DR. MICHAEL W TOULAN M.D.
NPI 1316920994
Urology in Wichita Falls, TX

Active since November 28, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5500 KELL BLVD, SUITE 200, WICHITA FALLS, TX 76310(940) 689-8765(940) 689-8769 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael W Toulan M.d. NPPES

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

DR. MICHAEL W TOULAN M.D. (NPI 1316920994) is an individual urology provider in Wichita Falls, Texas, licensed in Texas (K9439) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and is a graduate of Georgetown University School Of Medicine (1992).

NPPES Registry Identity

NPI1316920994
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. MICHAEL W TOULANCredential: M.D.
Location Address5500 KELL BLVD, SUITE 200Wichita Falls, TX 76310-1612
Mailing Address5500 Kell Blvd, Suite 200Wichita Falls, TX 76310-1612 · (940) 689-8765 · Fax (940) 689-8769
Fax(940) 689-8769
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1992
Enumeration DateNovember 28, 2005
Last NPPES UpdateDecember 27, 2007
NPI 1316920994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in TX · K9439
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
5500 KELL BLVD, Wichita Falls, TX 76310

Other Identifiers 3

Other0243510001TX · Medicare Dme, Palmetto
Medicare PIN8721J0TX
Other84680YTX · Blue Cross & Blue Shield

Accepted 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. Michael W Toulan 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 ID143290528
PECOS Enrollment IDI20101230000812
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 29

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.

Injection, degarelix, 1 mg J9155
Degarelix injection is a medication administered under the skin to manage certain health conditions. It works by reducing specific hormone levels in the body to slow down disease progression. The dosage is 1 mg, and it is typically given by a healthcare professional.
4,560 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
1,669 services748 patients
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.
1,384 services654 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
866 services528 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
821 services510 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
796 services443 patients

Hospital Affiliations CMS Care Compare 5

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

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450010
Location1600 11th StreetWichita Falls, TX 76301 · Wichita County
Emergency services Birthing friendly

Wilbarger General Hospital

Acute Care Hospitals · Vernon, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450584
Location920 Hillcrest DrVernon, TX 76384 · Wilbarger County
Emergency services

Nocona General Hospital

Acute Care Hospitals · Nocona, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450641
Location100 Park RoadNocona, TX 76255 · Montague County
Emergency services

Kell West Regional Hospital

Acute Care Hospitals · Wichita Falls, TX
OwnershipProprietary
CMS Certification Number450827
Location5420 Kell West BoulevardWichita Falls, TX 76310 · Wichita County
Emergency services

Electra Memorial Hospital

Critical Access Hospitals · Electra, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451343
Location1207 S Bailey StreetElectra, TX 76360 · Wichita County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76310 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier74 claims74 services$10.69 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier70 claims70 services$5.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
5500 KELL BLVD, SUITE 200
WICHITA FALLS, TX 76310
Nurse Practitioner (Family)
5500 KELL BLVD, SUITE 500
WICHITA FALLS, TX 76310
Surgery
5500 KELL BLVD, SUITE 100
WICHITA FALLS, TX 76310
Internal Medicine (Interventional Cardiology)
5500 KELL BLVD, SUITE 400
WICHITA FALLS, TX 76310
Surgery
5500 KELL BLVD, SUITE 100
WICHITA FALLS, TX 76310
Urology
5500 KELL BLVD, SUITE 200
WICHITA FALLS, TX 76310

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 Michael Toulan's NPI number?

The NPI number for Michael Toulan is 1316920994. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Michael Toulan located?

Michael Toulan practices at 5500 Kell Blvd Suite 200, Wichita Falls, TX 76310. The listed phone number is (940) 689-8765.

What is Michael Toulan's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Michael Toulan enrolled in Medicare?

Yes. Michael Toulan 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 Michael Toulan accept?

Health plans from Blue Cross and Blue Shield of Texas list Michael Toulan 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 Michael Toulan affiliated with any hospitals?

According to CMS data, Michael Toulan is affiliated with United Regional Health Care System, Wilbarger General Hospital, Nocona General Hospital, Kell West Regional Hospital and Electra Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Toulan was last updated on December 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.