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RAMONA TOY FNP-C
NPI 1346777042
Nurse Practitioner - Family in Tucson, AZ

Active since May 12, 2017PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
6340 N CAMPBELL AVE STE 256, TUCSON, AZ 85718(520) 775-3333 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 12, 2017 and 1 more (4 updates tracked since 2017).

About Ramona Toy Fnp-c NPPES

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

RAMONA TOY FNP-C (NPI 1346777042) is an individual family provider in Tucson, Arizona, licensed in Arizona (TAP10198) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1346777042
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRAMONA TOYCredential: FNP-C
Location Address6340 N CAMPBELL AVE STE 256Tucson, AZ 85718-3186
Mailing Address8456 N Mountain Stone Pine WayTucson, AZ 85743-7489 · (520) 425-6649
Phone(520) 775-3333
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 12, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1346777042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · TAP10198
6340 N CAMPBELL AVE STE 256, Tucson, AZ 85718
Open in Google Maps ↗

Other Names 1

Former Name (1)Ramona Reyes

Secondary Practice Location 1

Location 18456 N Mountain Stone Pine WayTucson, AZ 85743-7489 · Phone (520) 425-6649

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.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

Ramona Toy Fnp-c 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 ID8224300272
PECOS Enrollment IDI20170825000938
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 8

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.
702 services450 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
328 services211 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
190 services177 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
154 services154 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
107 services92 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
81 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85718 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%289 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
11%399 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$14.07 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 3

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

AMANDA LOUISE KESTER AU.D.
Audiologist
6340 N CAMPBELL AVE STE 256
TUCSON, AZ 85718
Pima County (520) 775-3333
DR. ELIZABETH A BENITES AU.D.
Audiologist-Hearing Aid Fitter
6340 N CAMPBELL AVE STE 256
TUCSON, AZ 85718
Pima County (520) 775-3333
JAMIE L LANDAU AU.D.
Audiologist
6340 N CAMPBELL AVE STE 256
TUCSON, AZ 85718
Pima County (520) 775-3333

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 Ramona Toy's NPI number?

The NPI number for Ramona Toy is 1346777042. It was assigned to this individual provider in the NPPES registry on May 12, 2017. The provider is also known as Ramona Reyes.

Where is Ramona Toy located?

Ramona Toy practices at 6340 N Campbell Ave Ste 256, Tucson, AZ 85718. The listed phone number is (520) 775-3333.

What is Ramona Toy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ramona Toy enrolled in Medicare?

Yes. Ramona Toy 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 Ramona Toy accept?

Health plans from Antidote Health Plan of Arizona, Inc. and Blue Cross Blue Shield of Arizona list Ramona Toy 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 Ramona Toy was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.