Medicare Enrolled

Dr. Toni McFadden, CNP

Acute Care Nurse Practitioner · Santa Rosa, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
3536 MENDOCINO AVE STE 200, Santa Rosa, CA 95403
7075736166
In practice since 2006 (19 years)
NPI: 1205859311 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. McFadden from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. McFadden? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. McFadden

Dr. Toni McFadden is an acute care nurse practitioner in Santa Rosa, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. McFadden performed 887 Medicare services across 794 unique beneficiaries.

Between the years covered by Open Payments, Dr. McFadden received a total of $1,814 from 23 pharmaceutical and/or device companies across 80 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in acute care nurse practitioner. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. McFadden is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 9% volume in CA $1,814 industry payments

Medicare Practice Summary

Medicare Utilization ↗
887
Medicare services
Top 9% in CA for acute care nurse practitioner
794
Unique beneficiaries
$64
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~47 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
528 $86 $345
Electrocardiogram (EKG), 12-lead
A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report.
229 $10 $39
Telephone medical discussion, 21-30 minutes
A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone.
52 $83 $345
Telephone medical discussion, 11-20 minutes
A phone conversation with a physician lasting between 11 and 20 minutes.
27 $62 $245
Continuous external EKG monitoring, 8-15 days
This procedure involves recording heart rhythm continuously using an external EKG device over a period of 8 to 15 days.
26 $10 $41
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
25 $128 $485
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$1,814
Total received (2021-2024)
Avg $454/year across 4 years
Top 14% in CA for acute care nurse practitioner
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
23
Companies
80
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,814 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$513
2023
$382
2022
$292
2021
$627

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Novartis Pharmaceuticals Corporation
$91
Amgen Inc.
$84
Actelion Pharmaceuticals US, Inc.
$60
E.R. Squibb & Sons, L.L.C.
$58
Merck Sharp & Dohme LLC
$54
AstraZeneca Pharmaceuticals LP
$32
Boston Scientific Corporation
$31
ABIOMED
$25
Lexicon Pharmaceuticals, Inc.
$23
Esperion Therapeutics, Inc.
$21
Boehringer Ingelheim Pharmaceuticals, Inc.
$21
Janssen Pharmaceuticals, Inc
$13
Top 3 companies account for 45.8% of 2024 payments
All-time payments by company (2021-2024) ›
Amgen Inc.
$339
Novartis Pharmaceuticals Corporation
$228
Boston Scientific Corporation
$132
Esperion Therapeutics, Inc.
$127
Actelion Pharmaceuticals US, Inc.
$109
E.R. Squibb & Sons, L.L.C.
$107
Merck Sharp & Dohme LLC
$98
Medtronic, Inc.
$98
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$76
AstraZeneca Pharmaceuticals LP
$65
Janssen Pharmaceuticals, Inc
$59
Bayer Healthcare Pharmaceuticals Inc.
$52
Edwards Lifesciences Corporation
$49
Amarin Pharma Inc.
$48
United Therapeutics Corporation
$33
Bayer HealthCare Pharmaceuticals Inc.
$32
Kowa Pharmaceuticals America, Inc.
$30
Regeneron Healthcare Solutions, Inc.
$27
ABIOMED
$25
Lexicon Pharmaceuticals, Inc.
$23
Abbott Laboratories
$21
Boehringer Ingelheim Pharmaceuticals, Inc.
$21
iRhythm Technologies, Inc.
$16
Top 3 companies account for 38.5% of all-time payments
Associated products mentioned in payments ›
CAMZYOS · ELIQUIS · ENTRESTO · EVKEEZA · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · General - Therapies · Impella · JARDIANCE · Kerendia · LEQVIO · LifeVest · Livalo · MitraClip System · NEXLETOL · NEXLIZET · OPSUMIT · ORENITRAM · Repatha · UPTRAVI · VENASEAL · VERQUVO · Vascepa · VenaSeal · WAINUA · WATCHMAN Access System · WATCHMAN FLX · XARELTO · ZIO XT Patch
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an acute care nurse practitioner in Santa Rosa?
Compare acute care nurse practitioners in the Santa Rosa area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Acute care nurse practitioners within 10 mi
15
Per 100K population
3.1
County median income
$102,840
Nearest hospital
SUTTER SANTA ROSA REGIONAL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. McFadden is a clinical cardiology specialist, with above-average Medicare volume (top 9% in CA), with low-engagement industry engagement in the top 14% of CA peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. McFadden experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. McFadden performed 528 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. McFadden receive payments from pharmaceutical companies?
Yes. Dr. McFadden received a total of $1,814 from 23 companies across 80 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. McFadden's costs compare to other acute care nurse practitioners in Santa Rosa?
Dr. McFadden's average Medicare payment per service is $64. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. McFadden) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →