KARA TOLES M.D.
NPI 1154624187
Emergency Medicine in Sacramento, CA

Active since December 14, 2010PECOS EnrolledAccepts Medicare Assignment
4610 X ST, SACRAMENTO, CA 95817(916) 734-8568 Get Directions Write a Review

NPPES record last updated: December 10, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kara Toles M.d. NPPES

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

KARA TOLES M.D. (NPI 1154624187) is an individual emergency medicine provider in Sacramento, California, licensed in California (A128628) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1154624187
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKARA TOLESCredential: M.D.
Location Address4610 X STSacramento, CA 95817-2200
Mailing Address4610 X StSacramento, CA 95817-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 14, 2010
Last NPPES UpdateDecember 10, 2016
NPI 1154624187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · A128628
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4610 X ST, Sacramento, CA 95817

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

Kara Toles M.d. 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 ID1658672399
PECOS Enrollment IDI20151222001241
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
161 services161 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
89 services89 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
81 services81 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services20 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Chronic Disease Hospital
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Chronic Disease Hospital
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
General Acute Care Hospital
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817

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 Kara Toles's NPI number?

The NPI number for Kara Toles is 1154624187. It was assigned to this individual provider in the NPPES registry on December 14, 2010.

Where is Kara Toles located?

Kara Toles practices at 4610 X St, Sacramento, CA 95817. The listed phone number is (916) 734-8568.

What is Kara Toles's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kara Toles enrolled in Medicare?

Yes. Kara Toles 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.

When was this NPI record last updated?

The NPPES record for Kara Toles was last updated on December 10, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.