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DALE EDWARD TONEY MD
NPI 1316951973
Internal Medicine in Lexington, KY

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
740 S LIMESTONE, LEXINGTON, KY 40536(859) 323-5891 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dale Edward Toney Md NPPES

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

DALE EDWARD TONEY MD (NPI 1316951973) is an individual internal medicine provider in Lexington, Kentucky, licensed in Kentucky (26080) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of University Of Kentucky College Of Medicine (1987).

NPPES Registry Identity

NPI1316951973
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDALE EDWARD TONEYCredential: MD
Location Address740 S LIMESTONELexington, KY 40536-0001
Mailing Address2333 Alumni Park Plz, Suite 200Lexington, KY 40517-4012 · (859) 257-7910
Phone(859) 323-5891
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1987
Enumeration DateJuly 28, 2006
Last NPPES UpdateApril 17, 2008
✔ NPI 1316951973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 26080
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
740 S LIMESTONE, Lexington, KY 40536
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE46750
Medicaid64260805KY
Medicare ID-Type Unspecified0054652

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

Dale Edward Toney 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 ID9335227685
PECOS Enrollment IDI20080428000121
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 2

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.
199 services79 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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. ELIZABETH BROWN AUTRY PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 218-2509
KHALID HAIKAL DO
Psychiatry & Neurology (Neurology)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5661
MARK A ETSCHEIDT PHD
Psychologist (Clinical)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5956
MICHAEL HAN YOUNG MD
Internal Medicine (Infectious Disease)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5544
MR. DAVID ANTHONY BRAJUHA ATC
Specialist/Technologist (Athletic Trainer)
740 S LIMESTONE, SUITE K401, KY CLINIC
LEXINGTON, KY 40536
Fayette County (859) 323-5533
MS. MARGARET GRACE AU MBE, MS, CGC
Genetic Counselor, MS
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 218-1795
ALEXANDRIA DULAY
Nurse Practitioner (Psychiatric/Mental Health)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 257-8992
KITTYE R ROBERTS ARNP
Nurse Practitioner (Primary Care)
740 S LIMESTONE
LEXINGTON, KY 40536
Fayette County (859) 323-5981

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 Dale Toney's NPI number?

The NPI number for Dale Toney is 1316951973. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Dale Toney located?

Dale Toney practices at 740 S Limestone, Lexington, KY 40536. The listed phone number is (859) 323-5891.

What is Dale Toney's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dale Toney enrolled in Medicare?

Yes. Dale Toney 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.

Is Dale Toney affiliated with any hospitals?

According to CMS data, Dale Toney is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Dale Toney was last updated on April 17, 2008. 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.