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JOSE RAFAEL TOLEDO MD
NPI 1215049200
Psychiatry & Neurology - Neurology in Stuart, FL

Active since August 31, 2006PECOS Enrolled
827 SE 5TH ST, STUART, FL 34994(772) 223-5345(772) 223-0960 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jose Rafael Toledo Md NPPES

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

JOSE RAFAEL TOLEDO MD (NPI 1215049200) is an individual neurology provider in Stuart, Florida, licensed in Florida (ME0060437) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215049200
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJOSE RAFAEL TOLEDOCredential: MD
Location Address827 SE 5TH STStuart, FL 34994-2401
Mailing Address827 E 5th StStuart, FL 34994 · (772) 223-5345 · Fax (772) 223-0960
Phone(772) 223-5345
Fax(772) 223-0960
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215049200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in FL · ME0060437
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
827 SE 5TH ST, Stuart, FL 34994
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINF07905
Medicare ID-Type Unspecified12656FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Rafael Toledo Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Jose Toledo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aspen Behavioral Health
35 mi
Rehabilitation, Substance Use Disorder
900 OSCEOLA DRIVE, SUITE 200,300,108
West Palm Beach, FL 33409
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1750991923 (833) 737-0963

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34994 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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

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

HENRY CALAS M.D. P.A.
Psychiatry & Neurology (Neurology)
827 SE 5TH ST
STUART, FL 34994
Martin County (772) 223-5345

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 Jose Toledo's NPI number?

The NPI number for Jose Toledo is 1215049200. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Jose Toledo located?

Jose Toledo practices at 827 SE 5th St, Stuart, FL 34994. The listed phone number is (772) 223-5345.

What is Jose Toledo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jose Toledo enrolled in Medicare?

Yes. Jose Toledo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jose Toledo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Toledo reassigns Medicare benefits to Aspen Behavioral Health (West Palm Beach, FL). The 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 Jose Toledo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Toledo accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Jose Toledo 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 Jose Toledo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.