THOMAS W TOALSON MD
NPI 1306876032
Family Medicine in Oklahoma City, OK

Q: What is Thomas Toalson's NPI number?

The NPI number for Thomas Toalson is 1306876032. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Thomas Toalson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Toalson was last updated on October 20, 2020. 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.

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment

6201 N SANTA FE AVE, SUITE 2010, OKLAHOMA CITY, OK 73118(405) 272-5555(405) 272-5517 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Thomas W Toalson Md NPPES

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

THOMAS W TOALSON MD (NPI 1306876032) is an individual family medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (17355) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of University Of Oklahoma College Of Medicine (1987).

NPPES Registry Identity

NPI1306876032

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTHOMAS W TOALSONCredential: MD

Location Address6201 N SANTA FE AVE, SUITE 2010Oklahoma City, OK 73118-7538

Mailing AddressPo Box 269064Oklahoma City, OK 73126-9064 · (405) 231-3857 · Fax (405) 272-7977

Phone(405) 272-5555

Fax(405) 272-5517

Sole ProprietorYes

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1987

Enumeration DateJuly 5, 2006

Last NPPES UpdateOctober 20, 2020

NPPES CertifiedOctober 20, 2020

✔ NPI 1306876032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OK · 17355

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.

6201 N SANTA FE AVE, Oklahoma City, OK 73118

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Other Identifiers 1

Medicaid100131530AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Thomas W Toalson 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 ID8527068584

PECOS Enrollment IDI20061222000265

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

91 services45 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

59 services38 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

38 services38 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370037

Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73118 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

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.

SSM HEALTH CARE OF OKLAHOMA INC

Family Medicine

6201 N SANTA FE AVE, SUITE 2020
OKLAHOMA CITY, OK 73118

Oklahoma County (405) 272-5433

SSM HEALTH CARE OF OKLAHOMA INC

Family Medicine

6201 N SANTA FE AVE, SUITE 1010
OKLAHOMA CITY, OK 73118

Oklahoma County (405) 772-8687

MR. JOHN MARK HEUSMAN MS, LAT, ATC, CSCS

Specialist

6201 N SANTA FE AVE
OKLAHOMA CITY, OK 73118

Oklahoma County (405) 272-5478

SAINTS MEDICAL GROUP, LLC

Family Medicine

6201 N SANTA FE AVE, 2010
OKLAHOMA CITY, OK 73118

Oklahoma County (405) 272-5555

NICOLE DECAMP, MD, PC

Dermatology

6201 N SANTA FE AVE, #205
OKLAHOMA CITY, OK 73118

Oklahoma County (405) 848-2800

OSU CENTER FOR HEALTH SCIENCES

Clinic/Center (Medical Specialty)

6201 N SANTA FE AVE, SUITE 2010
OKLAHOMA CITY, OK 73118

Oklahoma County (918) 561-8306

SSM HEALTH CARE OF OKLAHOMA, INC

Family Medicine

6201 N SANTA FE AVE, SUITE 1010
OKLAHOMA CITY, OK 73118

Oklahoma County (405) 772-8687

MS. MARTHA B. CORDOVA APRN, NP-C

Nurse Practitioner (Family)

6201 N SANTA FE AVE, STE 2010
OKLAHOMA CITY, OK 73118

Oklahoma County (405) 272-5555

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 Thomas Toalson's NPI number?

The NPI number for Thomas Toalson is 1306876032. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Thomas Toalson located?

Thomas Toalson practices at 6201 N Santa Fe Ave Suite 2010, Oklahoma City, OK 73118. The listed phone number is (405) 272-5555.

What is Thomas Toalson's specialty?

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

Is Thomas Toalson enrolled in Medicare?

Yes. Thomas Toalson 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 Thomas Toalson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Thomas Toalson 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 Thomas Toalson affiliated with any hospitals?

According to CMS data, Thomas Toalson is affiliated with Ssm Health St Anthony Hospital - Oklahoma City.

When was this NPI record last updated?

The NPPES record for Thomas Toalson was last updated on October 20, 2020. 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.