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GUIDO R TOSCANO MD
NPI 1215008487
Internal Medicine in Cleburne, TX

Active since November 10, 2006PECOS EnrolledAccepts Medicare Assignment
201 WALLS DR, CLEBURNE, TX 76033(817) 556-5548 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Guido R Toscano Md NPPES

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

GUIDO R TOSCANO MD (NPI 1215008487) is an individual internal medicine provider in Cleburne, Texas, licensed in Texas (K4276) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1215008487
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGUIDO R TOSCANOCredential: MD
Location Address201 WALLS DRCleburne, TX 76033-4007
Mailing Address6320 Cobblestone LnArlington, TX 76001-5604
Phone(817) 556-5548
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateNovember 10, 2006
Last NPPES UpdateSeptember 14, 2011
✔ NPI 1215008487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · K4276
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License K4276 (TX)
201 WALLS DR, Cleburne, TX 76033
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Other Identifiers 3

Medicare UPING58558TX
Medicare PINP00944842TX
Medicaid113543624TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Guido R Toscano 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.

PECOS PAC ID8325931215
PECOS Enrollment IDI20040204000899
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services20 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.
14 services13 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76033 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

JENNIFER LEANNE CAMPBELL FNP
Nurse Practitioner (Family)
201 WALLS DR
CLEBURNE, TX 76033
Johnson County (817) 556-5423
MRS. LORI A BAGNELL RD,LD
Dietitian, Registered
201 WALLS DR
CLEBURNE, TX 76033
Johnson County (817) 556-4267
KATELYN ELIZABETH MURPHY
Nurse Practitioner (Family)
201 WALLS DR
CLEBURNE, TX 76033
Johnson County (817) 641-2551
WALLS REGIONAL HOSPITAL
General Acute Care Hospital
201 WALLS DR
CLEBURNE, TX 76033
Johnson County (817) 556-4294
CARE FOR WOMEN CLEBURNE
Obstetrics & Gynecology
201 WALLS DR, SUITE 503
CLEBURNE, TX 76033
Johnson County (817) 556-7700
MS. RENEE SUZANNE ALLEN NP
Nurse Practitioner (Family)
201 WALLS DR
CLEBURNE, TX 76033
Johnson County (817) 641-2551
DENICE BLACK MSN, APRN, ACNS-BC
Clinical Nurse Specialist (Adult Health)
201 WALLS DR
CLEBURNE, TX 76033
Johnson County (817) 556-5541
TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE
General Acute Care Hospital
201 WALLS DR
CLEBURNE, TX 76033
Johnson County (817) 556-7799

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 Guido Toscano's NPI number?

The NPI number for Guido Toscano is 1215008487. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Guido Toscano located?

Guido Toscano practices at 201 Walls Dr, Cleburne, TX 76033. The listed phone number is (817) 556-5548.

What is Guido Toscano's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Guido Toscano enrolled in Medicare?

Yes. Guido Toscano 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 Guido Toscano accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Guido Toscano 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.

When was this NPI record last updated?

The NPPES record for Guido Toscano was last updated on September 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.