IndividualActiveAccepts Medicare

Toni Mcdowell, NURSE PRACTITIONER

NPI 1922532928 · Family Nurse Practitioner · Baltimore, MD

Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1922532928
Entity type: Individual
Primary specialty: Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: NURSE PRACTITIONER
Sex: Female
Sole proprietor: Yes
License: R188055 (MD)

Specialties & taxonomies

Family Nurse PractitionerPrimary363LF0000XLicense R188055 (MD)
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner363L00000XLicense R188055 (MD)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(64/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure25% of score
9 yrs in NPPES registry
Profile completeness25% of score
100% of core fields populated
Practice footprint15% of score
2 documented practice locations
Medicare service volume (vs. specialty peers)25% of score
256 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	97	$78
New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203	45	$96
Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214	33	$111
Automated Urinalysis Test81003	23	$2
Detection Test By Immunoassay With Direct Visual Observation for Streptococcus, Group a (strep)87880	18	$16
Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212

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
Doxycycline Hyclate	37	37
Prednisone	29	28
Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro	15	15
Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass	14	14
Amoxicillin	12	12

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.

$256 across 5 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

630 S Exeter St

Baltimore, MD 21202-4316

Phone: (410) 962-6520

Street-level locationGet directions

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Mailing address