MARIJA TONKOVIC-CAPIN MD
NPI 1275731010
Multi-Specialty in Cameron, MO

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment
1600 E EVERGREEN ST, CAMERON, MO 64429(816) 649-3208(816) 649-3204 Get Directions Write a Review

NPPES record last updated: May 31, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marija Tonkovic-capin Md NPPES

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

MARIJA TONKOVIC-CAPIN MD (NPI 1275731010) is an individual multi-specialty provider in Cameron, Missouri, licensed in Missouri (2011006615) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Cameron Regional Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1275731010
Entity TypeIndividualFemale
Primary Taxonomy193200000X
Provider Legal NameMARIJA TONKOVIC-CAPINCredential: MD
Location Address1600 E EVERGREEN STCameron, MO 64429-2400
Mailing Address1600 E Evergreen StCameron, MO 64429-2400 · (816) 649-3208
Fax(816) 649-3204
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 3, 2007
Last NPPES UpdateMay 31, 2016
NPI 1275731010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMulti-SpecialtyGroup
Taxonomy Code193200000X
Licenses Licensed in MO · 2011006615 Licensed in KS · 94-06648
Definition

A business group of one or more individual practitioners, who practice with different areas of specialization.

Also ListedDermatologyTaxonomy 207N00000X · License 2011006615 (MO)
1600 E EVERGREEN ST, Cameron, MO 64429

Other Identifiers 2

Medicaid1275731010MO
Medicare OSCAR/certification785000059MO

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

Marija Tonkovic-capin Md 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 ID7416128319
PECOS Enrollment IDI20110926000873
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 13

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
822 services118 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.
260 services178 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
257 services152 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.
195 services106 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
135 services97 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
132 services92 patients

Hospital Affiliations CMS Care Compare 2

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

Cameron Regional Medical Center

Acute Care Hospitals · Cameron, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260057
Location1600 E EvergreenCameron, MO 64429 · Clinton County
Emergency services

Golden Valley Memorial Hospital

Acute Care Hospitals · Clinton, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260175
Location1600 N 2nd StClinton, MO 64735 · Henry County
Emergency services Birthing friendly

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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
100%133 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%212 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
79%76 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%152 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
71%188 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
94%171 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
15%171 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Family)
1600 E EVERGREEN ST, SUITE C
CAMERON, MO 64429
Nurse Anesthetist, Certified Registered
1600 E EVERGREEN ST
CAMERON, MO 64429
Clinic/Center
1600 E EVERGREEN ST, MEDICAL PLAZA II SUITE C
CAMERON, MO 64429
General Acute Care Hospital
1600 E EVERGREEN ST
CAMERON, MO 64429
Physician Assistant
1600 E EVERGREEN ST, SUITE C
CAMERON, MO 64429
Obstetrics & Gynecology
1600 E EVERGREEN ST, SUITE A
CAMERON, MO 64429
Nurse Practitioner (Family)
1600 E EVERGREEN ST, MEDICAL PLAZA 2, SUITE C
CAMERON, MO 64429
General Acute Care Hospital
1600 E EVERGREEN ST
CAMERON, MO 64429

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 Marija Tonkovic-capin's NPI number?

The NPI number for Marija Tonkovic-capin is 1275731010. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Marija Tonkovic-capin located?

Marija Tonkovic-capin practices at 1600 E Evergreen St, Cameron, MO 64429. The listed phone number is (816) 649-3208.

What is Marija Tonkovic-capin's specialty?

The primary specialty registered for this NPI is Multi-Specialty with taxonomy code 193200000X.

Is Marija Tonkovic-capin enrolled in Medicare?

Yes. Marija Tonkovic-capin 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 Marija Tonkovic-capin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Marija Tonkovic-capin 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 Marija Tonkovic-capin affiliated with any hospitals?

According to CMS data, Marija Tonkovic-capin is affiliated with Cameron Regional Medical Center and Golden Valley Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Marija Tonkovic-capin was last updated on May 31, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.