Tonya Carter, FNP
NPI 1215426291 · Family Nurse Practitioner · Tomball, TX
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tonya Carter, FNP is a Family Nurse Practitioner provider in Tomball, TX (NPI 1215426291).
Provider details
- NPI number
- 1215426291
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- AP136776 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
210 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 75 | $78 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 45 | $96 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus87426 | 38 | $35 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 23 | $16 |
| Automated Urinalysis Test81003 | 17 | $2 |
| X-Ray of Chest, 2 Views71046 | 12 | $28 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azithromycin | 25 | 24 |
| Cefdinir | 20 | 19 |
| Prednisone | 18 | 16 |
| Amoxicillin | 16 | 16 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 14 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$128 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1515 Holcombe BlvdHouston, TX 77030-4000Phone: (713) 792-6161
- 2401 S 31st StTemple, TX 76508Phone: (254) 724-2111
Registry dates
- Enumerated
- 2018-05-06
- Last updated
- 2025-10-03
- Certified
- 2025-10-03
Frequently asked questions
- What is Tonya Carter's NPI number?
- Tonya Carter's National Provider Identifier (NPI) is 1215426291, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tonya Carter's specialty?
- Tonya Carter is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tonya Carter located?
- Tonya Carter's practice location on file with NPPES is 25750 Kuykendahl Rd Ste a, Tomball, TX 77375-2731.
- What is Tonya Carter's phone number?
- The practice phone number listed in the NPPES registry for Tonya Carter is (281) 783-8162.
- Does Tonya Carter accept Medicare?
- Tonya Carter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tonya Carter's NPI active?
- Yes — Tonya Carter's NPI (1215426291) is active in the NPPES registry as of the last update on 2025-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.