THOMAS W TOALSON MD
NPI 1306876032
Family Medicine in Oklahoma City, OK
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
Specialties & Licenses
Other Identifiers 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Thomas Toalson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oklahoma City, OK 73116
- Reassigned Medicare billing, Oklahoma enrollment
- 507 clinicians in this Medicare group
Oklahoma City, OK 73102
- Reassigned Medicare billing, Oklahoma enrollment
- 212 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.
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.
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, OKPhysician 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.
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.
OKLAHOMA CITY, OK 73118
OKLAHOMA CITY, OK 73118
OKLAHOMA CITY, OK 73118
OKLAHOMA CITY, OK 73118
OKLAHOMA CITY, OK 73118
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.
Which organizations bill Medicare for Thomas Toalson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Toalson reassigns Medicare benefits to 2 organizations: Saints Medical Group, LLC (Oklahoma City, OK) and Ssm Health Care Of Oklahoma, Inc (Oklahoma City, OK). 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 Thomas Toalson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Toalson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 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 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.
# Thomas W Toalson, MD · NPI 1306876032
Family Medicine physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since July 5, 2006.
## Identity
- **NPI:** 1306876032 (Entity type: Individual)
- **Enumerated:** July 5, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 17355 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6201 N SANTA FE AVE, SUITE 2010, Oklahoma City, OK 73118-7538
- **Phone:** (405) 272-5555 · **Fax:** (405) 272-5517
## 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): Saints Medical Group, LLC (NPI 1437195922, Oklahoma City, OK); Ssm Health Care Of Oklahoma, Inc (NPI 1033283932, Oklahoma City, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Oklahoma College Of Medicine, class of 1987
## Record status
- **NPPES last updated:** October 20, 2020
- **Other identifiers:** Medicaid 100131530A (OK)
---
Source: [NPI Profile](https://npiprofile.com/npi/1306876032) · Data from the CMS NPPES public registry.