DEBBIE SUE TODER MD
NPI 1295772192
Pediatrics - Pediatric Pulmonology in Akron, OH
About Debbie Sue Toder Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEBBIE SUE TODER MD (NPI 1295772192) is an individual pediatric pulmonology provider in Akron, Ohio, licensed in Ohio (35054683) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
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
Debbie Sue Toder 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.
Medicare Billing Reassignments
2Medicare enrollment records show Debbie Toder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Akron, OH 44308
- Reassigned Medicare billing, Ohio enrollment
- 559 clinicians in this Medicare group
Cleveland, OH 44109
- Reassigned Medicare billing, Ohio enrollment
- 2,147 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.
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.
AKRON, OH 44308
AKRON, OH 44308
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 Debbie Toder's NPI number?
The NPI number for Debbie Toder is 1295772192. It was assigned to this individual provider in the NPPES registry on May 31, 2006.
Where is Debbie Toder located?
Debbie Toder practices at 1 Perkins Sq, Akron, OH 44308. The listed phone number is (330) 543-8885.
What is Debbie Toder's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.
Is Debbie Toder enrolled in Medicare?
Yes. Debbie Toder 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 Debbie Toder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Debbie Toder reassigns Medicare benefits to 2 organizations: Children's Hospital Medical Center Of Akron (Akron, OH) and The Metrohealth System (Cleveland, OH). 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 Debbie Toder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Debbie Toder accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 2 other insurers list Debbie Toder 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.
When was this NPI record last updated?
The NPPES record for Debbie Toder was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Debbie Sue Toder, MD · NPI 1295772192
Pediatric Pulmonology physician in Akron, Ohio. Individual provider, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1295772192 (Entity type: Individual)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Pediatrics - Pediatric Pulmonology · taxonomy 2080P0214X
- **State license:** 35054683 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 PERKINS SQ, Akron, OH 44308-1063
- **Phone:** (330) 543-8885 · **Fax:** (330) 543-8890
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Children's Hospital Medical Center Of Akron (NPI 1780857797, Akron, OH); The Metrohealth System (NPI 1053353896, Cleveland, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania State University College Of Medicine, class of 1985
## Record status
- **NPPES last updated:** April 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1295772192) · Data from the CMS NPPES public registry.