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DR. JOAQUIN TOSI M.D.
NPI 1306158381
Ophthalmology - Retina Specialist in Virginia Beach, VA

Active since July 08, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
397 LITTLE NECK RD STE 202, VIRGINIA BEACH, VA 23452(757) 227-4300(757) 486-3125 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 7, 2025, Jan 18, 2016, Dec 14, 2015 (3 updates tracked since 2015).

About Dr. Joaquin Tosi M.d. NPPES

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

DR. JOAQUIN TOSI M.D. (NPI 1306158381) is an individual retina specialist in Virginia Beach, Virginia, licensed in Virginia (0101285734) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1306158381
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. JOAQUIN TOSICredential: M.D.
Location Address397 LITTLE NECK RD STE 202Virginia Beach, VA 23452-5764
Mailing Address397 Little Neck Rd Ste 202Virginia Beach, VA 23452-5764 · (757) 227-4300 · Fax (757) 486-3125
Phone(757) 227-4300
Fax(757) 486-3125
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJuly 8, 2010
Last NPPES UpdateNovember 7, 20253 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1306158381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Licenses✔ Licensed in VA · 0101285734✔ Licensed in MI · 4301097034✔ Licensed in NM · MD2016-0138
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 4301097034 (MI), #MD2016-0138 (NM)
397 LITTLE NECK RD STE 202, Virginia Beach, VA 23452
Open in Google Maps ↗

Other Identifiers 3

Other0101285734VA · Virginia
Other4301097034MI · Medical License
Other#MD2016-0138NM · New Mexico Medical Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health.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

Dr. Joaquin Tosi 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 ID4284935263
PECOS Enrollment IDI20250915004017, I20250915004171
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 Reassignment

Medicare enrollment records show Joaquin Tosi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mandell Retina Center PC
Same address
Retina Specialist
397 LITTLE NECK RD, 3300 SOUTH BUILDING SUITE 202
Virginia Beach, VA 23452
  • Reassigned Medicare billing, North Carolina and Virginia enrollments
  • 3 clinicians in this Medicare group
NPI 1861525305 (757) 227-4300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23452 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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 Joaquin Tosi's NPI number?

The NPI number for Joaquin Tosi is 1306158381. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Joaquin Tosi located?

Joaquin Tosi practices at 397 Little Neck Rd Ste 202, Virginia Beach, VA 23452. The listed phone number is (757) 227-4300.

What is Joaquin Tosi's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Joaquin Tosi enrolled in Medicare?

Yes. Joaquin Tosi 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 organization bills Medicare for Joaquin Tosi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joaquin Tosi reassigns Medicare benefits to Mandell Retina Center PC (Virginia Beach, VA). The 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 Joaquin Tosi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joaquin Tosi accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health list Joaquin Tosi 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 Joaquin Tosi was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.