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MONT B TOLMAN DO
NPI 1124069828
Family Medicine in Donnelly, ID

Active since June 10, 2006PECOS Enrolled
454 W. ROSEBERRY RD, SUITE 103, DONNELLY, ID 83615(208) 382-4285 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mont B Tolman Do NPPES

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

MONT B TOLMAN DO (NPI 1124069828) is an individual family medicine provider in Donnelly, Idaho, licensed in Idaho (O120) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cascade.

NPPES Registry Identity

NPI1124069828
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMONT B TOLMANCredential: DO
Location Address454 W. ROSEBERRY RD, SUITE 103Donnelly, ID 83615
Mailing AddressPo Box 1330Cascade, ID 83611-1330 · (208) 382-4285 · Fax (208) 382-5081
Phone(208) 382-4285
Sole ProprietorNo
Enumeration DateJune 10, 2006
Last NPPES UpdateMarch 10, 2025
NPPES CertifiedMarch 6, 2025
✔ NPI 1124069828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · O120
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
454 W. ROSEBERRY RD, Donnelly, ID 83615
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Secondary Practice Location 1

Location 1402 Lake Cascade PkwyCascade, ID 83611-7702 · Phone (208) 382-4285

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mont B Tolman Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services52 patients
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.
20 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83615 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers28 claims28 services$177.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mont Tolman's NPI number?

The NPI number for Mont Tolman is 1124069828. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Mont Tolman located?

Mont Tolman practices at 454 W. Roseberry Rd Suite 103, Donnelly, ID 83615. The listed phone number is (208) 382-4285.

What is Mont Tolman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mont Tolman enrolled in Medicare?

Yes. Mont Tolman is registered in the Medicare PECOS enrollment system.

What insurance does Mont Tolman accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Mont Tolman 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 Mont Tolman was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.