DR. KAISER TOOSY MD
NPI 1215143953
Internal Medicine - Pulmonary Disease in New Haven, CT

Active since May 16, 2007PECOS EnrolledAccepts Medicare Assignment
91.97/100
CMS Quality Rating
136 SHERMAN AVE STE 302, NEW HAVEN, CT 06511(203) 745-5660(203) 823-9417 Get Directions Write a Review

NPPES record last updated: March 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kaiser Toosy Md NPPES

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

DR. KAISER TOOSY MD (NPI 1215143953) is an individual pulmonary disease provider in New Haven, Connecticut, licensed in Connecticut (045210) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1215143953
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. KAISER TOOSYCredential: MD
Location Address136 SHERMAN AVE STE 302New Haven, CT 06511-5210
Mailing Address136 Sherman Ave Ste 302New Haven, CT 06511-5210 · (203) 745-5660 · Fax (203) 823-9417
Fax(203) 823-9417
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateMay 16, 2007
Last NPPES UpdateMarch 4, 2015
NPI 1215143953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CT · 045210
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
136 SHERMAN AVE STE 302, New Haven, CT 06511

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. Kaiser Toosy 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 ID2860593738
PECOS Enrollment IDI20070723000005
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 15

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.
1,048 services573 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
384 services332 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
258 services223 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
257 services222 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.
248 services190 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
196 services66 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06511 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

91.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability86
Improvement Activities40
Cost67.44

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
92%26 patients4/55-star benchmark: 100%
Breast Cancer Screening
73%761 patients4/55-star benchmark: 93%
Cervical Cancer Screening
75%502 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
19%200 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
69%1,429 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
69%936 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
39%299 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
18%299 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
33%5,856 patients1/55-star benchmark: 100%
e-Prescribing
100%7,730 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
82%1,748 patients4/55-star benchmark: 100%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
85%33 patients4/55-star benchmark: 100%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
97%29 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
4%45 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%2,667 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
53%1,889 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 84% · 1,485 patients
Patients screened: 88% · 1,485 patients
58%130 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%2,841 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%1,551 patients4/55-star benchmark: 91%
Support Electronic Referral Loops By Receiving and Reconciling Health Information
5%5,345 patients1/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 12% · 1,763 patients
Patients totalRate: 16% · 1,763 patients
15%1,763 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 26

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers44 claims44 services$34.33 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
5 suppliers18 claims36 services$1.09 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
5 suppliers11 claims11 services$11.70 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
5 suppliers11 claims13 services$1.05 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers45 claims45 services$72.07 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers41 claims120 services$28.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kaiser Toosy's NPI number?

The NPI number for Kaiser Toosy is 1215143953. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Kaiser Toosy located?

Kaiser Toosy practices at 136 Sherman Ave Ste 302, New Haven, CT 06511. The listed phone number is (203) 745-5660.

What is Kaiser Toosy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kaiser Toosy enrolled in Medicare?

Yes. Kaiser Toosy 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.

Is Kaiser Toosy affiliated with any hospitals?

According to CMS data, Kaiser Toosy is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Kaiser Toosy was last updated on March 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.