MR. BRYAN TOLLE D.O.
NPI 1275878894
Family Medicine in La Grande, OR

Q: What is Bryan Tolle's NPI number?

The NPI number for Bryan Tolle is 1275878894. It was assigned to this individual provider in the NPPES registry on December 7, 2012.

Q: What is Bryan Tolle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Tolle was last updated on June 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 07, 2012PECOS EnrolledAccepts Medicare Assignment

71.93/100

CMS Quality Rating

506 4TH ST, LA GRANDE, OR 97850(541) 663-3138 Get Directions Write a Review

NPPES record last updated: June 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2020, Mar 17, 2018, Mar 8, 2018 and 1 more (4 updates tracked since 2016).

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About Mr. Bryan Tolle D.o. NPPES

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

MR. BRYAN TOLLE D.O. (NPI 1275878894) is an individual family medicine provider in La Grande, Oregon, licensed in Pennsylvania (OS018207) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1275878894

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. BRYAN TOLLECredential: D.O.

Location Address506 4TH STLa Grande, OR 97850-1906

Mailing Address506 4th StLa Grande, OR 97850-1906 · (541) 663-3138

Phone(541) 663-3138

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateDecember 7, 2012

Last NPPES UpdateJune 2, 20204 updates tracked since enumeration

NPPES CertifiedJune 2, 2020

✔ NPI 1275878894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OS018207

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 510102115 (MI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

506 4TH ST, La Grande, OR 97850

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Mr. Bryan Tolle D.o. 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 ID8628294394

PECOS Enrollment IDI20200415003152

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.

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Grande Ronde Hospital

Critical Access Hospitals · La Grande, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number381321

Location900 Sunset DriveLa Grande, OR 97850 · Union County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97850 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

71.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.53

Promoting Interoperability

100

Improvement Activities

Cost

Referred Medical Equipment & Supplies CMS DME claims 13

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers63 claims182 services$6.61 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers13 claims26 services$1.15 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

3 suppliers17 claims2,610 services$1.68 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers12 claims22 services$2.03 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers65 claims65 services$21.03 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers30 claims31 services$8.13 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.

BRADLEY JACK TISHMAN

Family Medicine