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CLAUDIO CONSTANTINO TOLEDO M.D.
NPI 1104050061
Emergency Medicine in Spring Branch, TX

Active since May 07, 2009PECOS EnrolledAccepts Medicare Assignment
82.04/100
CMS Quality Rating
19851 HIGHWAY 46 W, STE 201, SPRING BRANCH, TX 78163(713) 277-2222(210) 703-0934 Get Directions Write a Review

NPPES record last updated: December 7, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Claudio Constantino Toledo M.d. NPPES

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

CLAUDIO CONSTANTINO TOLEDO M.D. (NPI 1104050061) is an individual emergency medicine provider in Spring Branch, Texas, licensed in Texas (P2169) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1104050061
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCLAUDIO CONSTANTINO TOLEDOCredential: M.D.
Location Address19851 HIGHWAY 46 W, STE 201Spring Branch, TX 78163
Mailing Address222 Bartlett Dr, Apt. 1103El Paso, TX 79912-1608 · (915) 412-8735
Phone(713) 277-2222
Fax(210) 703-0934
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 7, 2009
Last NPPES UpdateDecember 7, 2015
✔ NPI 1104050061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · P2169
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License P2169 (TX)
19851 HIGHWAY 46 W, Spring Branch, TX 78163
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company 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

Claudio Constantino 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 ID1850557943
PECOS Enrollment IDI20120717000594
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
271 services241 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
189 services178 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
104 services99 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
75 services72 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Val Verde Regional Medical Center

Acute Care Hospitals · Del Rio, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450154
Location801 Bedell AveDel Rio, TX 78840 · Val Verde County
Emergency services

Rio Grande Regional Hospital

Acute Care Hospitals · Mcallen, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450711
Location101 E Ridge RdMcallen, TX 78503 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78163 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

82.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.1
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 Claudio Toledo's NPI number?

The NPI number for Claudio Toledo is 1104050061. It was assigned to this individual provider in the NPPES registry on May 7, 2009.

Where is Claudio Toledo located?

Claudio Toledo practices at 19851 Highway 46 W Ste 201, Spring Branch, TX 78163. The listed phone number is (713) 277-2222.

What is Claudio Toledo's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Claudio Toledo enrolled in Medicare?

Yes. Claudio 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 Claudio Toledo accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Claudio 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.

Is Claudio Toledo affiliated with any hospitals?

According to CMS data, Claudio Toledo is affiliated with Baptist Medical Center, South Texas Health System, Val Verde Regional Medical Center and Rio Grande Regional Hospital.

When was this NPI record last updated?

The NPPES record for Claudio Toledo was last updated on December 7, 2015. 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.