DR. BRANDON SWAIN TONEY D.N.P
NPI 1295186260
Nurse Practitioner - Acute Care in Dallas, TX

Q: What is Brandon Toney's NPI number?

The NPI number for Brandon Toney is 1295186260. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Q: What is Brandon Toney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Toney was last updated on May 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 30, 2016PECOS EnrolledAccepts Medicare Assignment

90.88/100

CMS Quality Rating

221 W COLORADO BLVD STE 525, DALLAS, TX 75208(214) 960-5681(214) 960-5681 Get Directions Write a Review

NPPES record last updated: May 9, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 9, 2026, Jul 31, 2024, Jun 4, 2024 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Brandon Swain Toney D.n.p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRANDON SWAIN TONEY D.N.P (NPI 1295186260) is an individual acute care provider in Dallas, Texas, licensed in Tennessee (21308) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Nashville, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295186260

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameDR. BRANDON SWAIN TONEYCredential: D.N.P

Location Address221 W COLORADO BLVD STE 525Dallas, TX 75208-2312

Mailing Address5605 N Macarthur Blvd Ste 740Irving, TX 75038-2626 · (214) 960-5681 · Fax (214) 466-1316

Phone(214) 960-5681

Fax(214) 960-5681

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 30, 2016

Last NPPES UpdateMay 9, 20264 updates tracked since enumeration

NPPES CertifiedMay 9, 2026

✔ NPI 1295186260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in TN · 21308✔ Licensed in TX · 1165937

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 21308 (TN)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 21308 (TN)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 1165937 (TX)

221 W COLORADO BLVD STE 525, Dallas, TX 75208

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Secondary Practice Location 1

Location 11 Park PlzNashville, TN 37203-6527 · Phone (615) 344-9551 · Fax (214) 466-1316

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..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

Dr. Brandon Swain Toney D.n.p 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 ID8022304567

PECOS Enrollment IDI20231113001384, I20240620001915, I20250612001858

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

49 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75208 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.88/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

94.74

Promoting Interoperability

Improvement Activities

Cost

65.4

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.

JACQUELINE NICOLE HORST M.D.

Internal Medicine (Pulmonary Disease)