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TOBY C SILVERTOOTH FNP-C
NPI 1144771288
Nurse Practitioner in Tyler, TX

Active since October 24, 2016PECOS EnrolledAccepts Medicare Assignment
703 S FLEISHEL AVE, STE. 4000, TYLER, TX 75701(903) 606-7000(903) 606-7521 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2025, Feb 10, 2017, Jan 30, 2017 and 4 more (7 updates tracked since 2016).

About Toby C Silvertooth Fnp-c NPPES

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

TOBY C SILVERTOOTH FNP-C (NPI 1144771288) is an individual nurse practitioner in Tyler, Texas, licensed in Texas (AP132260) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1144771288
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameTOBY C SILVERTOOTHCredential: FNP-C
Location Address703 S FLEISHEL AVE, STE. 4000Tyler, TX 75701-2015
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6400
Phone(903) 606-7000
Fax(903) 606-7521
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 24, 2016
Last NPPES UpdateDecember 9, 20257 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1144771288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP132260
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
703 S FLEISHEL AVE, Tyler, TX 75701
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Other Identifiers 4

Medicaid365451901TX
Other8441MATX · Bcbs
Other75-2616977-123TX · Tricare
OtherP01762497TX · Rail Road Medicare

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, UnitedHealthcare.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

Toby C Silvertooth Fnp-c 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 ID7315227121
PECOS Enrollment IDI20161214000991
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.

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.
1,161 services897 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.
238 services230 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
57 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
38 services36 patients

Hospital Affiliations CMS Care Compare 5

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

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital Sulphur Springs

Acute Care Hospitals · Sulphur Springs, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450236
Location115 Airport RdSulphur Springs, TX 75482 · Hopkins County
Emergency services Birthing friendly

Christus Mother Frances Hospital- Jacksonville

Critical Access Hospitals · Jacksonville, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451319
Location2026 S Jackson StreetJacksonville, TX 75766 · Cherokee County
Emergency services

Christus Mother Frances Hospital- Winnsboro

Critical Access Hospitals · Winnsboro, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451381
Location719 West Coke RoadWinnsboro, TX 75494 · Wood County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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.

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.

MARIAH DAWN MEENACH APRN
Nurse Practitioner (Gerontology)
703 S FLEISHEL AVE
TYLER, TX 75701
Smith County (903) 606-3000
DR. RAMON KUMAR M.D.
Internal Medicine (Interventional Cardiology)
703 S FLEISHEL AVE, STE 4000
TYLER, TX 75701
Smith County (903) 606-7000
MS. BETHANY NICHOLE COWAN FNP-C
Nurse Practitioner (Family)
703 S FLEISHEL AVE
TYLER, TX 75701
Smith County (903) 606-3000
CHRISTUS TRINITY CLINIC - CARDIOLOGY
Clinic/Center
703 S FLEISHEL AVE, SUITE 4000
TYLER, TX 75701
Smith County (903) 606-7000
DARREN JAY TAPLEY PA
Physician Assistant
703 S FLEISHEL AVE, STE 5000
TYLER, TX 75701
Smith County (903) 525-2992
THOMAS R SCHOLLER PA-C
Physician Assistant
703 S FLEISHEL AVE
TYLER, TX 75701
Smith County (903) 606-7000
CLYDE FAGG SANFORD III MD
Internal Medicine (Cardiovascular Disease)
703 S FLEISHEL AVE, STE 4000
TYLER, TX 75701
Smith County (903) 606-7000
JAMES A. CACCITOLO MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
703 S FLEISHEL AVE, STE 5000
TYLER, TX 75701
Smith County (903) 606-7525

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 Toby Silvertooth's NPI number?

The NPI number for Toby Silvertooth is 1144771288. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Where is Toby Silvertooth located?

Toby Silvertooth practices at 703 S Fleishel Ave Ste. 4000, Tyler, TX 75701. The listed phone number is (903) 606-7000.

What is Toby Silvertooth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Toby Silvertooth enrolled in Medicare?

Yes. Toby Silvertooth 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 Toby Silvertooth accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Toby Silvertooth 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 Toby Silvertooth affiliated with any hospitals?

According to CMS data, Toby Silvertooth is affiliated with Christus Good Shepherd Medical Center, Christus Mother Frances Hospital, Christus Mother Frances Hospital Sulphur Springs, Christus Mother Frances Hospital- Jacksonville and Christus Mother Frances Hospital- Winnsboro.

When was this NPI record last updated?

The NPPES record for Toby Silvertooth was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.