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DR. NIKKI LYNN TOCCO M.D.
NPI 1194091694
Family Medicine in Burton, MI

Active since March 29, 2012PECOS EnrolledAccepts Medicare Assignment
G3525 S SAGINAW ST, BURTON, MI 48529(810) 222-3040 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2022, Aug 27, 2018 (2 updates tracked since 2018).

About Dr. Nikki Lynn Tocco M.d. NPPES

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

DR. NIKKI LYNN TOCCO M.D. (NPI 1194091694) is an individual family medicine provider in Burton, Michigan, licensed in Michigan (4301111922) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Mclaren Flint, and maintains a secondary practice location in Traverse City.

NPPES Registry Identity

NPI1194091694
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NIKKI LYNN TOCCOCredential: M.D.
Location AddressG3525 S SAGINAW STBurton, MI 48529-1260
Mailing AddressPo Box 746723Atlanta, GA 30374-6723 · (312) 733-9730 · Fax (773) 866-8014
Phone(810) 222-3040
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2012
Enumeration DateMarch 29, 2012
Last NPPES UpdateJuly 14, 20222 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
✔ NPI 1194091694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301111922
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.
Also ListedHospitalistTaxonomy 208M00000X · License ME122064 (FL), 4301111922 (MI)
G3525 S SAGINAW ST, Burton, MI 48529
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Secondary Practice Location 1

Location 1Munson Medical Center, 1105 Sixth StreetTraverse City, MI 49684 · Phone (231) 935-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.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. Nikki Lynn Tocco 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 ID8325353436
PECOS Enrollment IDI20170707002358
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nikki Tocco reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osh-Mi Physicians Group PC
55 mi
Primary Care
11260 E JEFFERSON AVE
Detroit, MI 48214
  • Reassigned Medicare billing, Michigan enrollment
  • 102 clinicians in this Medicare group
NPI 1700236478 (313) 749-0148
Hospitalist Medicine Physicians Of Michigan, PLLC
76 mi
Internal Medicine
818 RIVERSIDE AVE
Adrian, MI 49221
  • Reassigned Medicare billing, Michigan enrollment
  • 237 clinicians in this Medicare group
NPI 1013180181 (330) 493-4443
Sound Inpatient Physicians-Michigan, PLLC
107 mi
Internal Medicine
1521 GULL RD
Kalamazoo, MI 49048
  • Reassigned Medicare billing, Michigan enrollment
  • 596 clinicians in this Medicare group
NPI 1093967861 (269) 226-7000

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 6

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
290 services119 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.
103 services63 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
69 services69 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
29 services28 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
25 services25 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mclaren Flint

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230141
Location401 S Ballenger HighwayFlint, MI 48532 · Genesee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48529 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$19.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$111.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

DIANNE JUNIOR NP
Nurse Practitioner
G3525 S SAGINAW ST
BURTON, MI 48529
Genesee County (810) 222-3040
BURHAN TAJOUR M.D.
Internal Medicine
G3525 S SAGINAW ST
BURTON, MI 48529
Genesee County (810) 222-3040
JENNIFER A BOUCK AGNP-C
Nurse Practitioner (Adult Health)
G3525 S SAGINAW ST
BURTON, MI 48529
Genesee County (810) 222-3040
KRISTINA LINN JORDAN FNP-BC
Nurse Practitioner (Family)
G3525 S SAGINAW ST
BURTON, MI 48529
Genesee County (810) 222-3040
GOODWILL OPTICAL INC
Optometrist
G3525 S SAGINAW ST
BURTON, MI 48529
Genesee County (810) 744-6505
LEEN NUSAIRAT MD
Internal Medicine
G3525 S SAGINAW ST
BURTON, MI 48529
Genesee County (810) 222-3040
DAVID H BUSH OD
Optometrist
G3525 S SAGINAW ST
BURTON, MI 48529
Genesee County (810) 232-6031
MRS. TONI RENEE NICKEL L.M.S.W
Social Worker (Clinical)
G3525 S SAGINAW ST
BURTON, MI 48529
Genesee County (810) 222-3040

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 Nikki Tocco's NPI number?

The NPI number for Nikki Tocco is 1194091694. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is Nikki Tocco located?

Nikki Tocco practices at G3525 S Saginaw St, Burton, MI 48529. The listed phone number is (810) 222-3040.

What is Nikki Tocco's specialty?

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

Is Nikki Tocco enrolled in Medicare?

Yes. Nikki Tocco 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 Nikki Tocco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikki Tocco reassigns Medicare benefits to 3 organizations: Osh-Mi Physicians Group PC (Detroit, MI), Hospitalist Medicine Physicians Of Michigan, PLLC (Adrian, MI) and Sound Inpatient Physicians-Michigan, PLLC (Kalamazoo, MI). 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 Nikki Tocco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikki Tocco accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Nikki Tocco 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 Nikki Tocco affiliated with any hospitals?

According to CMS data, Nikki Tocco is affiliated with Mclaren Flint.

When was this NPI record last updated?

The NPPES record for Nikki Tocco was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.