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JONATHAN PETER TOLINS M.D.
NPI 1194830463
Internal Medicine - Nephrology in Edina, MN

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
6363 FRANCE AVE S, SUITE 400, EDINA, MN 55435(952) 920-2070(952) 920-7444 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan Peter Tolins M.d. NPPES

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

JONATHAN PETER TOLINS M.D. (NPI 1194830463) is an individual nephrology provider in Edina, Minnesota, licensed in Minnesota (26481) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1980).

NPPES Registry Identity

NPI1194830463
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJONATHAN PETER TOLINSCredential: M.D.
Location Address6363 FRANCE AVE S, SUITE 400Edina, MN 55435-2129
Mailing Address6363 France Ave S, Suite 400Edina, MN 55435-2129 · (952) 920-2070 · Fax (952) 920-7444
Phone(952) 920-2070
Fax(952) 920-7444
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1980
Enumeration DateAugust 20, 2006
Last NPPES UpdateDecember 3, 2007
✔ NPI 1194830463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MN · 26481
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

6363 FRANCE AVE S, Edina, MN 55435
Open in Google Maps ↗

Other Identifiers 8

Other1015122MN · Preferredone
Other3111319MN · Php
OtherHP21388MN · Healthpartners
Other763918MN · Fhp
Other31707300WI · Wisconsin Ma
Medicare UPINE84705MN
Other34Q17TOMN · Bcbs
Other3180156MN · Medica Primary

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.Insurance ›

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

Jonathan Peter Tolins 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 ID2860588076
PECOS Enrollment IDI20071019000111
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 10

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.

Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
377 services12 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
166 services80 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
108 services20 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
74 services40 patients
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.
74 services48 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services42 patients

Hospital Affiliations CMS Care Compare 3

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
93%75 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%497 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%318 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
0%300 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 88% · 145 patients
91%145 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 182 patients
0%182 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DAVID LEWIS BOWLIN M.D.
Internal Medicine (Nephrology)
6363 FRANCE AVE S, SUITE 400
EDINA, MN 55435
Hennepin County (952) 920-2070
KELSEY LEIGH GILLES M.D.
Psychiatry & Neurology (Psychiatry)
6363 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 230-9100
ANGELA SUSAN JOHNSON NP-C
Nurse Practitioner (Adult Health)
6363 FRANCE AVE S, SUITE 400
EDINA, MN 55435
Hennepin County (952) 920-2070
DR. GAIL PAPERMASTER BENDER M.D.
Internal Medicine (Hematology & Oncology)
6363 FRANCE AVE S, SUITE 610
EDINA, MN 55435
Hennepin County (952) 836-3645
MARY M FIGUEROA MD
Family Medicine
6363 FRANCE AVE S, SUITE 525
EDINA, MN 55435
Hennepin County (952) 926-6489
AMANDA KUJAWA MS
Clinical Exercise Physiologist
6363 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 924-5255
HEATHER KAY VANDERWEIDE PT
Physical Therapist
6363 FRANCE AVE S, #100
EDINA, MN 55435
Hennepin County (952) 920-8525
HEIDI R KIMMEL PAC
Physician Assistant
6363 FRANCE AVE S, STE 525
EDINA, MN 55435
Hennepin County (952) 926-6489

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 Jonathan Tolins's NPI number?

The NPI number for Jonathan Tolins is 1194830463. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Jonathan Tolins located?

Jonathan Tolins practices at 6363 France Ave S Suite 400, Edina, MN 55435. The listed phone number is (952) 920-2070.

What is Jonathan Tolins's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jonathan Tolins enrolled in Medicare?

Yes. Jonathan Tolins 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.

What insurance does Jonathan Tolins accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Jonathan Tolins 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 Jonathan Tolins affiliated with any hospitals?

According to CMS data, Jonathan Tolins is affiliated with M Health Fairview Southdale Hospital, M Health Fairview University Of Mn and M Health Fairview Ridges Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Tolins was last updated on December 3, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.