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TONSLYN TOURE MD
NPI 1003081944
Internal Medicine - Endocrinology, Diabetes & Metabolism in Plainville, MA

Active since April 22, 2008PECOS EnrolledAccepts Medicare Assignment
5 WILKENS DR, PLAINVILLE, MA 02762(508) 639-0169(949) 868-6203 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 23, 2022, Feb 26, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Tonslyn Toure Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONSLYN TOURE MD (NPI 1003081944) is an individual endocrinology, diabetes & metabolism provider in Plainville, Massachusetts, licensed in Massachusetts (246476) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (2005).

NPPES Registry Identity

NPI1003081944
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameTONSLYN TOURECredential: MD
Location Address5 WILKENS DRPlainville, MA 02762-2257
Mailing Address5 Wilkens DrPlainville, MA 02762-2257 · (508) 639-0169 · Fax (949) 868-6203
Phone(508) 639-0169
Fax(949) 868-6203
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2005
Enumeration DateApril 22, 2008
Last NPPES UpdateJune 22, 20265 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1003081944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in MA · 246476✔ Licensed in RI · MD15719
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
5 WILKENS DR, Plainville, MA 02762
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tonslyn Toure Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799954830
PECOS Enrollment IDI20170407000088
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Tonslyn Toure reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group Inc
12 mi
Urology
195 COLLYER ST STE 201
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1720949803 (401) 272-7799
Rhode Island Hospital
15 mi
Multi-Specialty
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 358 clinicians in this Medicare group
NPI 1154537520 (401) 444-6905
Brown Medicine
15 mi
Gastroenterology
235 PLAIN ST STE 201
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 256 clinicians in this Medicare group
NPI 1730827767 (401) 861-8830

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
133 services75 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
72 services22 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
51 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services37 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
41 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newport Hospital

Acute Care Hospitals · Newport, RI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410006
Location11 Friendship StreetNewport, RI 02840 · Newport County
Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02762 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers14 claims174 services$17.96 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers13 claims390 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
21 suppliers60 claims223 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers29 claims43 services$1.01 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
14 suppliers197 claims197 services$189.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ELIZABETH ANN LACASSE LICSW
Social Worker (Clinical)
5 WILKENS DR
PLAINVILLE, MA 02762
Norfolk County (508) 223-4691
EMBRACE ENDOCRINE PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5 WILKENS DR
PLAINVILLE, MA 02762
Norfolk County (508) 639-0169

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tonslyn Toure's NPI number?

The NPI number for Tonslyn Toure is 1003081944. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Where is Tonslyn Toure located?

Tonslyn Toure practices at 5 Wilkens Dr, Plainville, MA 02762. The listed phone number is (508) 639-0169.

What is Tonslyn Toure's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Tonslyn Toure enrolled in Medicare?

Yes. Tonslyn Toure is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tonslyn Toure's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonslyn Toure reassigns Medicare benefits to 3 organizations: Lifespan Physician Group Inc (Providence, RI), Rhode Island Hospital (Providence, RI) and Brown Medicine (Providence, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tonslyn Toure's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonslyn Toure accept?

Health plans from Taro Health list Tonslyn Toure as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tonslyn Toure affiliated with any hospitals?

According to CMS data, Tonslyn Toure is affiliated with Newport Hospital, Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Tonslyn Toure was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.