CHARLES WILLIAM TOLAN DO
NPI 1235246158
Emergency Medicine in Greenwood, IN

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
1001 N MADISON AVE, GREENWOOD, IN 46142(317) 528-7500 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2022, May 15, 2019, Dec 17, 2018 (3 updates tracked since 2018).

About Charles William Tolan Do NPPES

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

CHARLES WILLIAM TOLAN DO (NPI 1235246158) is an individual emergency medicine provider in Greenwood, Indiana, licensed in Indiana (02002869A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Riverview Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235246158
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCHARLES WILLIAM TOLANCredential: DO
Location Address1001 N MADISON AVEGreenwood, IN 46142-4135
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 24, 2006
Last NPPES UpdateAugust 30, 20223 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
✔ NPI 1235246158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IN · 02002869A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1001 N MADISON AVE, Greenwood, IN 46142

Secondary Practice Locations 2

Location 1996 S State Road 135Greenwood, IN 46143-7365 · Phone (317) 893-3888
Location 211700 N Meridian StCarmel, IN 46032 · Phone (317) 688-3139 · Fax (317) 688-2664

Other Identifiers 1

Medicaid200531690IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles William Tolan Do 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 ID4082676598
PECOS Enrollment IDI20051005000125
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 Reassignments

4

Medicare enrollment records show Charles Tolan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
996 S STATE ROAD 135, SUITE P
Greenwood, IN 46143
  • Reassigned Medicare billing, Indiana enrollment
  • 146 clinicians in this Medicare group
General Practice
340 W TENTH ST
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
Emergency Medicine
2001 W 86TH ST
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 598 clinicians in this Medicare group
General Acute Care Hospital
395 WESTFIELD RD
Noblesville, IN 46060
  • Reassigned Medicare billing, Indiana enrollment
  • 303 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
102 services101 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
65 services65 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
51 services51 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
46 services46 patients
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.
46 services45 patients

Hospital Affiliations CMS Care Compare 2

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

Riverview Health

Acute Care Hospitals · Noblesville, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150059
Location395 Westfield RdNoblesville, IN 46060 · Hamilton County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46142 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 19

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

Nurse Practitioner (Family)
1001 N MADISON AVE
GREENWOOD, IN 46142
Physician Assistant
1001 N MADISON AVE
GREENWOOD, IN 46142
Physician Assistant
1001 N MADISON AVE
GREENWOOD, IN 46142
Internal Medicine
1001 N MADISON AVE
GREENWOOD, IN 46142
Nurse Practitioner (Family)
1001 N MADISON AVE
GREENWOOD, IN 46142
Physician Assistant
1001 N MADISON AVE
GREENWOOD, IN 46142
Clinic/Center (Urgent Care)
1001 N MADISON AVE
GREENWOOD, IN 46142
Internal Medicine
1001 N MADISON AVE
GREENWOOD, IN 46142

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 Charles Tolan's NPI number?

The NPI number for Charles Tolan is 1235246158. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Charles Tolan located?

Charles Tolan practices at 1001 N Madison Ave, Greenwood, IN 46142. The listed phone number is (317) 528-7500.

What is Charles Tolan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Charles Tolan enrolled in Medicare?

Yes. Charles Tolan 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.

Which organizations bill Medicare for Charles Tolan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Tolan reassigns Medicare benefits to 4 organizations: Indiana University Health Urgent Care Centers, LLC. (Greenwood, IN), Indiana University Health Care Associates, Inc (Indianapolis, IN), Cep America LLC (Indianapolis, IN) and Riverview Hospital (Noblesville, IN). Each 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 Charles Tolan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Tolan accept?

Health plans from CareSource and Cigna Healthcare list Charles Tolan 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 Charles Tolan affiliated with any hospitals?

According to CMS data, Charles Tolan is affiliated with Riverview Health and Ascension St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Charles Tolan was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.