TONI GAFFORD ACNP-BC
NPI 1134561855
Nurse Practitioner - Acute Care in Lubbock, TX
About Toni Gafford Acnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONI GAFFORD ACNP-BC (NPI 1134561855) is an individual acute care provider in Lubbock, Texas, licensed in Texas (594677) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Toni Gafford Acnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Toni Gafford reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lubbock, TX 79410
- Reassigned Medicare billing, Texas enrollment
- 309 clinicians in this Medicare group
Lubbock, TX 79404
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: American Current Care PA
- 237 clinicians in this Medicare group
Plainview, TX 79072
- Reassigned Medicare billing, Texas enrollment
- 217 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Texas enrollment
- 2,009 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Covenant Medical Center
Acute Care Hospitals · Lubbock, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 79410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LUBBOCK, TX 79410
LUBBOCK, TX 79410
LUBBOCK, TX 79410
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Toni Gafford's NPI number?
The NPI number for Toni Gafford is 1134561855. It was assigned to this individual provider in the NPPES registry on July 23, 2013.
Where is Toni Gafford located?
Toni Gafford practices at 3615 19th St, Lubbock, TX 79410. The listed phone number is (806) 725-0402.
What is Toni Gafford's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Toni Gafford enrolled in Medicare?
Yes. Toni Gafford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Toni Gafford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Toni Gafford reassigns Medicare benefits to 4 organizations: Covenant Medical Group (Lubbock, TX), American Current Care, P.A. (Lubbock, TX), Hospitalist Medicine Physicians Of Texas - Houston, PLLC (Plainview, TX) and Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Toni Gafford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Toni Gafford accept?
Health plans from Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 3 other insurers list Toni Gafford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Toni Gafford affiliated with any hospitals?
According to CMS data, Toni Gafford is affiliated with Covenant Medical Center.
When was this NPI record last updated?
The NPPES record for Toni Gafford was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Toni Gafford, ACNP-BC · NPI 1134561855
Acute Care physician in Lubbock, Texas. Individual provider, active in the CMS NPPES registry since July 23, 2013.
## Identity
- **NPI:** 1134561855 (Entity type: Individual)
- **Enumerated:** July 23, 2013
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 594677 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3615 19TH ST, Lubbock, TX 79410-1203
- **Phone:** (806) 725-0402 · **Fax:** (806) 725-2251
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Covenant Medical Group (NPI 1376598904, Lubbock, TX); American Current Care, P.A. (NPI 1174712756, Lubbock, TX); Hospitalist Medicine Physicians Of Texas - Houston, PLLC (NPI 1760028740, Plainview, TX); Hospitalist Medicine Physicians Of Texas, PLLC (NPI 1629307095, Humble, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** August 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1134561855) · Data from the CMS NPPES public registry.