TONI GAFFORD ACNP-BC
NPI 1134561855
Nurse Practitioner - Acute Care in Lubbock, TX

Active since July 23, 2013PECOS EnrolledAccepts Medicare Assignment
3615 19TH ST, LUBBOCK, TX 79410(806) 725-0402(806) 725-2251 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1134561855
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameTONI GAFFORDCredential: ACNP-BC
Location Address3615 19TH STLubbock, TX 79410-1203
Mailing Address5910 88th PlLubbock, TX 79424-3651 · (806) 773-1260 · Fax (806) 725-2251
Fax(806) 725-2251
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 23, 2013
NPI 1134561855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TX · 594677
3615 19TH ST, Lubbock, TX 79410

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID941431852
PECOS Enrollment IDI20140318000826
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

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, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

Physician 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.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Emergency Medicine
3615 19TH ST, EMERGENCY DEPARTMENT
LUBBOCK, TX 79410
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Emergency Medicine
3615 19TH ST
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.

What insurance does Toni Gafford accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare 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 July 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.