Van-Khue Ton, MD, PHD
Advanced Heart Failure and Transplant Cardiology Physician in Boston, Massachusetts. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
Van-Khue Ton, MD, PHD filed 1,419 Medicare Part D claims in 2023 as a Advanced Heart Failure and Transplant Cardiology Physician in Boston, Massachusetts, prescribing 56% generic.
- 1K
- Part D claims, 2023
- 56%
- 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.
Van-Khue Ton, MD, PHD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
1,419 Top 20% higher than 80% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
Van-Khue Ton, MD, PHD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Van-Khue Ton, MD, PHD?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Massachusetts
How Advanced Heart Failure and Transplant Cardiology Physician compares to other specialties among Massachusetts providers
Advanced Heart Failure and Transplant Cardiology Physician share within Massachusetts
Advanced Heart Failure and Transplant Cardiology Physician is one of the more visible NUCC categories in Massachusetts
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Advanced Heart Failure and Transplant Cardiology Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Advanced Heart Failure and Transplant Cardiology Physician ABMS/AOA estimate
Est. board-certified rate (Advanced Heart Failure and Transplant Cardiology Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Advanced Heart Failure and Transplant Cardiology Physician US NPIs
Specialty board-certified rate — Advanced Heart Failure and Transplant Cardiology Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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).
Van-Khue Ton, MD, PHD appears in the CMS NPPES registry as a Advanced Heart Failure and Transplant Cardiology Physician provider holding MD, PHD credentials at MASSACHUSETTS GENERAL HOSPITAL, Boston, MA, 02114, with a listed phone of (617) 726-2862. NPI 1497982938 was issued on 06/11/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Ton 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 1,419 prescription claims written by this provider, covering 175 Medicare beneficiaries and totaling roughly $2.3 million in drug spend, split 44% brand-name and 56% generic by claim count, with an opioid prescribing rate of 0.8%. 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.
Advanced Heart Failure and Transplant Cardiology Physician is a narrow specialty nationwide, with 510 enrolled providers across 48 states and an average of 1,762 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 | 1497982938 |
|---|---|
| Specialty | Advanced Heart Failure and Transplant Cardiology Physician |
| Credentials | MD, PHD |
| Gender | Female |
| NPI Issued | 06/11/2009 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Van-Khue Ton, MD, PHD's current license status, disciplinary history, and board certifications with the Massachusetts Board of Registration in Medicine in Massachusetts before relying on this page for a clinical or care decision.
How we sourced this profile
Hospital and facility affiliations
Facilities where Van-Khue Ton, MD, PHD 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.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to Van-Khue Ton, MD, PHD. To verify Van-Khue Ton, MD, PHD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
44% brand-name claims vs 56% generic, on 1,419 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.
Prescribing Breakdown
- 30-Day Fills
- 3,473
- Total Day Supply
- 103,316
- Brand vs Generic
- 44% brand / 56% generic
- Brand Drug Cost
- $2.3M
- Generic Drug Cost
- $33K
- Opioid Claims
- 12 (0.8% rate)
Patient Demographics
- Average Patient Age
- 73.5 years
- Avg HCC Risk Score
- 2.50
- Gender Split
- 27% female / 73% male
- Age Distribution
- <65: 25, 65-74: 61, 75-84: 71, 85+: 18
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Van-Khue Ton, MD, PHD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Jardiance
Jardiance
172 claims
- Spironolactone
Spironolactone
150 claims
- Entresto
Entresto
148 claims
- Metoprolol Succinate
Metoprolol Succinate
147 claims
- Farxiga
Farxiga
120 claims
- Torsemide
Torsemide
84 claims
- Eliquis
Eliquis
77 claims
- Vyndamax 49
Vyndamax
49 claims
| Drug | Claims |
|---|---|
| Jardiance Empagliflozin | 172 |
| Spironolactone | 150 |
| Entresto Sacubitril/Valsartan | 148 |
| Metoprolol Succinate | 147 |
| Farxiga Dapagliflozin Propanediol | 120 |
| Torsemide | 84 |
| Eliquis Apixaban | 77 |
| Vyndamax Tafamidis | 49 |
| Losartan Potassium | 35 |
| Atorvastatin Calcium | 30 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Advanced Heart Failure and Transplant Cardiology Physician Overview
How Van-Khue Ton, MD, PHD fits within the Advanced Heart Failure and Transplant Cardiology Physician landscape nationally.
Van-Khue Ton, MD, PHD's 1,419 claims are below the specialty average of 1,762.
Nearby Advanced Heart Failure and Transplant Cardiology Physician Providers in Massachusetts
Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as Ton.
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 Massachusetts medical board — federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Advanced Heart Failure and Transplant Cardiology 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
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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.
- 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