JOSE G TOCA CAA
NPI 1275841058
Anesthesiologist Assistant in Miramar, FL

NPI Status: Active since September 15, 2010

Contact Information

1901 SW 172ND AVE
MIRAMAR, FL
ZIP 33029
Phone: (954) 538-5171

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Quality Reporting
Hospital Affiliations - Privileges
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 16
Anesthesiologist Assistant
Accepts Insurance
Accepts Medicare Approved Payment
Medicare Quality Reporting

About JOSE TOCA

This page provides the complete NPI Profile along with additional information for Jose Toca, a provider established in Miramar, Florida with a medical specialization in Anesthesiologist Assistant and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1275841058 assigned on September 2010. The practitioner's primary taxonomy code is 367H00000X with license number AA64 (FL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI: 1275841058
Provider Name: JOSE G TOCA CAA
Gender: Male
Entity Type: Individual
Location Address: 1901 SW 172ND AVE MIRAMAR, FL 33029
Location Phone: (954) 538-5171
Mailing Address: 7700 W SUNRISE BLVD PLANTATION, FL 33322
Mailing Phone: (720) 462-5373
Medical School Name: OTHER
Graduation Year: 2010
Is Sole Proprietor?: No
Enumeration Date: 09-15-2010
Last Update Date: 03-29-2021
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Anesthesiologist Assistant
Taxonomy Code: 367H00000X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: AA64
License State: FL
Taxonomy Description: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Molina Healthcare

Bronze 4 - HMO
Bronze 8 - HMO
Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 8 - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 12 with First 4 Primary Care Visits Free - HMO
Silver 8 - HMO
Silver 9 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jose Toca is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

PECOS PAC ID: 5092995258
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20110207000179
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure	Performance	Number of Patients
Implementation of formal quality improvement methods, practice changes, or other practice improvement processes	Yes	N/A
Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data.
Participation in an AHRQ-listed patient safety organization.	Yes	N/A
Participation in an AHRQ-listed patient safety organization.
Participation in Joint Commission Evaluation Initiative	Yes	N/A
Participation in Joint Commission Ongoing Professional Practice Evaluation initiative
Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)	93%	408
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of care elements is utilized
Pre-operative OSA assessment	100%	625
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
Use of QCDR data for ongoing practice assessment and improvements	Yes	N/A
Use of QCDR data, for ongoing practice assessment and improvements in patient safety.
Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordination	Yes	N/A
Participation in a Qualified Clinical Data Registry, demonstrating performance of activities that promote use of standard practices, tools and processes for quality improvement (e.g., documented preventative screening and vaccinations that can be shared across MIPS eligible clinician or groups).

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jose Toca is affiliated with the following medical facilities:

Hospital Name	Address	Phone	Hospital Type	Overall Rating
MEMORIAL HOSPITAL MIRAMAR	1901 SW 172ND AVE MIRAMAR, FL 33029	(954) 538-4810	Acute Care Hospitals

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	7	5	8	4	1	0	5	8
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	14	5	16	4	2	0	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 6 + 4 + 2 + 0 + 1 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8									8

The NPI number 1275841058 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 19 providers are registered at the same or nearby location.

MARY CHERYL ALLEY ARNP

Nurse Practitioner

(Neonatal)

1901 SW 172ND AVE
MIRAMAR, FL
ZIP 33029

About JOSE TOCA

Location Map

Specialty - Primary Taxonomy

Anesthesiologist Assistant

Insurance Plans Accepted

Molina Healthcare

Medicare Participation & PECOS Enrollment Status

PECOS PAC ID: 5092995258

PECOS Enrollment ID: I20110207000179

Accepts Medicare Assignment? Yes

Quality Reporting

Find Provider Hospital Affiliations - Privileges

Reviews for JOSE G TOCA CAA

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Jose Toca's NPI number?

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What insurance does Jose Toca accept?

Is Jose Toca affiliated with any hospitals?