Toni Kropilak, FNP
NPI 1598327975 · Primary Care Nurse Practitioner · North Charleston, SC
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Toni Kropilak, FNP is a Primary Care Nurse Practitioner provider in North Charleston, SC (NPI 1598327975).
Provider details
- NPI number
- 1598327975
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 26640 (SC)
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 tenure25% of score
6 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
274 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 76 | $103 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 56 | $16 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 51 | $135 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 34 | $41 |
| Automated Urinalysis Test81003 | 24 | $2 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 20 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 25 | 25 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 24 | 24 |
| Cephalexin | 21 | 21 |
| Atorvastatin Calcium | 16 | 12 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 14 | 12 |
| Azithromycin | 14 | 14 |
| Triamcinolone Acetonide | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$41 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
Registry dates
- Enumerated
- 2019-07-05
- Last updated
- 2025-11-12
- Certified
- 2025-11-12
Frequently asked questions
- What is Toni Kropilak's NPI number?
- Toni Kropilak's National Provider Identifier (NPI) is 1598327975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Toni Kropilak's specialty?
- Toni Kropilak is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Toni Kropilak located?
- Toni Kropilak's practice location on file with NPPES is 2233 Northwoods Blvd, North Charleston, SC 29406-4007.
- What is Toni Kropilak's phone number?
- The practice phone number listed in the NPPES registry for Toni Kropilak is (843) 773-9903.
- Does Toni Kropilak accept Medicare?
- Toni Kropilak is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Toni Kropilak's NPI active?
- Yes — Toni Kropilak's NPI (1598327975) is active in the NPPES registry as of the last update on 2025-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.