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MONICA YOUNG M.D.
NPI 1033107552
Family Medicine in Toledo, OH

Active since October 10, 2005PECOS EnrolledAccepts Medicare Assignment
3900 SUNFOREST CT, SUITE 227, TOLEDO, OH 43623(419) 480-0700 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Monica Young M.d. NPPES

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

MONICA YOUNG M.D. (NPI 1033107552) is an individual family medicine provider in Toledo, Ohio, licensed in Ohio (35056123) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Promedica Monroe Regional Hospital, and is a graduate of Medical College Of Ohio (1984).

NPPES Registry Identity

NPI1033107552
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMONICA YOUNGCredential: M.D.
Location Address3900 SUNFOREST CT, SUITE 227Toledo, OH 43623-4475
Mailing Address3900 Sunforest Ct, Suite 227Toledo, OH 43623-4475 · (419) 480-0700
Phone(419) 480-0700
Sole ProprietorYes
Medical School CMSMedical College Of OhioGraduated 1984
Enumeration DateOctober 10, 2005
Last NPPES UpdateApril 29, 2008
✔ NPI 1033107552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35056123
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3900 SUNFOREST CT, Toledo, OH 43623
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Other Identifiers 3

Medicare UPINMOSP02521OH
Other1285811307OH · Practice Npi
Medicare PINYO0606084OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Monica Young M.d. 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 ID9931282894
PECOS Enrollment IDI20080215000079
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.

Areas of Expertise CMS Part B claims 3

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.
104 services50 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.
85 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients

Hospital Affiliations CMS Care Compare 4

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

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230099
Location718 N Macomb StMonroe, MI 48162 · Monroe County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43623 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers21 claims49 services$5.76 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers13 claims19 services$1.01 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers11 claims11 services$20.53 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers11 claims11 services$29.24 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
4 suppliers37 claims37 services$191.13 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 20

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

MR. JAMES A HUGHES PT
Physical Therapist
3900 SUNFOREST CT, SUITE 119
TOLEDO, OH 43623
Lucas County (419) 472-3791
MR. JOHN C ZAHN PT
Physical Therapist
3900 SUNFOREST CT, SUITE 119
TOLEDO, OH 43623
Lucas County (419) 472-3791
MRS. LINDSAY NICOLE FOLK M.P.T.
Physical Therapist
3900 SUNFOREST CT, SUITE 135
TOLEDO, OH 43623
Lucas County (419) 479-7970
ADULT PRIMARY CARE INC
Internal Medicine
3900 SUNFOREST CT, SUITE 240
TOLEDO, OH 43623
Lucas County (419) 472-3126
FERNANDO CROTTE MD - TLC LLC
Internal Medicine
3900 SUNFOREST CT, SUITE 229
TOLEDO, OH 43623
Lucas County (419) 360-7080
MONICA J. YOUNG MD LLC
Family Medicine
3900 SUNFOREST CT, SUITE 227
TOLEDO, OH 43623
Lucas County (419) 480-0700
DAVID C VICENTE MD
Surgery (Vascular Surgery)
3900 SUNFOREST CT, SUITE 216
TOLEDO, OH 43623
Lucas County (419) 472-3258
DR. REKHA TRIVEDI M.D.
Physical Medicine & Rehabilitation
3900 SUNFOREST CT, STE 215
TOLEDO, OH 43623
Lucas County (419) 475-2134

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 Monica Young's NPI number?

The NPI number for Monica Young is 1033107552. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Monica Young located?

Monica Young practices at 3900 Sunforest Ct Suite 227, Toledo, OH 43623. The listed phone number is (419) 480-0700.

What is Monica Young's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Monica Young enrolled in Medicare?

Yes. Monica Young 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.

What insurance does Monica Young accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list Monica Young 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 Monica Young affiliated with any hospitals?

According to CMS data, Monica Young is affiliated with Promedica Monroe Regional Hospital, Promedica Toledo Hospital, Mercy St Vincent Medical Center and Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Monica Young was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.