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DR. TOBY MERRILL ENNISS M.D.
NPI 1295915536
Surgery - Surgical Critical Care in Salt Lake City, UT

Active since November 03, 2007PECOS EnrolledAccepts Medicare Assignment
99.77/100
CMS Quality Rating
30 N. 1900 EAST, MREB 307, UNIVERSITY OF UTAH SCHOOL OF MEDICINE, DEPT. OF SURGERY, SALT LAKE CITY, UT 84132(801) 585-7280(801) 587-9370 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Oct 22, 2021, Jul 18, 2018 (3 updates tracked since 2018).

About Dr. Toby Merrill Enniss M.d. NPPES

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

DR. TOBY MERRILL ENNISS M.D. (NPI 1295915536) is an individual surgical critical care provider in Salt Lake City, Utah, licensed in Utah (7643802-1205) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of University Of Utah School Of Medicine (2003).

NPPES Registry Identity

NPI1295915536
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. TOBY MERRILL ENNISSCredential: M.D.
Location Address30 N. 1900 EAST, MREB 307, UNIVERSITY OF UTAH SCHOOL OF MEDICINE, DEPT. OF SURGERYSalt Lake City, UT 84132
Mailing Address30 N. 1900 East, Mreb 307, University Of Utah School Of Medicine, Dept. Of SurgerySalt Lake City, UT 84132-0001 · (801) 585-7280 · Fax (801) 587-9370
Phone(801) 585-7280
Fax(801) 587-9370
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2003
Enumeration DateNovember 3, 2007
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedOctober 25, 2021
✔ NPI 1295915536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in UT · 7643802-1205
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 7643802-1205 (UT)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 7643802-1205 (UT)
30 N. 1900 EAST, MREB 307, Salt Lake City, UT 84132
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Other Identifiers 2

Other7643802-8905UT · State Controlled Substance Number
Other7643802-1205UT · State Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah 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

Dr. Toby Merrill Enniss M.d. 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 ID749332732
PECOS Enrollment IDI20100813000666
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 7

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.

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.
118 services77 patients
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.
84 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services40 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services18 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

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.

99.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.05
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

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 suppliers15 claims15 services$86.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Toby Enniss's NPI number?

The NPI number for Toby Enniss is 1295915536. It was assigned to this individual provider in the NPPES registry on November 3, 2007.

Where is Toby Enniss located?

Toby Enniss practices at 30 N. 1900 East, Mreb 307 University Of Utah School Of Medicine, Dept. Of Surgery, Salt Lake City, UT 84132. The listed phone number is (801) 585-7280.

What is Toby Enniss's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Toby Enniss enrolled in Medicare?

Yes. Toby Enniss 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 Toby Enniss accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Toby Enniss 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 Toby Enniss affiliated with any hospitals?

According to CMS data, Toby Enniss is affiliated with Portneuf Medical Center and University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Toby Enniss was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.