1. Home
  2. Directory
  3. Michigan
  4. East Lansing
  5. Family Medicine
  6. NPI Profile

DR. ROSEMARIE T TOLSON D.O.
NPI 1205834090
Family Medicine in East Lansing, MI

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
804 SERVICE RD, SUITE A109, EAST LANSING, MI 48824(517) 355-1300(517) 355-1710 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2021, Dec 10, 2020, Sep 26, 2019 and 2 more (5 updates tracked since 2016).

About Dr. Rosemarie T Tolson D.o. NPPES

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

DR. ROSEMARIE T TOLSON D.O. (NPI 1205834090) is an individual family medicine provider in East Lansing, Michigan, licensed in Michigan (5101014138) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and is a graduate of Michigan State University College Of Osteopathic Medicine (1999).

NPPES Registry Identity

NPI1205834090
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROSEMARIE T TOLSONCredential: D.O.
Location Address804 SERVICE RD, SUITE A109East Lansing, MI 48824-7015
Mailing Address804 Service Rd, Ste A235East Lansing, MI 48824-7015 · (517) 884-2976 · Fax (517) 432-3928
Phone(517) 355-1300
Fax(517) 355-1710
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1999
Enumeration DateJuly 14, 2005
Last NPPES UpdateMarch 3, 20215 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
✔ NPI 1205834090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101014138
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.

804 SERVICE RD, East Lansing, MI 48824
Open in Google Maps ↗

Other Identifiers 1

Medicaid1205834090MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Rosemarie T Tolson D.o. 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 ID5092758581
PECOS Enrollment IDI20050606000844
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 3

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.
155 services55 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services13 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48824 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.

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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
90%255 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
87%400 patients5/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
72%106 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%4,122 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
4%408 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%314 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
61%954 patients3/55-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
54%530 patients3/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%954 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
73%954 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
62%954 patients
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.84 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 20

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

MS. APRIL PAULETTE MORRIS NP
Nurse Practitioner (Adult Health)
804 SERVICE RD, A217
EAST LANSING, MI 48824
Ingham County (517) 353-8122
DR. ROBIN HAZARD DEMUTH MD
Family Medicine
804 SERVICE RD, SUITE A142
EAST LANSING, MI 48824
Ingham County (517) 353-3050
ASHWEENA GONUGUNTLA MD
Pediatrics
804 SERVICE RD, SUITE A110
EAST LANSING, MI 48824
Ingham County (517) 353-3003
DR. HENRY CHARLES BARRY M.D.
Family Medicine
804 SERVICE RD, ROOM A142
EAST LANSING, MI 48824
Ingham County (517) 353-3050
AMY JANE KEENUM DO, PHARMD
Family Medicine
804 SERVICE RD, A235
EAST LANSING, MI 48824
Ingham County (517) 355-1300
AHSAN SATTAR M.D.
Psychiatry & Neurology (Neurology)
804 SERVICE RD, A217
EAST LANSING, MI 48824
Ingham County (517) 353-8122
OMAR ALBANYAN M.D.
Internal Medicine
804 SERVICE RD, A225 CLINICAL CENTER
EAST LANSING, MI 48824
Ingham County (517) 353-4941
GEORGETTE COOKE D.O.
Internal Medicine
804 SERVICE RD, A-225 CLINICAL CENTER
EAST LANSING, MI 48824
Ingham County (517) 353-4941

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 Rosemarie Tolson's NPI number?

The NPI number for Rosemarie Tolson is 1205834090. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Rosemarie Tolson located?

Rosemarie Tolson practices at 804 Service Rd Suite A109, East Lansing, MI 48824. The listed phone number is (517) 355-1300.

What is Rosemarie Tolson's specialty?

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

Is Rosemarie Tolson enrolled in Medicare?

Yes. Rosemarie Tolson 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 Rosemarie Tolson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Rosemarie Tolson 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 Rosemarie Tolson affiliated with any hospitals?

According to CMS data, Rosemarie Tolson is affiliated with Henry Ford Allegiance Health and Mclaren Greater Lansing.

When was this NPI record last updated?

The NPPES record for Rosemarie Tolson was last updated on March 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.