CLAUDIO CONSTANTINO TOLEDO M.D.
NPI 1104050061
Emergency Medicine in Spring Branch, TX
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 South Texas Health System, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
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.
Medicare Billing Reassignments
21Medicare enrollment records show Claudio Toledo reassigns Medicare billing to 21 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 1,452 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 1,511 clinicians in this Medicare group
Gonzales, TX 78629
- Reassigned Medicare billing, Texas enrollment
- 430 clinicians in this Medicare group
Pearsall, TX 78061
- Reassigned Medicare billing, Texas enrollment
- 100 clinicians in this Medicare group
Cuero, TX 77954
- Reassigned Medicare billing, Texas enrollment
- 135 clinicians in this Medicare group
Victoria, TX 77901
- Reassigned Medicare billing, Texas enrollment
- 153 clinicians in this Medicare group
Crystal City, TX 78839
- Reassigned Medicare billing, Texas enrollment
- Also billed through NPI 1326134255 (Texas)
- 57 clinicians in this Medicare group
Edna, TX 77957
- Reassigned Medicare billing, Texas enrollment
- 100 clinicians in this Medicare group
Eagle Pass, TX 78852
- Reassigned Medicare billing, Texas enrollment
- 63 clinicians in this Medicare group
Laredo, TX 78045
- Reassigned Medicare billing, Texas enrollment
- 119 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.
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Texas Health System
Acute Care Hospitals · Edinburg, TXVal Verde Regional Medical Center
Acute Care Hospitals · Del Rio, TXRio Grande Regional Hospital
Acute Care Hospitals · Mcallen, TXCorpus Christi Medical Center,the
Acute Care Hospitals · Corpus Christi, TXPhysician 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.
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.
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.
Which organizations bill Medicare for Claudio Toledo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Claudio Toledo reassigns Medicare benefits to 21 organizations: Emergency Medicine Services Of Tx, PLLC (San Antonio, TX), Travis County Emergency Physicians PA (Austin, TX), Victoria Emergency Partners LLC (Gonzales, TX), Frio Hospital Association (Pearsall, TX), Texas Emergency Group LLC (Cuero, TX) and 16 more organizations, listed in the Medicare section above. Each 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 Claudio Toledo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Claudio Toledo accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Health, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit and 1 other insurer 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 South Texas Health System, Val Verde Regional Medical Center, Rio Grande Regional Hospital and Corpus Christi Medical Center,the.
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.
# Claudio Constantino Toledo, M.D. · NPI 1104050061
Emergency Medicine physician in Spring Branch, Texas. Individual provider, active in the CMS NPPES registry since May 7, 2009.
## Identity
- **NPI:** 1104050061 (Entity type: Individual)
- **Enumerated:** May 7, 2009
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** P2169 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 19851 HIGHWAY 46 W, STE 201, Spring Branch, TX 78163
- **Phone:** (713) 277-2222 · **Fax:** (210) 703-0934
## 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:** 21 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Services Of Tx, PLLC (NPI 1245938729, San Antonio, TX); Travis County Emergency Physicians PA (NPI 1962440933, Austin, TX); Victoria Emergency Partners LLC (NPI 1164770996, Gonzales, TX); Frio Hospital Association (NPI 1053195032, Pearsall, TX); Texas Emergency Group LLC (NPI 1699288811, Cuero, TX); and 16 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** December 7, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1104050061) · Data from the CMS NPPES public registry.