TOE TOE MAUNG MD
NPI 1144489782
Hospitalist in Jacksonville, FL

Active since June 09, 2008PECOS EnrolledAccepts Medicare Assignment
91.62/100
CMS Quality Rating
820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207(904) 202-3860(904) 202-3846 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2019, Dec 26, 2017 (2 updates tracked since 2017).

About Toe Toe Maung Md NPPES

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

TOE TOE MAUNG MD (NPI 1144489782) is an individual hospitalist provider in Jacksonville, Florida, licensed in Florida (ME101627) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1144489782
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameTOE TOE MAUNGCredential: MD
Location Address820 PRUDENTIAL DR STE 304Jacksonville, FL 32207-8205
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Fax(904) 202-3846
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 9, 2008
Last NPPES UpdateJanuary 25, 20192 updates tracked since enumeration
NPI 1144489782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in FL · ME101627
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME101627 (FL)
820 PRUDENTIAL DR STE 304, Jacksonville, FL 32207

Other Identifiers 1

Medicaid000174100FL

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

Toe Toe Maung 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 ID9234204314
PECOS Enrollment IDI20080825000424
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.

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.
286 services277 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
119 services117 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

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.

Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Nurse Practitioner
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Nurse Practitioner
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Hospitalist
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207
Internal Medicine (Pulmonary Disease)
820 PRUDENTIAL DR STE 304
JACKSONVILLE, FL 32207

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 Toe Toe Maung's NPI number?

The NPI number for Toe Toe Maung is 1144489782. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Toe Toe Maung located?

Toe Toe Maung practices at 820 Prudential Dr Ste 304, Jacksonville, FL 32207. The listed phone number is (904) 202-3860.

What is Toe Toe Maung's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Toe Toe Maung enrolled in Medicare?

Yes. Toe Toe Maung 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 Toe Toe Maung accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Toe Toe Maung 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 Toe Toe Maung affiliated with any hospitals?

According to CMS data, Toe Toe Maung is affiliated with Baptist Health Medical Center - Jacksonville, Baptist Medical Center Beaches and Baptist Medical Center - Nassau.

When was this NPI record last updated?

The NPPES record for Toe Toe Maung was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.