Toya Ann Alder, ARNP-C
NPI 1255819157ActiveIndividual· Nurse Practitioner, Adult Health· Palm Bay, FL
Nurse Practitioner, Adult Health (ARNP-C) with Ballout International PLLC and 1 other group, practicing in Palm Bay, Florida. In 2024 Medicare paid $190,744 for 304 patients, and Part D covered 3,484 of their prescriptions, 88% of them generic. Exact Sciences Corporation was the largest of 8 companies reporting payments in 2025, $259.64 in all, mostly food and beverage.
Overview
| NPI | 1255819157 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP-C |
| Sole proprietor | No |
| NPI issued | Aug 2, 2018 |
| Last updated in NPPES | Jan 22, 2026 |
| Certified by provider | Jan 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | APRN9233342 | FL |
| Nurse Practitioner, Gerontology | 363LG0600X | AG07180092 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 304 |
|---|---|
| Services billed | 3,289 across 24 procedure codes |
| Paid by Medicare | $190,744 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,484 · 6,535 30-day fills |
|---|---|
| Patients | 565 |
| Total drug cost | $277,373 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Ballout International PLLCLewisburg, WV · 49 clinicians
- Florida Health Care of BrevardBoynton Beach, FL · 4 clinicians
Industry payments (Open Payments)
- 2025$259.64 · 13 payments from 8 companies
- 2024$440.65 · 31 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $44.29 | 2 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $43.07 | 2 |
| Astrazeneca Pharmaceuticals LP | $42.18 | 2 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $38.82 | 2 |
| Abbvie Inc. | $37.76 | 2 |
What the 2025 payments were for
- Food and Beverage$259.64 · 13 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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