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DR. JOSEPH C TOULOUSE MD
NPI 1013934801
Emergency Medicine in Avon Park, FL

Active since July 16, 2006PECOS Enrolled
2435 N AZALEA DR, AVON PARK, FL 33825(863) 257-3963(863) 354-6616 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Joseph C Toulouse Md NPPES

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

DR. JOSEPH C TOULOUSE MD (NPI 1013934801) is an individual emergency medicine provider in Avon Park, Florida, licensed in Florida (ME82481) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013934801
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOSEPH C TOULOUSECredential: MD
Location Address2435 N AZALEA DRAvon Park, FL 33825-9516
Mailing Address2545 N Orangewood StAvon Park, FL 33825-7917 · (863) 257-3936
Phone(863) 257-3963
Fax(863) 354-6616
Sole ProprietorYes
Enumeration DateJuly 16, 2006
Last NPPES UpdateMay 2, 2022
NPPES CertifiedMay 2, 2022
✔ NPI 1013934801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in FL · ME82481✔ Licensed in IA · 33082✔ Licensed in CA · C 5613
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License ME82481 (FL)
2435 N AZALEA DR, Avon Park, FL 33825
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Other Identifiers 2

Medicaid261707200FL
OtherME82481FL · Medical License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joseph C Toulouse Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

6

Medicare enrollment records show Joseph Toulouse reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mid-Florida Emergency Physicians, LLC
13 mi
Emergency Medicine
3600 S HIGHLANDS AVE
Sebring, FL 33870
  • Reassigned Medicare billing, Florida enrollment
  • 62 clinicians in this Medicare group
NPI 1558630152 (877) 693-5700
Lake Wales Emergency Physicians, LLC
18 mi
Emergency Medicine
410 S 11TH ST
Lake Wales, FL 33853
  • Reassigned Medicare billing, Florida enrollment
  • 99 clinicians in this Medicare group
NPI 1033480405 (877) 693-5700
Unitypoint Health - Marshalltown
1,186 mi
Emergency Medicine
55 UNITYPOINT WAY
Marshalltown, IA 50158
  • Reassigned Medicare billing, Iowa enrollment
  • 214 clinicians in this Medicare group
NPI 1164957593 (641) 754-5145
Allen Memorial Hospital Corporation
1,194 mi
Emergency Medicine
1825 LOGAN AVE
Waterloo, IA 50703
  • Reassigned Medicare billing, Iowa enrollment
  • 273 clinicians in this Medicare group
NPI 1346292521 (319) 235-3941
Alegent Creighton Clinic
1,242 mi
Family Medicine
800 MERCY DR
Council Bluffs, IA 51503
  • Reassigned Medicare billing, Iowa enrollment
  • 482 clinicians in this Medicare group
NPI 1598811069 (855) 524-4001
Northwest Iowa Hospital Corporation
1,324 mi
Emergency Medical Services
2720 STONE PARK BLVD
Sioux City, IA 51104
  • Reassigned Medicare billing, Iowa enrollment
  • 281 clinicians in this Medicare group
NPI 1215962550 (712) 279-3789

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
221 services208 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
145 services141 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
80 services78 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33825 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Joseph Toulouse's NPI number?

The NPI number for Joseph Toulouse is 1013934801. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Joseph Toulouse located?

Joseph Toulouse practices at 2435 N Azalea Dr, Avon Park, FL 33825. The listed phone number is (863) 257-3963.

What is Joseph Toulouse's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Joseph Toulouse enrolled in Medicare?

Yes. Joseph Toulouse is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Joseph Toulouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Toulouse reassigns Medicare benefits to 6 organizations: Mid-Florida Emergency Physicians, LLC (Sebring, FL), Lake Wales Emergency Physicians, LLC (Lake Wales, FL), Unitypoint Health - Marshalltown (Marshalltown, IA), Allen Memorial Hospital Corporation (Waterloo, IA), Alegent Creighton Clinic (Council Bluffs, IA) and 1 more organization, listed in the Medicare section above. 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 Joseph Toulouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Toulouse accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Joseph Toulouse 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.

When was this NPI record last updated?

The NPPES record for Joseph Toulouse was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.