Doctor profile · Federal record

Dr. Toni McFadden, CNP

Adult Health Nurse Practitioner (CMS: Nurse Practitioner) · Acute Care Nurse Practitioner · Critical Care Medicine Nurse Practitioner · Santa Rosa, CA

  • NPI 1205859311
  • Accepts Medicare
  • 23 yrs in practice
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3536 Mendocino Ave Ste 200
Santa Rosa, CA 954033634
(707) 573-6166
fax (707) 573-6165

Credentials & registration

NPPES · NUCC
NPI registered
July 2006 — 20 yrs on file
Profile last updated
November 8, 2021
Year of graduation
2003 — 23 yrs since
Specialty taxonomy
363LA2200X — NUCC code
State licenses (2)
California #16959 · New Mexico #R37008
Medicaid
NM #45259330

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1205859311. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
887
Distinct HCPCS
6
Medicare allowed
$78,106
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 528 462 $118
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 229 207 $13
99443 Telephone medical discussion with physician, 21-30 minutes 52 51 $118
99442 Telephone medical discussion with physician, 11-20 minutes 27 25 $84
93246 Heart rhythm recording of continous external ekg over 8-15 days 26 25 $14
99215 Established patient office or other outpatient visit, 40-54 minutes 25 24 $164

In context: peer comparison

Among 3 peers in Santa Rosa Adult Health Nurse Practitioner, average services per provider: 94. This provider delivers 9.4× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$513
Transactions
23
Manufacturers
12
Payer (manufacturer) Industry Txns Amount
Novartis Pharmaceuticals Corporation 4 $91.09
Amgen INC. 4 $84.38
Actelion Pharmaceuticals US, INC. 2 $59.50
E.R. Squibb & Sons, L.L.C. 3 $58.29
Merck Sharp & Dohme LLC 2 $53.84
AstraZeneca Pharmaceuticals Lp 2 $31.89
Boston Scientific Corporation 1 $30.55
Abiomed 1 $25.20
Lexicon Pharmaceuticals, INC. 1 $23.48
Esperion Therapeutics, INC. 1 $21.15
Boehringer Ingelheim Pharmaceuticals, INC. 1 $20.78
Janssen Pharmaceuticals, INC 1 $13.16

By nature of payment

Food and Beverage
$513

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,290
Patients
585
Total drug cost
$322,935
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 210 97 $3,482
Metoprolol Succinate Generic 179 76 $3,318
Eliquis (Apixaban) Brand 168 72 $200,603
Furosemide Generic 94 49 $936
Rosuvastatin Calcium Generic 93 47 $2,557
Spironolactone Generic 82 36 $1,013
Entresto (Sacubitril/Valsartan) Brand 64 27 $101,109
Lisinopril Generic 62 29 $731
Clopidogrel (Clopidogrel Bisulfate) Brand 61 19 $945
Losartan Potassium Generic 55 25 $797

Frequently asked questions

Auto-generated from federal data
What is Dr. Toni McFadden's medical specialty?
Dr. Toni McFadden practices Adult Health Nurse Practitioner in Santa Rosa, CA.
Where does Dr. Toni McFadden practice?
Dr. Toni McFadden practices at 3536 Mendocino Ave Ste 200, Santa Rosa, CA 954033634. Office phone: 7075736166.
What is Dr. Toni McFadden's NPI?
Dr. Toni McFadden's National Provider Identifier (NPI) is 1205859311, issued by NPPES.
Does Dr. Toni McFadden accept Medicare assignment?
Yes. Dr. Toni McFadden accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Toni McFadden commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS 93000); Telephone medical discussion with physician (HCPCS 99443). Source: CMS Medicare Physician & Other Practitioners file.