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DR. DELIA G. TOLEDO M.D.
NPI 1053514604
Psychiatry & Neurology - Psychiatry in Port Charlotte, FL

Active since June 08, 2007PECOS EnrolledAccepts Medicare Assignment
77.37/100
CMS Quality Rating
3191 HARBOR BLVD, SUITE A, PORT CHARLOTTE, FL 33952(239) 223-2751(239) 561-2933 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Delia G. Toledo M.d. NPPES

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

DR. DELIA G. TOLEDO M.D. (NPI 1053514604) is an individual psychiatry provider in Port Charlotte, Florida, licensed in Florida (ME126186) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1053514604
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. DELIA G. TOLEDOCredential: M.D.
Location Address3191 HARBOR BLVD, SUITE APort Charlotte, FL 33952-6755
Mailing Address6360 Techster Blvd, Suite 1Fort Myers, FL 33966-4805 · (239) 223-2751 · Fax (239) 561-2933
Phone(239) 223-2751
Fax(239) 561-2933
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJune 8, 2007
Last NPPES UpdateJuly 21, 2016
✔ NPI 1053514604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · ME126186
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3191 HARBOR BLVD, Port Charlotte, FL 33952
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Other Identifiers 2

Medicaid017178100FL
Medicare PINEM936AFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare 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

Dr. Delia G. Toledo 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 ID1254512445
PECOS Enrollment IDI20160527001779
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.
177 services48 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
154 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

77.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.31
Promoting Interoperability100
Improvement Activities40
Cost68.48

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
5%307 patients1/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%3,519 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%327 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
22%665 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
32%593 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%665 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%665 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
17%665 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

MEDIC PODIATRY AND WOUND CARE
Podiatrist
3191 HARBOR BLVD, UNIT D
PORT CHARLOTTE, FL 33952
Charlotte County (941) 613-1919
SEABREEZE BEHAVIORAL MEDICINE PA
Psychiatry & Neurology (Psychiatry)
3191 HARBOR BLVD, SUITE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 766-9555
DAVID M KANUCK D P M PA
Podiatrist (Foot & Ankle Surgery)
3191 HARBOR BLVD, STE B
PORT CHARLOTTE, FL 33952
Charlotte County (239) 481-7000
MEDIC INFUSION PA
Podiatrist (Foot & Ankle Surgery)
3191 HARBOR BLVD, UNIT D
PORT CHARLOTTE, FL 33952
Charlotte County (941) 613-1919
DNA COMPREHENSIVE THERAPY SERVICES, LLC
Psychologist
3191 HARBOR BLVD, SUITE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 833-1750
PHILLIP V CARRACHER LCSW
Social Worker (Clinical)
3191 HARBOR BLVD, SUITE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 766-9555
TETYANA METYK MD
Internal Medicine
3191 HARBOR BLVD
PORT CHARLOTTE, FL 33952
Charlotte County (941) 613-1919
CHARLOTTE COUNTY MEDICAL SOLUTIONS INC
Pain Medicine (Pain Medicine)
3191 HARBOR BLVD, SUITE C
PORT CHARLOTTE, FL 33952
Charlotte County (941) 206-2630

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 Delia Toledo's NPI number?

The NPI number for Delia Toledo is 1053514604. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Delia Toledo located?

Delia Toledo practices at 3191 Harbor Blvd Suite A, Port Charlotte, FL 33952. The listed phone number is (239) 223-2751.

What is Delia Toledo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Delia Toledo enrolled in Medicare?

Yes. Delia Toledo 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 Delia Toledo accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Delia Toledo 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 Delia Toledo was last updated on July 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.