TONI BROWN DNP
NPI 1366951337
Nurse Practitioner - Family in Saint George, UT

Q: What is Toni Brown's NPI number?

The NPI number for Toni Brown is 1366951337. It was assigned to this individual provider in the NPPES registry on September 22, 2017.

Q: What is Toni Brown's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Toni Brown was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 22, 2017PECOS EnrolledAccepts Medicare Assignment

1380 E MEDICAL CENTER DR, SAINT GEORGE, UT 84790(435) 251-1000 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 3, 2018, Sep 22, 2017 (2 updates tracked since 2017).

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About Toni Brown Dnp NPPES

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

TONI BROWN DNP (NPI 1366951337) is an individual family provider in Saint George, Utah, licensed in Utah (6997434-4405) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Cedar City Hospital, and maintains a secondary practice location in Saint George.

NPPES Registry Identity

NPI1366951337

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTONI BROWNCredential: DNP

Location Address1380 E MEDICAL CENTER DRSaint George, UT 84790-2123

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (435) 251-2600

Phone(435) 251-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 22, 2017

Last NPPES UpdateMay 3, 20182 updates tracked since enumeration

✔ NPI 1366951337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in UT · 6997434-4405

Also ListedRegistered NurseTaxonomy 163W00000X · License 6997434-3102 (UT)

1380 E MEDICAL CENTER DR, Saint George, UT 84790

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Secondary Practice Location 1

Location 11380 E Medical Center DrSaint George, UT 84790-2123 · Phone (435) 251-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.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 Brown Dnp 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 ID7517226368

PECOS Enrollment IDI20180124001046

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 6

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.

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

841 services232 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

223 services167 patients

Test to measure the level of nitric oxide gas 95012

A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.

135 services109 patients

Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent G0250

This service involves your doctor evaluating your home INR (a blood clotting test) results. It's for patients with a mechanical heart valve, chronic atrial fibrillation, or venous thromboembolism who meet specific criteria. It helps manage your treatment, but tests aren't conducted frequently.

107 services44 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

89 services72 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

32 services32 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cedar City Hospital

Acute Care Hospitals · Cedar City, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460007

Location1303 North Main StreetCedar City, UT 84721 · Iron County

Emergency services Birthing friendly

St. George Regional Hospital

Acute Care Hospitals · St George, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460021

Location1380 East Medical Center DriveSt George, UT 84790 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84790 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

5 suppliers53 claims99 services$1.49 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

6 suppliers35 claims35 services$15.54 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers312 claims313 services$18.31 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

3 suppliers47 claims47 services$46.16 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers24 claims24 services$831.68 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

5 suppliers185 claims186 services$5.62 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

11 suppliers748 claims750 services$91.55 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

9 suppliers338 claims338 services$33.76 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary G0333

DME-Other DME · category DE000N

6 suppliers13 claims13 services$44.00 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

4 suppliers124 claims7,140 services$4.69 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

7 suppliers46 claims8,779 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

8 suppliers49 claims4,470 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

9 suppliers132 claims8,252 services$0.80 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

7 suppliers49 claims2,842 services$0.16 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

3 suppliers58 claims304,500 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

14 suppliers240 claims240 services$25.30 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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