DR. LINA MARIA TOLEDO-FRANCO MD
NPI 1073763017
Internal Medicine - Geriatric Medicine in Saint Louis, MO

Active since September 26, 2008PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 977-8462(314) 977-3370 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lina Maria Toledo-franco Md NPPES

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

DR. LINA MARIA TOLEDO-FRANCO MD (NPI 1073763017) is an individual geriatric medicine provider in Saint Louis, Missouri, licensed in Missouri (2020030343) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1073763017
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameDR. LINA MARIA TOLEDO-FRANCOCredential: MD
Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address1008 S Spring Ave Fl 2Saint Louis, MO 63110-2520 · (314) 977-8462 · Fax (314) 977-3370
Fax(314) 977-3370
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 26, 2008
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
NPI 1073763017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Licenses Licensed in MO · 2020030343 Licensed in CT · 050528
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X · License 050528 (CT)
1201 S GRAND BLVD, Saint Louis, MO 63104

Accepted 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. Lina Maria Toledo-franco 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 ID2860644572
PECOS Enrollment IDI20201020003870
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 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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
53 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services19 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
19 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services14 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$169.38 typical visit price
range $55.65 – $169.38
Typical copayment $42.34 (range $13.91 – $42.34)
Most-billed visit code 99205
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

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.

Nurse Practitioner (Acute Care)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Physician Assistant
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104

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 Lina Toledo-franco's NPI number?

The NPI number for Lina Toledo-franco is 1073763017. It was assigned to this individual provider in the NPPES registry on September 26, 2008.

Where is Lina Toledo-franco located?

Lina Toledo-franco practices at 1201 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 977-8462.

What is Lina Toledo-franco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Lina Toledo-franco enrolled in Medicare?

Yes. Lina Toledo-franco 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 Lina Toledo-franco accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Lina Toledo-franco 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 Lina Toledo-franco affiliated with any hospitals?

According to CMS data, Lina Toledo-franco is affiliated with Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Lina Toledo-franco was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.