Toni Shantel Gordon-Bailey , APRN
Nurse Practitioner • Benton, KY
615 Old Symsonia Rd
Benton, KY 420255042
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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Toni Gordon-Bailey is listed in NPPES under Nurse Practitioner.
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NPI assigned on April 4, 2020; this date does not establish years in practice.
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Published CMS data list 327 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99285 — Emergency department visit with high level of medical decision making: 179 service units.
- 99284 — Emergency department visit with moderate level of medical decision making: 133 service units.
- 93010 — Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only: 15 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® 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 · Guide: How to read Medicare Part B data
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Published CMS data list 334 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tizanidine Hcl — 75 prescription fills, including refills.
- Cephalexin — 40 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 33 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 12 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Nurse Practitioner in Kentucky (2024, 937 clinicians with data). Median for this group: 268. Middle half: 103 to 617.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 140 in 2020 to 327 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
615 Old Symsonia Rd
Benton, KY 420255042
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
301 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 – by Provider, 2024.
Medicare-allowed amount
About $37,505 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 – by Provider and Service, 2024.
Paid by Medicare
About $28,206 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 – by Provider and Service, 2024.
30-day fills
356 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
$1,638 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 – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $19.60 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
NPI first issued
2020
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”
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, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Toni Gordon-Bailey 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 Toni Gordon-Bailey 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 Benton and Kentucky
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Nurse Practitioner in Kentucky (2024, 937 clinicians with data). Median for this group: 268. Middle half: 103 to 617.
Too few clinicians listed under Nurse Practitioner in Benton have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner in Kentucky (2024, 937 clinicians with data). Median for this group: $18,620. Middle half: $5,846 to $39,623.
Too few clinicians listed under Nurse Practitioner in Benton have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Nurse Practitioner in Kentucky (2024, 937 clinicians with data). Median for this group: $13,660. Middle half: $4,497 to $29,149.
Too few clinicians listed under Nurse Practitioner in Benton have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Nurse Practitioner in Kentucky (2024, 1,092 clinicians with data). Median for this group: 628. Middle half: 140 to 2,430.
Too few clinicians listed under Nurse Practitioner in Benton have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Kentucky (2024, 1,092 clinicians with data). Median for this group: $39,302. Middle half: $2,193 to $262,325.
Too few clinicians listed under Nurse Practitioner in Benton have Medicare Part D data for 2024 to compare.
1 active clinicians are listed under Nurse Practitioner with a practice address in Benton, KY (1,831 in Kentucky).
Addresses are self-reported to NPPES and may be out of date.
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 increased 134% from 140 in 2020 to 327 in 2024.
- 2020: 140
- 2021: 198
- 2022: 356
- 2023: 501
- 2024: 327
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Medicare-allowed amount
Medicare-allowed amount increased 205% from $12,286 in 2020 to $37,505 in 2024.
- 2020: $12,286
- 2021: $17,288
- 2022: $15,086
- 2023: $24,205
- 2024: $37,505
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Paid by Medicare
Paid by Medicare increased 195% from $9,561 in 2020 to $28,206 in 2024.
- 2020: $9,561
- 2021: $12,892
- 2022: $11,883
- 2023: $17,721
- 2024: $28,206
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 16% from 398 in 2022 to 334 in 2024.
- 2022: 398
- 2023: 1,613
- 2024: 334
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30-day fills
30-day fills decreased 48% from 682 in 2022 to 356 in 2024.
- 2022: 682
- 2023: 2,747
- 2024: 356
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Part D drug cost
Part D drug cost decreased 69% from $5,207 in 2022 to $1,638 in 2024.
- 2022: $5,207
- 2023: $48,859
- 2024: $1,638
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $829.52 in 2022 to $19.60 in 2025.
- 2022: $829.52
- 2023: $1,001.87
- 2025: $19.60
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · 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 – December 31, 2025): fewer than 11 records totaling $19.60.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
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LithoVue | General | $19.60 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019–2023 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 – by Provider and Service data, 2020–2024; 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 |
|---|---|---|---|---|
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99285
Emergency department visit with high level of medical decision making
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179 | 170 | $1482.00 | $136.83 |
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99284
Emergency department visit with moderate level of medical decision making
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133 | 130 | $1020.80 | $97.11 |
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93010
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
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15 | 14 | $69.00 | $6.42 |
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 |
|---|---|---|---|---|---|
| Tizanidine Hcl | Tizanidine Hcl | 75 | 901 | $318.81 | 68 |
| Cephalexin | Cephalexin | 40 | 271 | $129.23 | 39 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 33 | 99 | $101.72 | 31 |
| Ondansetron Hcl | Ondansetron Hcl | 33 | 165 | $149.15 | 32 |
| Tramadol Hcl | Tramadol Hcl | 32 | 96 | $45.81 | 31 |
| Diclofenac Sodium | Diclofenac Sodium | 30 | 1,125 | $329.63 | 22 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 28 | 106 | $156.41 | 27 |
| Methylprednisolone | Methylprednisolone | 16 | 96 | $75.58 | 16 |
| Metoprolol Succinate | Metoprolol Succinate | 13 | 510 | $107.82 | — |
| Fluticasone Propionate | Fluticasone Propionate | 12 | 600 | $104.52 | 12 |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 11 | 330 | $75.04 | 11 |
| Clindamycin Hcl | Clindamycin Hcl | 11 | 77 | $43.85 | 11 |
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: 2020-07-08NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20200713001271
KY
1557784329
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Primary Care
Advanced Practice Registered Nurse
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Emergency Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at PO BOX 9150, PADUCAH, KY 420029150 (Tel: 2707449600)
Recorded as TONI GORDON-BAILEY, APRN
NPI status registered as active in NPPES database
Registered at 615 OLD SYMSONIA RD, BENTON, KY 420255042 (Tel: 2705274800)
Registered at 1326 WINCHESTER RD, NEW CONCORD, KY 420769109 (Tel: 5022954771)
Recorded as TONI GORDON-BAILEY, MSN, APRN-BC, CEN
Nurse Practitioner (license number reported to NPPES: KY 3014546)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
Po Box 9150
Paducah, KY 420029150
Phone: 2707449600