TRACI TOLL-GRIFFIN MD
NPI 1063467520
Pediatrics in Brewster, NY
About Traci Toll-griffin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACI TOLL-GRIFFIN MD (NPI 1063467520) is an individual pediatrics provider in Brewster, New York, licensed in New York (214615) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Traci Toll-griffin 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.
Medicare Billing Reassignment
Medicare enrollment records show Traci Toll-griffin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Kisco, NY 10549
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Optum Medical Care PC
- 1,601 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Traci Toll-griffin's NPI number?
The NPI number for Traci Toll-griffin is 1063467520. It was assigned to this individual provider in the NPPES registry on May 23, 2006.
Where is Traci Toll-griffin located?
Traci Toll-griffin practices at Mount Kisco Medical Group, PC Southeast Executive Park, 185 Route 312, Brewster, NY 10509. The listed phone number is (845) 278-7000.
What is Traci Toll-griffin's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Traci Toll-griffin enrolled in Medicare?
Yes. Traci Toll-griffin 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 organization bills Medicare for Traci Toll-griffin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Traci Toll-griffin reassigns Medicare benefits to Optum Medical Care, P.C. (Mount Kisco, NY). The 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 Traci Toll-griffin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Traci Toll-griffin was last updated on November 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Traci Toll-Griffin, MD · NPI 1063467520
Pediatrics physician in Brewster, New York. Individual provider, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1063467520 (Entity type: Individual)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 214615 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** MOUNT KISCO MEDICAL GROUP, PC, SOUTHEAST EXECUTIVE PARK, 185 ROUTE 312, Brewster, NY 10509
- **Phone:** (845) 278-7000 · **Fax:** (914) 242-1516
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Optum Medical Care, P.C. (NPI 1982643003, Mount Kisco, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** November 25, 2009
- **Other identifiers:** Medicare PIN 450Y606761 (NY); Medicaid 02153088 (NY); Medicare UPIN H35985 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1063467520) · Data from the CMS NPPES public registry.