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DR. MARIANO VILLALON TOLENTINO JR. M.D.
NPI 1356315626
Urology in Bloomington, IL

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2502 E EMPIRE ST, BLOOMINGTON, IL 61704(309) 661-3380(309) 661-3318 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mariano Villalon Tolentino Jr. M.d. NPPES

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

DR. MARIANO VILLALON TOLENTINO JR. M.D. (NPI 1356315626) is an individual urology provider in Bloomington, Illinois, licensed in Illinois (036075928) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1356315626
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. MARIANO VILLALON TOLENTINO JR.Credential: M.D.
Location Address2502 E EMPIRE STBloomington, IL 61704-3738
Mailing Address101 W University AveChampaign, IL 61820-3981 · (309) 661-3380 · Fax (309) 661-3318
Phone(309) 661-3380
Fax(309) 661-3318
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateFebruary 14, 2006
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1356315626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in IL · 036075928
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.
2502 E EMPIRE ST, Bloomington, IL 61704
Open in Google Maps ↗

Other Identifiers 6

Medicaid036075928IL
Other005007705IL · Bc/bs
Other364121826IL · John Deere
Other018416IL · Health Alliance
Other0080670003IL · Dme
Other340013998IL · Railroad Medicare

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. Mariano Villalon Tolentino Jr. 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 ID446323711
PECOS Enrollment IDI20080718000620
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 7

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.
109 services93 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.
94 services84 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.
92 services78 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.
44 services44 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.
25 services23 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
23 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model

Referred Medical Equipment & Supplies CMS DME claims 3

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims2,000 services$1.75 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.93 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims550 services$0.23 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 17

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

JENNIFER DAWN SHELER APN
Nurse Practitioner (Family)
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 663-4368
LAURA C. RANDOLPH MD SC
Clinic/Center (Medical Specialty)
2502 E EMPIRE ST, SUITE C
BLOOMINGTON, IL 61704
McLean County (309) 664-6222
PAIGE C HOLT, MD, LTD
Plastic Surgery
2502 E EMPIRE ST, SUITE C
BLOOMINGTON, IL 61704
McLean County (309) 664-4444
MEGAN M WALLACE AU.D.
Audiologist
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 663-4368
BARRY JAY RISKIN MD
Psychiatry & Neurology (Neurology)
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 385-7010
DR. DANIEL ADAM WOOLDRIDGE MD
Family Medicine
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 300-1031
DR. GEORGE STEPHEN IRWIN M.D.
Orthopaedic Surgery
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
ASHLEY FERGUSON APN
Nurse Practitioner
2502 E EMPIRE ST
BLOOMINGTON, IL 61704
McLean County (217) 366-4407

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 Mariano Tolentino's NPI number?

The NPI number for Mariano Tolentino is 1356315626. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Mariano Tolentino located?

Mariano Tolentino practices at 2502 E Empire St, Bloomington, IL 61704. The listed phone number is (309) 661-3380.

What is Mariano Tolentino's specialty?

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

Is Mariano Tolentino enrolled in Medicare?

Yes. Mariano Tolentino 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 Mariano Tolentino affiliated with any hospitals?

According to CMS data, Mariano Tolentino is affiliated with Carle Bromenn Medical Center, Saint James Hospital and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Mariano Tolentino was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.