Twonia Michelle Goyer , FNP
Nurse Practitioner • Jackson, TN
620 Skyline Drive
Jackson, TN 383013901
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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NPI assigned on November 15, 2012; this date does not establish years in practice.
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Published CMS data list 160 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:
- 99213 — Established patient outpatient office visit: 80 service units.
- 32555 — Aspiration of fluid from chest cavity using imaging guidance: 45 service units.
- 49083 — Drainage of fluid from abdominal cavity using imaging guidance: 19 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 all 4 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 217 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:
- Clopidogrel (Clopidogrel Bisulfate) — 87 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 24 prescription fills, including refills.
- Atorvastatin Calcium — 20 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 9 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Jackson, TN (2024, 49 clinicians with data). Median for this group: 519. Middle half: 317 to 2,773.
Fewer Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Tennessee (2024, 1,028 clinicians with data). Median for this group: 374. Middle half: 119 to 1,200.
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 446 in 2020 to 160 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
620 Skyline Drive
Jackson, TN 383013901
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Jackson Madison County General Hospital; Jackson Radiology Associates Pa. 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
2011
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
195 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 $13,299 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 $9,443 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
340 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
$21,897 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.
Open Payments general payments, program year 2025
All general payments: $2,211.24 across 20 records.
By nature of payment
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program: $1,000.00 across 2 records.
- Food and Beverage: $772.28 across 17 records.
- Travel and Lodging: $438.96 across 1 record.
Reporting-company totals (3 largest of 6)
- Penumbra, Inc.: $1,288.03 across 4 records.
- Stryker Corporation: $631.30 across 5 records.
- Medtronic, Inc.: $197.62 across 7 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
15 years (graduated 2011)
CMS Doctors and Clinicians data list 2011 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
2012
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, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Twonia Goyer 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 Twonia Goyer 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 Jackson and Tennessee
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Jackson, TN (2024, 49 clinicians with data). Median for this group: 519. Middle half: 317 to 2,773.
Fewer Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Tennessee (2024, 1,028 clinicians with data). Median for this group: 374. Middle half: 119 to 1,200.
Medicare-allowed amount
A lower Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Jackson, TN (2024, 49 clinicians with data). Median for this group: $49,631. Middle half: $20,762 to $110,809.
A lower Medicare-allowed amount than 65% of clinicians listed under Nurse Practitioner in Tennessee (2024, 1,028 clinicians with data). Median for this group: $23,735. Middle half: $8,413 to $57,513.
Paid by Medicare
A lower Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Jackson, TN (2024, 49 clinicians with data). Median for this group: $38,641. Middle half: $15,483 to $85,001.
A lower Medicare payment amount than 65% of clinicians listed under Nurse Practitioner in Tennessee (2024, 1,028 clinicians with data). Median for this group: $17,972. Middle half: $5,982 to $43,594.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Nurse Practitioner in Jackson, TN (2024, 58 clinicians with data). Median for this group: 381. Middle half: 113 to 1,457.
Fewer Part D prescriptions than 65% of clinicians listed under Nurse Practitioner in Tennessee (2024, 1,174 clinicians with data). Median for this group: 494. Middle half: 128 to 1,588.
Part D drug cost
Close to the middle for clinicians listed under Nurse Practitioner in Jackson, TN (2024, 58 clinicians with data). Median for this group: $20,975. Middle half: $1,187 to $211,188.
Close to the middle for clinicians listed under Nurse Practitioner in Tennessee (2024, 1,174 clinicians with data). Median for this group: $32,948. Middle half: $1,960 to $194,088.
92 active clinicians are listed under Nurse Practitioner with a practice address in Jackson, TN (2,305 in Tennessee).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Jackson
6.5% of these 92 clinicians have the CMS telehealth indicator.
64.1% of these 92 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 64% from 446 in 2020 to 160 in 2024.
- 2020: 446
- 2021: 376
- 2022: 500
- 2023: 1,552
- 2024: 160
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Medicare-allowed amount
Medicare-allowed amount decreased 63% from $35,833 in 2020 to $13,299 in 2024.
- 2020: $35,833
- 2021: $32,235
- 2022: $44,338
- 2023: $74,191
- 2024: $13,299
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Paid by Medicare
Paid by Medicare decreased 65% from $26,880 in 2020 to $9,443 in 2024.
- 2020: $26,880
- 2021: $24,968
- 2022: $35,329
- 2023: $56,602
- 2024: $9,443
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Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 223 in 2020 and 217 in 2024.
- 2020: 223
- 2021: 182
- 2022: 186
- 2023: 245
- 2024: 217
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30-day fills
30-day fills varied from year to year: 337 in 2020 and 340 in 2024.
- 2020: 337
- 2021: 272
- 2022: 303
- 2023: 399
- 2024: 340
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Part D drug cost
Part D drug cost increased 689% from $2,777 in 2020 to $21,897 in 2024.
- 2020: $2,777
- 2021: $20,322
- 2022: $14,699
- 2023: $40,243
- 2024: $21,897
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $179.16 in 2021 to $2,211.24 in 2025.
- 2021: $179.16
- 2022: $48.42
- 2023: $119.90
- 2024: $5,170.27
- 2025: $2,211.24
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 · 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): 20 records totaling $2,211.24.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Penumbra, Inc. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
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Indigo System | General | $500.00 |
| Penumbra, Inc. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
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Indigo System | General | $500.00 |
| Stryker Corporation |
Travel and Lodging
Cash or cash equivalent
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CLOTTRIEVER BOLD CATHETER | General | $438.96 |
| Penumbra, Inc. |
Food and Beverage
Cash or cash equivalent
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Penumbra System | General | $155.22 |
| Penumbra, Inc. |
Food and Beverage
Cash or cash equivalent
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Indigo System | General | $132.81 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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ARTIX MT | General | $102.40 |
| Becton, Dickinson and Company |
Food and Beverage
In-kind items and services
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SlimPort | General | $39.95 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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FLOWTRIEVER | General | $39.15 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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KYPHON EXPRESS II KYPHOPAK TRAY | General | $33.71 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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KYPHON EXPRESS II KYPHOPAK TRAY | General | $33.71 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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KYPHON EXPRESS II KYPHOPAK TRAY | General | $31.51 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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KYPHON EXPRESS II KYPHOPAK TRAY | General | $29.49 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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FLOWTRIEVER | General | $27.34 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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KYPHON EXPRESS II KYPHOPAK TRAY | General | $26.78 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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FLOWTRIEVER | General | $23.45 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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INTELLIS ADAPTIVESTIM | General | $22.52 |
| Terumo Medical Corporation |
Food and Beverage
In-kind items and services
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GLIDESHEATH SLENDER | General | $20.63 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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INTELLIS ADAPTIVESTIM | General | $19.90 |
| AngioDynamics, Inc. |
Food and Beverage
In-kind items and services
|
AURYON LASER SYSTEM 100-120 VAC | General | $17.83 |
| AngioDynamics, Inc. |
Food and Beverage
In-kind items and services
|
MICRO ACCESS | General | $15.88 |
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 2016–2023 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, 2017–2024; 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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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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80 | 75 | $240.00 | $71.07 |
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32555
Aspiration of fluid from chest cavity using imaging guidance
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45 | 43 | $473.00 | $90.95 |
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49083
Drainage of fluid from abdominal cavity using imaging guidance
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19 | 15 | $373.00 | $75.42 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
16 | 16 | $540.00 | $130.49 |
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 |
|---|---|---|---|---|---|
| Clopidogrel | Clopidogrel Bisulfate | 87 | 4,810 | $512.30 | 28 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 24 | 71 | $99.00 | 24 |
| Atorvastatin Calcium | Atorvastatin Calcium | 20 | 1,440 | $206.98 | — |
| Eliquis | Apixaban | 20 | 720 | $14,818.87 | — |
| Cilostazol | Cilostazol | 17 | 750 | $153.97 | — |
| Prednisone | Prednisone | 14 | 42 | $25.55 | — |
| Warfarin Sodium | Warfarin Sodium | 13 | 680 | $114.46 | — |
| Xarelto | Rivaroxaban | 11 | 330 | $5,837.64 | — |
| Celecoxib | Celecoxib | 11 | 330 | $127.75 | — |
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
NUCC 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
I20130213000545
TN
0941454276
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
Jackson Radiology Associates Pa
620 Skyline Dr, Jackson, TN 383013923
Phone: 7315417850
Jackson Madison County General Hospital
620 Skyline Dr, Jackson, TN 383013923
Phone: 7315415000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at 620 SKYLINE DRIVE, JACKSON, TN 383013901 (Tel: 7315416174)
Registered at PO BOX 11955, JACKSON, TN 383080132 (Tel: 8886300845)
Recorded as TWONIA GOYER, FNP
Nurse Practitioner (license number reported to NPPES: TN 0000016610)
NPI status registered as active in NPPES database
Registered at 300 COATSLAND DR, JACKSON, TN 383013908 (Tel: 7315418854)
Registered at 3312 OLD MEDINA RD, OAKFIELD, TN 383629708 (Tel: 7314243944)
Recorded as TWONIA GOYER, FNP
Nurse Practitioner (license number reported to NPPES: TN 0000016610)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Jackson
- Tracy Little, ANP
- Heather Verduzco, APRN
- Adam Reinhard
- Melissa Bolton, APN
- Michelle Scott, APN
- Kelley Lumley, NP
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Directory navigation, in NPI number order.
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Mailing Address
Po Box 11955
Jackson, TN 383080132
Phone: 8886300845