TONI MACCLAIN NP
NPI 1336123116
Nurse Practitioner - Women's Health in San Luis Obispo, CA

Active since December 05, 2005
35 CASA ST, SUITE 220, SAN LUIS OBISPO, CA 93405(805) 595-1808(805) 595-1815 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2017, Jan 26, 2017 (2 updates tracked since 2017).

About Toni Macclain Np NPPES

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

TONI MACCLAIN NP (NPI 1336123116) is an individual women's health provider in San Luis Obispo, California, licensed in California (5592) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1336123116
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameTONI MACCLAINCredential: NP
Location Address35 CASA ST, SUITE 220San Luis Obispo, CA 93405-1818
Mailing Address35 Casa St, Suite 220San Luis Obispo, CA 93405-1818 · (805) 595-1808 · Fax (805) 595-1815
Fax(805) 595-1815
Sole ProprietorNo
Enumeration DateDecember 5, 2005
Last NPPES UpdateMay 1, 20172 updates tracked since enumeration
NPI 1336123116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in CA · 5592
35 CASA ST, San Luis Obispo, CA 93405

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
92%66 patients5/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
99%81 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
90%1,020 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%43 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
40%267 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
94%170 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 57 patients
96%57 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%267 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
65%267 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
68%267 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
35 CASA ST, SUITE 270
SAN LUIS OBISPO, CA 93405
Family Medicine
35 CASA ST, SUITE 320
SAN LUIS OBISPO, CA 93405
Obstetrics & Gynecology
35 CASA ST, SUITE 220
SAN LUIS OBISPO, CA 93405
Nurse Practitioner
35 CASA ST, SUITE 130
SAN LUIS OBISPO, CA 93405
Family Medicine
35 CASA ST, SUITE 170
SAN LUIS OBISPO, CA 93405
Clinic/Center (Medical Specialty)
35 CASA ST, SUITE 370
SAN LUIS OBISPO, CA 93405
Nurse Practitioner (Women's Health)
35 CASA ST, SUITE 220
SAN LUIS OBISPO, CA 93405
Obstetrics & Gynecology
35 CASA ST, SUITE 220
SAN LUIS OBISPO, CA 93405

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 Macclain's NPI number?

The NPI number for Toni Macclain is 1336123116. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Toni Macclain located?

Toni Macclain practices at 35 Casa St Suite 220, San Luis Obispo, CA 93405. The listed phone number is (805) 595-1808.

What is Toni Macclain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Toni Macclain was last updated on May 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.