Medicare Enrolled

Toya Alder, ARNP-C

Gerontology Nurse Practitioner · Palm Bay, FL
Practice pattern: Mixed Practice — Diverse clinical practice across multiple procedure types
3255 BAYSIDE LAKES BLVD SE, Palm Bay, FL 32909
7722266859
Registered in NPPES since 2018
NPI: 1255819157 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 Alder 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 →
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What this data tells you about Alder

Toya Alder is a gerontology nurse practitioner in Palm Bay, FL, with 8 years of NPI registration. Based on federal Medicare data, Alder performed 3,589 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Alder received a total of $2,879 from 24 pharmaceutical and/or device companies across 182 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Alder 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.

✓ 8 years of NPI registration ▲ Top 3% volume in FL $2,879 industry payments

Florida License Status

FL DOH · MQA
1
Active license
None
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Advanced Practice Registered Nurse 9233342 Clear April 30, 2027
Data from Florida Department of Health Medical Quality Assurance. License records are public under Chapter 119, Florida Statutes. Verify directly on FL DOH →

Medicare Practice Summary — 2023

Medicare Utilization ↗
3,589
Medicare services
Top 3% in FL for gerontology nurse practitioner
Not available
Unique patients (not deduplicated)
$65
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
Nursing facility visit, moderate complexity
A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes.
2,816 $69 $222
Nursing facility visit, low complexity
A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care.
740 $47 $205
Nursing facility discharge management, more than 30 minutes
This service involves care coordination and management activities performed by a healthcare professional to prepare a patient for discharge from a nursing facility. It requires more than 30 minutes of time spent on these activities.
21 $88 $403
Nursing facility visit, high complexity
A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves a high level of medical decision making and takes at least 45 minutes.
12 $102 $363
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$2,879
Total received (2021-2024)
Avg $720/year across 4 years
Top 12% in FL for gerontology nurse practitioner
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
24
Companies
182
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$441
2023
$985
2022
$1,013
2021
$441

Payments by company (2024)

PFIZER INC.
$138
AstraZeneca Pharmaceuticals LP
$74
Novo Nordisk Inc
$63
ABBVIE INC.
$47
GlaxoSmithKline, LLC.
$44
Bayer Healthcare Pharmaceuticals Inc.
$44
Boehringer Ingelheim Pharmaceuticals, Inc.
$29
Top 3 companies account for 62.5% of 2024 payments
All-time payments by company (2021-2024) ›
Novo Nordisk Inc
$509
AstraZeneca Pharmaceuticals LP
$347
ABBVIE INC.
$272
Lilly USA, LLC
$256
GlaxoSmithKline, LLC.
$241
Bayer Healthcare Pharmaceuticals Inc.
$230
Amgen Inc.
$164
PFIZER INC.
$138
Astellas Pharma US Inc
$93
Boehringer Ingelheim Pharmaceuticals, Inc.
$82
Novartis Pharmaceuticals Corporation
$77
AbbVie Inc.
$74
Bayer HealthCare Pharmaceuticals Inc.
$72
Teva Pharmaceuticals USA, Inc.
$62
Medtronic, Inc.
$52
Exact Sciences Corporation
$44
Dexcom, Inc.
$44
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$21
Biohaven Pharmaceutical Holding Company Ltd.
$21
UCB, Inc.
$20
Eisai Inc.
$19
Shield Therapeutics Inc
$15
EISAI INC.
$14
DEXCOM, INC.
$12
Top 3 companies account for 39.2% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · AJOVY · AREXVY · AZURE XT DR MRI SURESCAN · Aduhelm · BREZTRI · Briviact · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · Dexcom G6 Transmitter · EMGALITY · ENTRESTO · EVENITY · EVUSHELD · FARXIGA · INTERSTIM · JARDIANCE · Kerendia · MOUNJARO · Myrbetriq · NURTEC ODT · Otezla · Ozempic · QULIPTA · RYBELSUS · Rybelsus · SHINGRIX · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · UBRELVY · VRAYLAR · XIFAXAN
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a gerontology nurse practitioner in Palm Bay?
Compare gerontology nurse practitioners in the Palm Bay area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gerontology nurse practitioners in nearby ZIP areas
30
County median income
$75,817
Nearest hospital to ZIP centroid (approximate)
PALM BAY HOSPITAL
8.5 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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

Alder is a mixed practice specialist, with above-average Medicare volume (top 3% in FL).

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

Frequently Asked Questions

Is Alder experienced with nursing facility visit, moderate complexity?
Based on Medicare claims data, Alder performed 2,816 nursing facility visit, moderate complexity services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Alder receive payments from pharmaceutical companies?
Yes. Alder received a total of $2,879 from 24 companies across 182 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Alder's costs compare to other gerontology nurse practitioners in Palm Bay?
Alder's average Medicare payment per service is $65. 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 Alder) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →