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YARDLIE TOUSSAINT-FOSTER MD
NPI 1023033800
Obstetrics & Gynecology in Pottstown, PA

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
1590 MEDICAL DR STE A, POTTSTOWN, PA 19464(610) 326-7172(610) 326-0974 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 28, 2021, Jun 9, 2021 (2 updates tracked since 2021).

About Yardlie Toussaint-foster Md NPPES

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

YARDLIE TOUSSAINT-FOSTER MD (NPI 1023033800) is an individual obstetrics & gynecology provider in Pottstown, Pennsylvania, licensed in Pennsylvania (OS013749) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1023033800
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameYARDLIE TOUSSAINT-FOSTERCredential: MD
Location Address1590 MEDICAL DR STE APottstown, PA 19464-3247
Mailing AddressPo Box 22581New York, NY 10087-2581 · (610) 482-4795 · Fax (856) 528-3117
Phone(610) 326-7172
Fax(610) 326-0974
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 13, 2006
Last NPPES UpdateJune 28, 20212 updates tracked since enumeration
NPPES CertifiedJune 28, 2021
✔ NPI 1023033800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in PA · OS013749✔ Licensed in NY · 232696
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1590 MEDICAL DR STE A, Pottstown, PA 19464
Open in Google Maps ↗

Other Names 1

Former Name (1)Yardlie Toussaint Md

Other Identifiers 10

Other1416213NY · Aetna Hmo
Other2706729000NY · Bcbs
Other30035062NY · Keystone Mercy
Other10170094601NY · Americhoice
Other2739751000NY · Bcbs
Medicaid1017009460001NY
Other7820561NY · Aetna
Medicaid1017009460002NY
Other1878720NY · Bcbs
Other204634462NY · Amerihealth Mercy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar 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

Yardlie Toussaint-foster 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 ID3678548914
PECOS Enrollment IDI20061004000456
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

4

Medicare enrollment records show Yardlie Toussaint-foster reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health And Dental Care, Inc
2.7 mi
Federally Qualified Health Center (FQHC)
351 W SCHUYLKILL RD STE G-15A
Pottstown, PA 19465
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 67 clinicians in this Medicare group
NPI 1295994341 (610) 326-9460
St Luke's Physician Group Inc
11 mi
Family Medicine
658 HARLEYSVILLE PIKE STE 120
Harleysville, PA 19438
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1184518581 (215) 256-9655
Star Community Health, Inc
29 mi
General Practice
511 E 3RD ST STE 202
Bethlehem, PA 18015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 318 clinicians in this Medicare group
NPI 1033686159 (484) 526-4700
Obhg Pennsylvania PC
524 mi
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 58 clinicians in this Medicare group
NPI 1184124109 (800) 967-2289

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

Hospital Affiliations CMS Care Compare

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19464 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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 Yardlie Toussaint-foster's NPI number?

The NPI number for Yardlie Toussaint-foster is 1023033800. It was assigned to this individual provider in the NPPES registry on July 13, 2006. The provider is also known as Yardlie Toussaint MD.

Where is Yardlie Toussaint-foster located?

Yardlie Toussaint-foster practices at 1590 Medical Dr Ste A, Pottstown, PA 19464. The listed phone number is (610) 326-7172.

What is Yardlie Toussaint-foster's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Yardlie Toussaint-foster enrolled in Medicare?

Yes. Yardlie Toussaint-foster 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 Yardlie Toussaint-foster's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yardlie Toussaint-foster reassigns Medicare benefits to 4 organizations: Community Health And Dental Care, Inc (Pottstown, PA), St Luke's Physician Group Inc (Harleysville, PA), Star Community Health, Inc (Bethlehem, PA) and Obhg Pennsylvania PC (Greenville, SC). 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 Yardlie Toussaint-foster's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yardlie Toussaint-foster accept?

Health plans from Oscar Health list Yardlie Toussaint-foster 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 Yardlie Toussaint-foster affiliated with any hospitals?

According to CMS data, Yardlie Toussaint-foster is affiliated with St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Yardlie Toussaint-foster was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.