DR. KSENIA N TONYUSHKINA MD
NPI 1316130941
Pediatrics - Pediatric Endocrinology in Cleveland, OH

Q: What is Ksenia Tonyushkina's NPI number?

The NPI number for Ksenia Tonyushkina is 1316130941. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Q: What is Ksenia Tonyushkina's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Active since August 27, 2007PECOS EnrolledAccepts Medicare Assignment

79.48/100

CMS Quality Rating

11100 EUCLID AVE, CLEVELAND, OH 44106(216) 844-3661(216) 844-8900 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2025, Jan 16, 2019, Dec 22, 2017 and 2 more (5 updates tracked since 2016).

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About Dr. Ksenia N Tonyushkina Md NPPES

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

DR. KSENIA N TONYUSHKINA MD (NPI 1316130941) is an individual pediatric endocrinology provider in Cleveland, Ohio, licensed in Ohio (35.145257) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1316130941

Entity TypeIndividualFemale

Primary Taxonomy2080P0205X

Provider Legal NameDR. KSENIA N TONYUSHKINACredential: MD

Location Address11100 EUCLID AVECleveland, OH 44106-1716

Mailing Address11100 Euclid AveCleveland, OH 44106-1716 · (216) 844-3661 · Fax (216) 844-8900

Phone(216) 844-3661

Fax(216) 844-8900

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateAugust 27, 2007

Last NPPES UpdateJuly 9, 20255 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1316130941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in OH · 35.145257

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

11100 EUCLID AVE, Cleveland, OH 44106

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Ksenia N Tonyushkina 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 ID3072791565

PECOS Enrollment IDI20220622002343

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

79.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.51

Promoting Interoperability

100

Improvement Activities

Cost

63.09

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.

DR. YU HYON KIM MD

Ophthalmology

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 844-3601

JENNIFER LYNN PARRY RN, CPNP

Nurse Practitioner (Pediatrics)

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 983-5691

RAINBOW BABIES & CHILDREN'S HOSPITAL

General Acute Care Hospital (Children)

11100 EUCLID AVE, RBC 637
CLEVELAND, OH 44106

Cuyahoga County (216) 983-5261

DR. KA CHUN ALAN CHAN M.D

Student in an Organized Health Care Education/Training Program

11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106

Cuyahoga County (216) 844-1000

DR. CHOR CHEUNG TAM M.D.

Student in an Organized Health Care Education/Training Program

11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106

Cuyahoga County (216) 333-8948

DOMINIC CERCONE

Student in an Organized Health Care Education/Training Program

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 844-1000

DR. CHRISTOPHER FELCHLIA MD

Anesthesiology

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 844-2273

GABRIELLA MARGUERITE RUSTIA MD

Student in an Organized Health Care Education/Training Program

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 844-8570

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 Ksenia Tonyushkina's NPI number?

The NPI number for Ksenia Tonyushkina is 1316130941. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Where is Ksenia Tonyushkina located?

Ksenia Tonyushkina practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-3661.

What is Ksenia Tonyushkina's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Ksenia Tonyushkina enrolled in Medicare?

Yes. Ksenia Tonyushkina 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 Ksenia Tonyushkina accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Ksenia Tonyushkina 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 Ksenia Tonyushkina was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.