TOBY A ZIRKLE M.D.
NPI 1184835852
Family Medicine in Indianapolis, IN

Q: What is Toby Zirkle's NPI number?

The NPI number for Toby Zirkle is 1184835852. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Toby Zirkle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Toby Zirkle was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 24, 2007PECOS Enrolled

8205 E 56TH ST STE 100, INDIANAPOLIS, IN 46216(317) 621-4044(317) 621-4050 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 24, 2020, Jan 29, 2019 (2 updates tracked since 2019).

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About Toby A Zirkle M.d. NPPES

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

TOBY A ZIRKLE M.D. (NPI 1184835852) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (01081622A) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Issaquah.

NPPES Registry Identity

NPI1184835852

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTOBY A ZIRKLECredential: M.D.

Location Address8205 E 56TH ST STE 100Indianapolis, IN 46216

Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890 · (317) 621-7547

Phone(317) 621-4044

Fax(317) 621-4050

Sole ProprietorNo

Enumeration DateMay 24, 2007

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2020

✔ NPI 1184835852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IN · 01081622A✔ Licensed in UT · 6960695-1205✔ Licensed in WA · MD60489032

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8205 E 56TH ST STE 100, Indianapolis, IN 46216

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Secondary Practice Location 1

Location 1751 NE Blakely Dr, Suite 5010Issaquah, WA 98029-6201 · Phone (425) 394-0700 · Fax (425) 394-0701

Other Identifiers 1

Medicaid1376597344UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Toby A Zirkle M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

32 services29 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46216 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

3 suppliers19 claims246 services$17.82 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

3 suppliers19 claims630 services$2.36 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

26 suppliers76 claims296 services$6.24 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers18 claims35 services$0.98 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers21 claims59 services$13.22 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers13 claims13 services$48.39 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 6

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

BRAXTON R SHIDLER FNP

Nurse Practitioner (Family)