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DR. MARIO TOLEDO-COURET MD
NPI 1144230343
Obstetrics & Gynecology in Carlsbad, NM

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
2420 W PIERCE ST STE 105, CARLSBAD, NM 88220(575) 628-8852(575) 628-8856 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mario Toledo-couret Md NPPES

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

DR. MARIO TOLEDO-COURET MD (NPI 1144230343) is an individual obstetrics & gynecology provider in Carlsbad, New Mexico, licensed in Michigan (4301062524) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1144230343
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARIO TOLEDO-COURETCredential: MD
Location Address2420 W PIERCE ST STE 105Carlsbad, NM 88220-3518
Mailing Address2420 W Pierce St Ste 105Carlsbad, NM 88220-3518 · (575) 628-8852 · Fax (575) 628-8856
Phone(575) 628-8852
Fax(575) 628-8856
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateAugust 9, 2006
Last NPPES UpdateSeptember 10, 2020
NPPES CertifiedSeptember 10, 2020
✔ NPI 1144230343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MI · 4301062524✔ Licensed in NM · MD2012-0088
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2420 W PIERCE ST STE 105, Carlsbad, NM 88220
Open in Google Maps ↗

Other Identifiers 3

Medicaid4970432MI
Medicaid2968382MI
Medicaid15537773NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma 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

Dr. Mario Toledo-couret 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 ID8123125762
PECOS Enrollment IDI20120709000072
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88220 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
50%34 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
56%432 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
35%364 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 95% · 370 patients
81%370 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Mario Toledo-couret's NPI number?

The NPI number for Mario Toledo-couret is 1144230343. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Mario Toledo-couret located?

Mario Toledo-couret practices at 2420 W Pierce St Ste 105, Carlsbad, NM 88220. The listed phone number is (575) 628-8852.

What is Mario Toledo-couret's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mario Toledo-couret enrolled in Medicare?

Yes. Mario Toledo-couret 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 Mario Toledo-couret accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and UnitedHealthcare list Mario Toledo-couret 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 Mario Toledo-couret was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.