenamine Hippurate, Nitrofurantoin Mono-Macro. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Toya Gordon, MD accept Medicare? ▼
Toya Gordon, MD appears in CMS Medicare data with 412 Part D claims and 133 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Toya Gordon, MD's credentials? ▼
Toya Gordon, MD's NPI is 1538401260 with credentials MD. 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.