DR. TOKS E MACARTHY MD
NPI 1164608964
Hospitalist in West Allis, WI
About Dr. Toks E Macarthy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TOKS E MACARTHY MD (NPI 1164608964) is an individual hospitalist provider in West Allis, Wisconsin, licensed in Kentucky (C3603) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Toks E Macarthy 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.
Medicare Billing Reassignments
15Medicare enrollment records show Toks Macarthy reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hinsdale, IL 60521
- Reassigned Medicare billing, Illinois enrollment
- 108 clinicians in this Medicare group
Springfield, OH 45504
- Reassigned Medicare billing, Ohio enrollment
- 494 clinicians in this Medicare group
Bridgeton, MO 63044
- Reassigned Medicare billing, Illinois enrollment
- 419 clinicians in this Medicare group
Henderson, KY 42420
- Reassigned Medicare billing, Kentucky enrollment
- 643 clinicians in this Medicare group
Georgetown, KY 40324
- Reassigned Medicare billing, Kentucky enrollment
- 338 clinicians in this Medicare group
Jamestown, TN 38556
- Reassigned Medicare billing, Tennessee enrollment
- 832 clinicians in this Medicare group
Oak Ridge, TN 37830
- Reassigned Medicare billing, Tennessee enrollment
- 1,085 clinicians in this Medicare group
Gadsden, AL 35903
- Reassigned Medicare billing, Alabama enrollment
- 114 clinicians in this Medicare group
Utica, NY 13502
- Reassigned Medicare billing, New York enrollment
- 657 clinicians in this Medicare group
Utica, NY 13502
- Reassigned Medicare billing, New York enrollment
- 304 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph Hospital
Acute Care Hospitals · Lexington, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Toks Macarthy's NPI number?
The NPI number for Toks Macarthy is 1164608964. It was assigned to this individual provider in the NPPES registry on January 11, 2008.
Where is Toks Macarthy located?
Toks Macarthy practices at 1701 West Lincoln Avenue, West Allis, WI 53227. The listed phone number is (414) 328-6000.
What is Toks Macarthy's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Toks Macarthy enrolled in Medicare?
Yes. Toks Macarthy 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.
Which organizations bill Medicare for Toks Macarthy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Toks Macarthy reassigns Medicare benefits to 15 organizations: Inpatient Consultants Of Illinois, P.C. (Hinsdale, IL), Usacs Integrated Acute Care Services Of Ohio, LLC (Springfield, OH), Sound Physicians Of Illinois, LLC (Bridgeton, MO), Owensboro Health Medical Group, Inc. (Henderson, KY), New Lexington Clinic, Psc (Georgetown, KY) and 10 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Toks Macarthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Toks Macarthy accept?
Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Toks Macarthy 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 Toks Macarthy affiliated with any hospitals?
According to CMS data, Toks Macarthy is affiliated with Saint Joseph Hospital.
When was this NPI record last updated?
The NPPES record for Toks Macarthy was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Toks E Macarthy, MD · NPI 1164608964
Hospitalist physician in West Allis, Wisconsin. Individual provider, active in the CMS NPPES registry since January 11, 2008.
## Identity
- **NPI:** 1164608964 (Entity type: Individual)
- **Enumerated:** January 11, 2008
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** C3603 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 1701 WEST LINCOLN AVENUE, West Allis, WI 53227
- **Phone:** (414) 328-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 15 organizations under Medicare reassignment (form CMS-855R): Inpatient Consultants Of Illinois, P.C. (NPI 1548442569, Hinsdale, IL); Usacs Integrated Acute Care Services Of Ohio, LLC (NPI 1043805690, Springfield, OH); Sound Physicians Of Illinois, LLC (NPI 1043598865, Bridgeton, MO); Owensboro Health Medical Group, Inc. (NPI 1588019186, Henderson, KY); New Lexington Clinic, Psc (NPI 1861687048, Georgetown, KY); and 10 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania State University College Of Medicine, class of 2005
## Record status
- **NPPES last updated:** August 25, 2025
- **Other identifiers:** Medicaid 7100257700 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1164608964) · Data from the CMS NPPES public registry.