Toni Gordon-Bailey, APRN
NPI 1568091270 · Nurse Practitioner · Benton, KY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Toni Gordon-Bailey, APRN is a Nurse Practitioner provider in Benton, KY (NPI 1568091270).
Provider details
- NPI number
- 1568091270
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 3014546 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
327 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 179 | $137 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 133 | $97 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 15 | $6 |
Typical Medicare-allowed amounts for these services range $6–$137 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tizanidine Hcl | 75 | 68 |
| Cephalexin | 40 | 39 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 33 | 31 |
| Ondansetron Hcl | 33 | 32 |
| Tramadol Hcl | 32 | 31 |
| Diclofenac Sodium | 30 | 22 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 28 | 27 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-04-04
- Last updated
- 2020-07-08
- Certified
- 2020-07-08
Frequently asked questions
- What is Toni Gordon-Bailey's NPI number?
- Toni Gordon-Bailey's National Provider Identifier (NPI) is 1568091270, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Toni Gordon-Bailey's specialty?
- Toni Gordon-Bailey is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Toni Gordon-Bailey located?
- Toni Gordon-Bailey's practice location on file with NPPES is 615 Old Symsonia Rd, Benton, KY 42025-5042.
- What is Toni Gordon-Bailey's phone number?
- The practice phone number listed in the NPPES registry for Toni Gordon-Bailey is (270) 527-4800.
- Does Toni Gordon-Bailey accept Medicare?
- Toni Gordon-Bailey is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Toni Gordon-Bailey's NPI active?
- Yes — Toni Gordon-Bailey's NPI (1568091270) is active in the NPPES registry as of the last update on 2020-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.