TONI M KING M.D.
NPI 1275504672
Internal Medicine - Endocrinology, Diabetes & Metabolism in Uniontown, OH

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
1946 TOWN PARK BLVD, #330, UNIONTOWN, OH 44685(330) 896-5077(330) 899-8805 Get Directions Write a Review

NPPES record last updated: January 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Toni M King M.d. NPPES

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

TONI M KING M.D. (NPI 1275504672) is an individual endocrinology, diabetes & metabolism provider in Uniontown, Ohio, licensed in Ohio (35061620) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Wooster Community Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (1992).

NPPES Registry Identity

NPI1275504672
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameTONI M KINGCredential: M.D.
Location Address1946 TOWN PARK BLVD, #330Uniontown, OH 44685-8372
Mailing Address1946 Town Park Blvd, #330Uniontown, OH 44685-8372 · (330) 896-5077 · Fax (330) 899-8805
Fax(330) 899-8805
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1992
Enumeration DateFebruary 1, 2006
Last NPPES UpdateJanuary 13, 2016
NPI 1275504672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in OH · 35061620
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

1946 TOWN PARK BLVD, Uniontown, OH 44685

Other Identifiers 6

Medicare PINH104020OH
Other1841239274OH · Partners Physician Group Type 2 Npi #
Other2551671OH · Partners Physician Group Medicaid Group #
Medicare UPINF78157OH
Medicaid0967459OH
Other9338635OH · Partners Physician Group Medicare Group #

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

Toni M King M.d. 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 ID9638208390
PECOS Enrollment IDI20100519000276
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 7

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,061 services36 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.
203 services132 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
128 services74 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.
54 services46 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
51 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Wooster Community Hospital

Acute Care Hospitals · Wooster, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360036
Location1761 Beall AvenueWooster, OH 44691 · Wayne County
Emergency services Birthing friendly

Pomerene Hospital

Acute Care Hospitals · Millersburg, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360148
Location981 Wooster RoadMillersburg, OH 44654 · Holmes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44685 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers34 claims413 services$18.35 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers31 claims945 services$2.31 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers67 claims167 services$5.74 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier21 claims21 services$315.12 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
13 suppliers290 claims295 services$187.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychologist
1946 TOWN PARK BLVD, #200
UNIONTOWN, OH 44685
Physical Therapist (Orthopedic)
1946 TOWN PARK BLVD
UNIONTOWN, OH 44685
Nurse Practitioner (Psychiatric/Mental Health)
1946 TOWN PARK BLVD
UNIONTOWN, OH 44685
Family Medicine
1946 TOWN PARK BLVD, #200
UNIONTOWN, OH 44685
Family Medicine
1946 TOWN PARK BLVD
UNIONTOWN, OH 44685
Clinical Neuropsychologist
1946 TOWN PARK BLVD, ST 220
UNIONTOWN, OH 44685
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1946 TOWN PARK BLVD, #330
UNIONTOWN, OH 44685
Nurse Practitioner (Family)
1946 TOWN PARK BLVD
UNIONTOWN, OH 44685

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 Toni King's NPI number?

The NPI number for Toni King is 1275504672. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Toni King located?

Toni King practices at 1946 Town Park Blvd #330, Uniontown, OH 44685. The listed phone number is (330) 896-5077.

What is Toni King's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Toni King enrolled in Medicare?

Yes. Toni King 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 Toni King accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Toni King 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 Toni King affiliated with any hospitals?

According to CMS data, Toni King is affiliated with Wooster Community Hospital and Pomerene Hospital.

When was this NPI record last updated?

The NPPES record for Toni King was last updated on January 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.