CYNTHIA TOUGHLIAN DO
NPI 1245868330
Hospitalist in Chattanooga, TN

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
2525 DESALES AVE, CHATTANOOGA, TN 37404(423) 495-7404(423) 495-2625 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Cynthia Toughlian Do NPPES

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

CYNTHIA TOUGHLIAN DO (NPI 1245868330) is an individual hospitalist provider in Chattanooga, Tennessee, licensed in Tennessee (5337) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of Lake Erie Col Of Osteopathic Medicine, Bradenton (2020).

NPPES Registry Identity

NPI1245868330
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameCYNTHIA TOUGHLIANCredential: DO
Location Address2525 DESALES AVEChattanooga, TN 37404-1161
Mailing AddressPo Box 116638Atlanta, GA 30368-6638 · (423) 495-8659 · Fax (423) 495-4974
Fax(423) 495-2625
Sole ProprietorNo
Medical School CMSLake Erie Col Of Osteopathic Medicine, BradentonGraduated 2020
Enumeration DateApril 1, 2020
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
NPI 1245868330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TN · 5337
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
2525 DESALES AVE, Chattanooga, TN 37404

Accepted 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

Cynthia Toughlian 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 ID6103270368
PECOS Enrollment IDI20230922000190
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 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.

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.
386 services174 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
185 services96 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
154 services153 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
36 services36 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Pharmacist
2525 DESALES AVE
CHATTANOOGA, TN 37404
Radiology (Diagnostic Radiology)
2525 DESALES AVE
CHATTANOOGA, TN 37404
Nurse Anesthetist, Certified Registered
2525 DESALES AVE
CHATTANOOGA, TN 37404
Nurse Anesthetist, Certified Registered
2525 DESALES AVE
CHATTANOOGA, TN 37404
Nurse Practitioner (Family)
2525 DESALES AVE
CHATTANOOGA, TN 37404
Clinical Exercise Physiologist
2525 DESALES AVE
CHATTANOOGA, TN 37404
Family Medicine
2525 DESALES AVE
CHATTANOOGA, TN 37404
Nurse Practitioner (Acute Care)
2525 DESALES AVE
CHATTANOOGA, TN 37404

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 Cynthia Toughlian's NPI number?

The NPI number for Cynthia Toughlian is 1245868330. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Cynthia Toughlian located?

Cynthia Toughlian practices at 2525 Desales Ave, Chattanooga, TN 37404. The listed phone number is (423) 495-7404.

What is Cynthia Toughlian's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Cynthia Toughlian enrolled in Medicare?

Yes. Cynthia Toughlian 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 Cynthia Toughlian accept?

Health plans from Alliant Health Plans, Inc. list Cynthia Toughlian 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 Cynthia Toughlian affiliated with any hospitals?

According to CMS data, Cynthia Toughlian is affiliated with Memorial Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Cynthia Toughlian was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.