MACIEJ STANISLAW TOBOLA MD
NPI 1154559805
Radiology - Diagnostic Radiology in Norfolk, VA

Active since July 01, 2009PECOS EnrolledAccepts Medicare Assignment
99.26/100
CMS Quality Rating
110 KINGSLEY LN STE 305, NORFOLK, VA 23505(757) 889-5422(757) 889-5450 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2019, Apr 19, 2017 (2 updates tracked since 2017).

About Maciej Stanislaw Tobola Md NPPES

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

MACIEJ STANISLAW TOBOLA MD (NPI 1154559805) is an individual diagnostic radiology provider in Norfolk, Virginia, licensed in Virginia (0101258213) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with The Outer Banks Hospital, Inc, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1154559805
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMACIEJ STANISLAW TOBOLACredential: MD
Location Address110 KINGSLEY LN STE 305Norfolk, VA 23505-4617
Mailing Address110 Kingsley Ln Ste 305Norfolk, VA 23505-4617 · (757) 889-5422 · Fax (757) 889-5450
Fax(757) 889-5450
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 1, 2009
Last NPPES UpdateJune 19, 20192 updates tracked since enumeration
NPI 1154559805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in VA · 0101258213 Licensed in MI · 4301094374
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
110 KINGSLEY LN STE 305, Norfolk, VA 23505

Other Identifiers 1

Medicaid1154559805VA

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

Maciej Stanislaw Tobola 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 ID4688897325
PECOS Enrollment IDI20150806009850
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 71

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,209 services1,110 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
866 services866 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
865 services865 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
796 services766 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
485 services469 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
333 services329 patients

Hospital Affiliations CMS Care Compare 5

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

The Outer Banks Hospital, Inc

Critical Access Hospitals · Nags Head, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341324
Location4800 South Croatan HighwayNags Head, NC 27959 · Dare County
Emergency services Birthing friendly

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490017
Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County
Emergency services

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23505 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

99.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost97.55

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
110 KINGSLEY LN STE 305
NORFOLK, VA 23505
Physician Assistant
110 KINGSLEY LN STE 305
NORFOLK, VA 23505
Radiology (Diagnostic Radiology)
110 KINGSLEY LN STE 305
NORFOLK, VA 23505
Radiology (Diagnostic Radiology)
110 KINGSLEY LN STE 305
NORFOLK, VA 23505
Physician Assistant
110 KINGSLEY LN STE 305
NORFOLK, VA 23505
Radiology (Diagnostic Radiology)
110 KINGSLEY LN STE 305
NORFOLK, VA 23505
Radiology (Diagnostic Radiology)
110 KINGSLEY LN STE 305
NORFOLK, VA 23505

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 Maciej Tobola's NPI number?

The NPI number for Maciej Tobola is 1154559805. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Maciej Tobola located?

Maciej Tobola practices at 110 Kingsley Ln Ste 305, Norfolk, VA 23505. The listed phone number is (757) 889-5422.

What is Maciej Tobola's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Maciej Tobola enrolled in Medicare?

Yes. Maciej Tobola 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.

Is Maciej Tobola affiliated with any hospitals?

According to CMS data, Maciej Tobola is affiliated with The Outer Banks Hospital, Inc, Bon Secours Maryview Medical Center, Sentara Obici Hospital, Sentara Virginia Beach General Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Maciej Tobola was last updated on June 19, 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.