MARY C TOLCHER MD
NPI 1285899237
Obstetrics & Gynecology - Maternal & Fetal Medicine in Houston, TX

Active since July 18, 2008PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
6651 MAIN ST, HOUSTON, TX 77030(832) 826-7500 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary C Tolcher Md NPPES

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

MARY C TOLCHER MD (NPI 1285899237) is an individual maternal & fetal medicine provider in Houston, Texas, licensed in Texas (Q7609) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2008).

NPPES Registry Identity

NPI1285899237
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameMARY C TOLCHERCredential: MD
Location Address6651 MAIN STHouston, TX 77030-2351
Mailing Address200 1st StswRochester, MN 55905-0001 · (507) 284-2511
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2008
Enumeration DateJuly 18, 2008
Last NPPES UpdateFebruary 23, 2022
NPPES CertifiedFebruary 23, 2022
✔ NPI 1285899237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in TX · Q7609
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 52103 (MN)
6651 MAIN ST, Houston, TX 77030

Other Identifiers 1

MedicaidENROLLEDMN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary C Tolcher 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 ID7315092079
PECOS Enrollment IDI20250107001750
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Mary Tolcher reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
6620 MAIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,296 clinicians in this Medicare group
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
Physical Medicine & Rehabilitation
80 JESSE HILL JR DR SE
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
53 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services12 patients

Hospital Affiliations CMS Care Compare

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

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.

Pediatrics (Pediatric Critical Care Medicine)
6651 MAIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Critical Care Medicine)
6651 MAIN ST
HOUSTON, TX 77030
Nurse Practitioner (Pediatrics)
6651 MAIN ST
HOUSTON, TX 77030
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
6651 MAIN ST
HOUSTON, TX 77030
Pediatrics (Pediatric Critical Care Medicine)
6651 MAIN ST
HOUSTON, TX 77030
Physical Therapist
6651 MAIN ST
HOUSTON, TX 77030
Physical Therapist
6651 MAIN ST
HOUSTON, TX 77030
Counselor (Professional)
6651 MAIN ST
HOUSTON, TX 77030

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 Mary Tolcher's NPI number?

The NPI number for Mary Tolcher is 1285899237. It was assigned to this individual provider in the NPPES registry on July 18, 2008.

Where is Mary Tolcher located?

Mary Tolcher practices at 6651 Main St, Houston, TX 77030. The listed phone number is (832) 826-7500.

What is Mary Tolcher's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Mary Tolcher enrolled in Medicare?

Yes. Mary Tolcher 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.

Which organizations bill Medicare for Mary Tolcher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Tolcher reassigns Medicare benefits to 4 organizations: Baylor College Of Medicine (Houston, TX), Texas Children's Physician Group (Houston, TX), Emory Medical Care Foundation Inc (Atlanta, GA) and The Emory Clinic Inc (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Tolcher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Tolcher accept?

Health plans from Moda Health Plan, Inc. and Oscar Health list Mary Tolcher 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 Mary Tolcher affiliated with any hospitals?

According to CMS data, Mary Tolcher is affiliated with Emory Decatur Hospital.

When was this NPI record last updated?

The NPPES record for Mary Tolcher was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.