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MS. MARGIANNA STOTELMYER TOMS CRNM CRNP
NPI 1245676881
Nurse Practitioner - Primary Care in Hagerstown, MD

Active since May 21, 2013PECOS EnrolledAccepts Medicare Assignment
15844 FAIRVIEW RD, HAGERSTOWN, MD 21740(301) 992-3724 Get Directions Write a Review

NPPES record last updated: January 2, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Margianna Stotelmyer Toms Crnm Crnp NPPES

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

MS. MARGIANNA STOTELMYER TOMS CRNM CRNP (NPI 1245676881) is an individual primary care provider in Hagerstown, Maryland, licensed in Maryland (R070103) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1245676881
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. MARGIANNA STOTELMYER TOMSCredential: CRNM CRNP
Location Address15844 FAIRVIEW RDHagerstown, MD 21740-1152
Mailing Address15844 Fairview RdHagerstown, MD 21740-1152 · (301) 992-3724
Phone(301) 992-3724
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 21, 2013
Last NPPES UpdateJanuary 2, 2019
✔ NPI 1245676881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MD · R070103
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License R070103 (MD)
15844 FAIRVIEW RD, Hagerstown, MD 21740
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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

Ms. Margianna Stotelmyer Toms Crnm Crnp 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 ID7113167214
PECOS Enrollment IDI20190530002537
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 Margianna Toms reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Accessible Health Care LLC
65 mi
Primary Care
5420 CONNECTICUT AVE NW
Washington, DC 20015
  • Reassigned Medicare billing, Maryland enrollment
NPI 1023725983 (301) 992-3724
Legacy Care Aco LLC
221 mi
Family Medicine
780 LYNNHAVEN PKWY STE 400
Virginia Bch, VA 23452
  • Reassigned Medicare billing, Maryland enrollment
NPI 1538844857 (757) 536-2246
Legacy Care LLC
221 mi
Family Medicine
780 LYNNHAVEN PKWY STE 400
Virginia Beach, VA 23452
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
NPI 1902149776 (757) 536-2246
Cnp Operating Co LLC
  • Reassigned Medicare billing, West Virginia enrollment
  • 24 clinicians in this Medicare group
No phone listed

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 8

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
424 services51 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
182 services49 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
166 services45 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
103 services33 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
74 services36 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
42 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21740 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier13 claims13 services$9.40 avg. paid by Medicare
Hospital bed, variable height, hi-lo, without side rails, with mattress E0292
DME-Hospital Beds · category DB000N
1 supplier49 claims49 services$41.68 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier14 claims14 services$10.90 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers33 claims33 services$16.18 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$17.79 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
3 suppliers20 claims20 services$8.17 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 Margianna Toms's NPI number?

The NPI number for Margianna Toms is 1245676881. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Margianna Toms located?

Margianna Toms practices at 15844 Fairview Rd, Hagerstown, MD 21740. The listed phone number is (301) 992-3724.

What is Margianna Toms's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Margianna Toms enrolled in Medicare?

Yes. Margianna Toms 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 Margianna Toms's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Margianna Toms reassigns Medicare benefits to 4 organizations: Accessible Health Care LLC (Washington, DC), Legacy Care Aco LLC (Virginia Bch, VA), Legacy Care LLC (Virginia Beach, VA) and Cnp Operating Co LLC (WV). 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 Margianna Toms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Margianna Toms was last updated on January 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.