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PHILOMINA TONI
NPI 1265891865
Nurse Practitioner - Family in Morton Grove, IL

Active since February 11, 2016PECOS EnrolledAccepts Medicare Assignment
5732 LYONS ST, MORTON GROVE, IL 60053(847) 217-4779 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Philomina Toni NPPES

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

PHILOMINA TONI (NPI 1265891865) is an individual family provider in Morton Grove, Illinois, licensed in Illinois (209.013823) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1265891865
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePHILOMINA TONI
Location Address5732 LYONS STMorton Grove, IL 60053-1549
Mailing Address5732 Lyons StMorton Grove, IL 60053-1549 · (847) 217-4779
Phone(847) 217-4779
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 11, 2016
✔ NPI 1265891865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.013823
5732 LYONS ST, Morton Grove, IL 60053
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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

Philomina Toni 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 ID6800183971
PECOS Enrollment IDI20160919000923
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 2

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
417 services101 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60053 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Philomina Toni's NPI number?

The NPI number for Philomina Toni is 1265891865. It was assigned to this individual provider in the NPPES registry on February 11, 2016.

Where is Philomina Toni located?

Philomina Toni practices at 5732 Lyons St, Morton Grove, IL 60053. The listed phone number is (847) 217-4779.

What is Philomina Toni's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Philomina Toni enrolled in Medicare?

Yes. Philomina Toni 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.

When was this NPI record last updated?

The NPPES record for Philomina Toni was last updated on February 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.