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DR. JAMES P TONER MD
NPI 1285627000
Obstetrics & Gynecology - Reproductive Endocrinology in Atlanta, GA

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
5909 PEACHTREE DUNWOODY RD NE, SUITE 720, ATLANTA, GA 30328(770) 928-2276(770) 592-2136 Get Directions Write a Review

NPPES record last updated: July 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James P Toner Md NPPES

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

DR. JAMES P TONER MD (NPI 1285627000) is an individual reproductive endocrinology provider in Atlanta, Georgia, licensed in Georgia (048830) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1285627000
Entity TypeIndividualMale
Primary Taxonomy207VE0102X
Provider Legal NameDR. JAMES P TONERCredential: MD
Location Address5909 PEACHTREE DUNWOODY RD NE, SUITE 720Atlanta, GA 30328-8102
Mailing Address5909 Peachtree Dunwoody Rd Ne, Suite 720Atlanta, GA 30328-8102 · (770) 928-2276 · Fax (770) 592-2136
Phone(770) 928-2276
Fax(770) 592-2136
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateAugust 26, 2005
Last NPPES UpdateJuly 18, 2011
✔ NPI 1285627000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
License✔ Licensed in GA · 048830
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
5909 PEACHTREE DUNWOODY RD NE, Atlanta, GA 30328
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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

Dr. James P Toner 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 ID1456691211
PECOS Enrollment IDI20190314001801
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STREETERVILLE INTERNAL MEDICINE 2LLC
Internal Medicine
5909 PEACHTREE DUNWOODY RD NE, SUITE 900
ATLANTA, GA 30328
Fulton County (404) 943-0205
ATLANTA CENTER FOR REPRODUCTIVE MEDICINE
Obstetrics & Gynecology (Reproductive Endocrinology)
5909 PEACHTREE DUNWOODY RD NE, SUITE 720
ATLANTA, GA 30328
Fulton County (770) 928-2276
DR. ANDRE L DENIS M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
5909 PEACHTREE DUNWOODY RD NE, SUITE 720
ATLANTA, GA 30328
Fulton County (770) 928-2276
DAVID L. KEENAN M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
5909 PEACHTREE DUNWOODY RD NE, SUITE 720
ATLANTA, GA 30328
Fulton County (770) 928-2276
DR. ROBIN HICKMAN FOGLE M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
5909 PEACHTREE DUNWOODY RD NE, SUITE 720
ATLANTA, GA 30328
Fulton County (770) 928-2276
MIRRIN E REAGAN RN, NP
Nurse Practitioner (Women's Health)
5909 PEACHTREE DUNWOODY RD NE, STE 720
ATLANTA, GA 30328
Fulton County (770) 928-2276
DR. LISA A HASTY MD
Obstetrics & Gynecology (Reproductive Endocrinology)
5909 PEACHTREE DUNWOODY RD NE, SUITE 720
ATLANTA, GA 30328
Fulton County (770) 928-2276
TRACEY SINGH RD,LD,MPH
Dietitian, Registered
5909 PEACHTREE DUNWOODY RD NE, SUITE 720
ATLANTA, GA 30328
Fulton County (770) 928-2276

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 James Toner's NPI number?

The NPI number for James Toner is 1285627000. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is James Toner located?

James Toner practices at 5909 Peachtree Dunwoody Rd NE Suite 720, Atlanta, GA 30328. The listed phone number is (770) 928-2276.

What is James Toner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Is James Toner enrolled in Medicare?

Yes. James Toner 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 James Toner was last updated on July 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.