1. Home
  2. Directory
  3. Florida
  4. Sebring
  5. Nurse Practitioner
  6. NPI Profile

TONYA LYNN DAGDA APRN
NPI 1912500406
Nurse Practitioner - Women's Health in Sebring, FL

Active since November 18, 2020PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
410 SEBRING SQ, SEBRING, FL 33870(863) 382-2229(863) 385-2229 Get Directions Write a Review

NPPES record last updated: January 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 1, 2021, Nov 18, 2020 (2 updates tracked since 2020).

About Tonya Lynn Dagda Aprn NPPES

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

TONYA LYNN DAGDA APRN (NPI 1912500406) is an individual women's health provider in Sebring, Florida, licensed in Florida (APRN11000945) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Sebring, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1912500406
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameTONYA LYNN DAGDACredential: APRN
Location Address410 SEBRING SQSebring, FL 33870-1602
Mailing Address410 Sebring SqSebring, FL 33870-1602 · (863) 382-2229 · Fax (863) 385-2229
Phone(863) 382-2229
Fax(863) 385-2229
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 18, 2020
Last NPPES UpdateJanuary 1, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2021
✔ NPI 1912500406 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 FL · APRN11000945
410 SEBRING SQ, Sebring, FL 33870
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.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

Tonya Lynn Dagda Aprn 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 ID5092128744
PECOS Enrollment IDI20210119002183
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 8

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.

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.
30 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
25 services15 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 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.
19 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services15 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33870 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
72%309 patients4/55-star benchmark: 93%
Cervical Cancer Screening
90%1,179 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
37%148 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
32%419 patients2/55-star benchmark: 88%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
88%32 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,723 patients5/55-star benchmark: 100%
e-Prescribing
100%523 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
65%1,206 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
46%2,535 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 1,315 patients
Patients screened: 97% · 1,315 patients
68%109 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
84%737 patients4/55-star benchmark: 100%
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 2

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

FLORIDA WOMAN CARE LLC
Obstetrics & Gynecology
410 SEBRING SQ
SEBRING, FL 33870
Highlands County (863) 382-2229
MRS. KARLA MICHELLE PAGAN PACHECO
Obstetrics & Gynecology
410 SEBRING SQ
SEBRING, FL 33870
Highlands County (863) 382-2229

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 Tonya Dagda's NPI number?

The NPI number for Tonya Dagda is 1912500406. It was assigned to this individual provider in the NPPES registry on November 18, 2020.

Where is Tonya Dagda located?

Tonya Dagda practices at 410 Sebring Sq, Sebring, FL 33870. The listed phone number is (863) 382-2229.

What is Tonya Dagda's specialty?

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

Is Tonya Dagda enrolled in Medicare?

Yes. Tonya Dagda 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 Tonya Dagda accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed and UnitedHealthcare list Tonya Dagda 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 Tonya Dagda affiliated with any hospitals?

According to CMS data, Tonya Dagda is affiliated with Adventhealth Sebring.

When was this NPI record last updated?

The NPPES record for Tonya Dagda was last updated on January 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.