TONYA J YOUNGBLOOD MD
NPI 1295701969
Family Medicine in Pittsburg, TX

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2701 US HIGHWAY 271 N, PITTSBURG, TX 75686(903) 946-5442(903) 946-5258 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tonya J Youngblood Md NPPES

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

TONYA J YOUNGBLOOD MD (NPI 1295701969) is an individual family medicine provider in Pittsburg, Texas, licensed in Texas (L1249) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Titus Regional Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1295701969
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTONYA J YOUNGBLOODCredential: MD
Location Address2701 US HIGHWAY 271 NPittsburg, TX 75686-4289
Mailing Address2701 Us Highway 271 NPittsburg, TX 75686-4289 · (903) 946-5442 · Fax (903) 946-5258
Fax(903) 946-5258
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 23, 2006
Last NPPES UpdateApril 15, 2020
NPPES CertifiedApril 15, 2020
NPI 1295701969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · L1249
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.
2701 US HIGHWAY 271 N, Pittsburg, TX 75686

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

Tonya J Youngblood 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 ID143266858
PECOS Enrollment IDI20050705000361
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

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.

Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services 93798
Outpatient heart rehabilitation involves regular visits to a clinic for heart health improvement after a cardiac event. During these sessions, an electrocardiogram (ECG) monitors heart activity, while healthcare professionals provide personalized care and education on lifestyle changes, ensuring a safe recovery and reducing future heart risks.
877 services47 patients

Hospital Affiliations CMS Care Compare 5

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

Titus Regional Medical Center

Acute Care Hospitals · Mount Pleasant, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450080
Location2001 N JeffersonMount Pleasant, TX 75455 · Titus County
Emergency services Birthing friendly

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450690
Location11937 Us Highway 271Tyler, TX 75708 · Smith County
Emergency services

Ut Health East Texas Pittsburg Hospital

Critical Access Hospitals · Pittsburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number451367
Location2701 Us Hwy 271 NPittsburg, TX 75686 · Camp County
Emergency services

Ut Health East Texas Quitman Hospital

Critical Access Hospitals · Quitman, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number451380
Location117 Winnsboro StreetQuitman, TX 75783 · Wood County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75686 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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
4 suppliers31 claims66 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers22 claims30 services$1.11 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers23 claims23 services$65.65 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 suppliers43 claims43 services$20.30 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers26 claims26 services$8.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers44 claims44 services$113.97 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 17

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

Internal Medicine
2701 US HIGHWAY 271 N
PITTSBURG, TX 75686
Family Medicine
2701 US HIGHWAY 271 N
PITTSBURG, TX 75686
General Acute Care Hospital (Critical Access)
2701 US HIGHWAY 271 N
PITTSBURG, TX 75686
Physician Assistant
2701 US HIGHWAY 271 N
PITTSBURG, TX 75686
Nurse Practitioner (Family)
2701 US HIGHWAY 271 N
PITTSBURG, TX 75686
Nurse Practitioner
2701 US HIGHWAY 271 N
PITTSBURG, TX 75686
Internal Medicine
2701 US HIGHWAY 271 N
PITTSBURG, TX 75686
Pediatrics
2701 US HIGHWAY 271 N
PITTSBURG, TX 75686

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 Tonya Youngblood's NPI number?

The NPI number for Tonya Youngblood is 1295701969. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Tonya Youngblood located?

Tonya Youngblood practices at 2701 Us Highway 271 N, Pittsburg, TX 75686. The listed phone number is (903) 946-5442.

What is Tonya Youngblood's specialty?

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

Is Tonya Youngblood enrolled in Medicare?

Yes. Tonya Youngblood 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 Tonya Youngblood accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Tonya Youngblood 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 Tonya Youngblood affiliated with any hospitals?

According to CMS data, Tonya Youngblood is affiliated with Titus Regional Medical Center, Ut Health East Texas Tyler Regional Hospital, The University Of Texas Health Science Center At Tyler, Ut Health East Texas Pittsburg Hospital and Ut Health East Texas Quitman Hospital.

When was this NPI record last updated?

The NPPES record for Tonya Youngblood was last updated on April 15, 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.