Silvana Toscano , PA
Physician Assistant โข Naples, FL
11181 Health Park Blvd, Ste 3030
Naples, FL 341105738
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Silvana Toscano is listed in NPPES under Physician Assistant.
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NPI assigned on October 21, 2016; this date does not establish years in practice.
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Published CMS data list 11 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99305 โ Initial nursing facility care with moderate level of medical decision making, per day: 11 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 2,407 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Amlodipine Besylate โ 120 prescription fills, including refills.
- Pantoprazole Sodium โ 117 prescription fills, including refills.
- Furosemide โ 112 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 77 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 95% of clinicians listed under Physician Assistant in Naples, FL (2024, 92 clinicians with data). Median for this group: 578. Middle half: 185 to 1,430.
Fewer Medicare Part B services than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,508 in 2019 to 11 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019โ2024.
Practice Location & Contact Primary Location
11181 Health Park Blvd
Ste 3030
Naples, FL 341105738
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Bonita Springs, FL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Precision Healthcare Specialists, Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2016
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
28 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $1,216 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $969 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
3,033 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$138,881 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,148.73 across 23 records.
By nature of payment
- Food and Beverage: $1,035.73 across 21 records.
- Education: $113.00 across 2 records.
Reporting-company totals (3 largest of 9)
- Medtronic, Inc.: $391.67 across 3 records.
- Regeneron Pharmaceuticals, Inc.: $250.46 across 7 records.
- Optinose US, Inc.: $205.63 across 5 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
10 years (graduated 2016)
CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2016
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Silvana Toscano has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Silvana Toscano as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Naples and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 95% of clinicians listed under Physician Assistant in Naples, FL (2024, 92 clinicians with data). Median for this group: 578. Middle half: 185 to 1,430.
Fewer Medicare Part B services than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.
Medicare-allowed amount
A lower Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Naples, FL (2024, 92 clinicians with data). Median for this group: $46,135. Middle half: $18,176 to $90,329.
A lower Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $19,984. Middle half: $7,371 to $51,670.
Paid by Medicare
A lower Medicare payment amount than 95% of clinicians listed under Physician Assistant in Naples, FL (2024, 92 clinicians with data). Median for this group: $35,032. Middle half: $13,705 to $67,406.
A lower Medicare payment amount than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $14,814. Middle half: $5,414 to $38,190.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Naples, FL (2024, 103 clinicians with data). Median for this group: 446. Middle half: 103 to 1,188.
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Naples, FL (2024, 103 clinicians with data). Median for this group: $13,572. Middle half: $1,102 to $96,016.
A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: $5,225. Middle half: $703 to $70,250.
183 active clinicians are listed under Physician Assistant with a practice address in Naples, FL (10,260 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Naples
9.3% of these 183 clinicians have the CMS telehealth indicator.
53% of these 183 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 99% from 1,508 in 2019 to 11 in 2024.
- 2019: 1,508
- 2020: 506
- 2021: 15
- 2022: 15
- 2024: 11
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Medicare-allowed amount
Medicare-allowed amount decreased 99% from $92,253 in 2019 to $1,216 in 2024.
- 2019: $92,253
- 2020: $42,983
- 2021: $1,727
- 2022: $1,701
- 2024: $1,216
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Paid by Medicare
Paid by Medicare decreased 99% from $72,301 in 2019 to $969 in 2024.
- 2019: $72,301
- 2020: $31,713
- 2021: $863
- 2022: $1,349
- 2024: $969
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 484% from 412 in 2020 to 2,407 in 2024.
- 2020: 412
- 2021: 128
- 2022: 3,377
- 2023: 5,649
- 2024: 2,407
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30-day fills
30-day fills increased 401% from 605 in 2020 to 3,033 in 2024.
- 2020: 605
- 2021: 210
- 2022: 4,055
- 2023: 6,719
- 2024: 3,033
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Part D drug cost
Part D drug cost increased 198% from $46,547 in 2020 to $138,881 in 2024.
- 2020: $46,547
- 2021: $6,838
- 2022: $226,507
- 2023: $449,031
- 2024: $138,881
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $72.09 in 2021 to $1,148.73 in 2025.
- 2021: $72.09
- 2022: $422.06
- 2023: $1,008.06
- 2024: $58.85
- 2025: $1,148.73
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 23 records totaling $1,148.73.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
NUVENT | General | $160.22 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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NUVENT | General | $143.31 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
|
Xhance | General | $122.38 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
NUVENT | General | $88.14 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
|
NUCALA | General | $60.09 |
| Sanofi and Genzyme US Companies |
Education
In-kind items and services
|
DUPIXENT | General | $56.99 |
| Regeneron Pharmaceuticals, Inc. |
Education
In-kind items and services
|
DUPIXENT | General | $56.01 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $40.41 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $39.35 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $38.25 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $38.11 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $35.65 |
| Genentech, Inc. |
Food and Beverage
In-kind items and services
|
Xolair | General | $33.95 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $32.50 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $29.39 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $28.19 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
|
Xhance | General | $27.31 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
|
Xhance | General | $27.26 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
|
Xhance | General | $23.71 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $23.62 |
| Indivior Inc. |
Food and Beverage
In-kind items and services
|
SUBLOCADE | General | $23.60 |
| Paratek Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
XHANCE | General | $15.32 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
|
Xhance | General | $4.97 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99305
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
|
11 | 11 | $753.77 | $110.57 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 120 | 4,412 | $1,222.99 | 20 |
| Pantoprazole Sodium | Pantoprazole Sodium | 117 | 3,613 | $2,020.75 | 17 |
| Furosemide | Furosemide | 112 | 3,547 | $1,018.78 | 15 |
| Levothyroxine Sodium | Levothyroxine Sodium | 100 | 4,059 | $1,430.42 | 19 |
| Gabapentin | Gabapentin | 92 | 2,907 | $2,330.33 | 21 |
| Metoprolol Succinate | Metoprolol Succinate | 90 | 3,065 | $2,351.67 | 12 |
| Donepezil Hcl | Donepezil Hcl | 88 | 2,536 | $1,771.99 | 11 |
| Eliquis | Apixaban | 81 | 2,554 | $52,674.01 | 15 |
| Losartan Potassium | Losartan Potassium | 76 | 3,501 | $788.53 | 13 |
| Lisinopril | Lisinopril | 73 | 3,194 | $1,049.20 | 15 |
| Atorvastatin Calcium | Atorvastatin Calcium | 55 | 2,345 | $995.33 | 14 |
| Pravastatin Sodium | Pravastatin Sodium | 53 | 1,903 | $993.92 | โ |
| Warfarin Sodium | Warfarin Sodium | 49 | 1,662 | $409.25 | โ |
| Trazodone Hcl | Trazodone Hcl | 49 | 1,613 | $718.24 | โ |
| Memantine Hcl | Memantine Hcl | 49 | 1,432 | $1,411.55 | โ |
| Sertraline Hcl | Sertraline Hcl | 45 | 1,392 | $738.16 | โ |
| Mirtazapine | Mirtazapine | 43 | 1,908 | $1,194.16 | โ |
| Omeprazole | Omeprazole | 42 | 1,843 | $860.94 | 12 |
| Buspirone Hcl | Buspirone Hcl | 35 | 1,112 | $827.84 | โ |
| Carvedilol | Carvedilol | 34 | 1,142 | $706.44 | โ |
| Paroxetine Hcl | Paroxetine Hcl | 34 | 1,186 | $802.98 | โ |
| Escitalopram Oxalate | Escitalopram Oxalate | 33 | 1,115 | $659.93 | โ |
| Nystatin | Nystatin | 32 | 545 | $703.36 | โ |
| Duloxetine Hcl | Duloxetine Hcl | 30 | 1,304 | $698.74 | โ |
| Ezetimibe | Ezetimibe | 28 | 1,081 | $1,066.87 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-04-20NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20161130002019
FL
6305126707
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Precision Healthcare Specialists, Llc
13691 Metro Pkwy, Fort Myers, FL 339124322
Phone: 2392916970
Precision Healthcare Specialists, Llc
400 8th St N, Naples, FL 341025519
Phone: 2392262727
Precision Healthcare Specialists, Llc
977 N Collier Blvd, Marco Island, FL 341452773
Phone: 2392621171
Secondary Practice Locations
10861 Alvara Point Dr
Bonita Springs, FL 341355391
Phone: 2392733909
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Hospitalist
Nurse Practitioner - Family
Hospitalist
Doctor of Medicine (M.D.)
Hospitalist
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Hospitalist
Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 9410 FOUNTAIN MEDICAL CT STE 200, BONITA SPRINGS, FL 341354525 (Tel: 2399484325)
Recorded as SILVANA TOSCANO, PA
Registered at 13861 PLANTATION RD, STE 104, FORT MYERS, FL 339124342 (Tel: 8778563774)
NPI status registered as active in NPPES database
Registered at 11181 HEALTH PARK BLVD, STE 3030, NAPLES, FL 341105738 (Tel: 8778563774)
Registered at 3434 HANCOCK BRIDGE PKWY, STE 301, NORTH FORT MYERS, FL 339037094 (Tel: 8778563774)
Recorded as SILVANA SAPONE
Physician Assistant (license number reported to NPPES: FL PA9109749)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Naples
- Christopher Swarthout, PA-C
- Patricia Fry, PA-C
- Maxine Rachelle, PA
- Erika Rodriguez, PA
- Danielle Stevenson, MMS, PA-C
- Jacqueline Johns, PA-C
Mailing Address
9410 Fountain Medical Ct Ste 200
Bonita Springs, FL 341354525
Phone: 2399484325