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DR. TOBY PALM O.D.
NPI 1366430936
Optometrist in Sutherlin, OR

Active since October 07, 2005PECOS EnrolledAccepts Medicare Assignment
201 DAKOTA STREET, SUTHERLIN, OR 97479(541) 459-4333(541) 459-7512 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Toby Palm O.d. NPPES

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

DR. TOBY PALM O.D. (NPI 1366430936) is an individual optometrist in Sutherlin, Oregon, licensed in Oregon (2872T) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2002).

NPPES Registry Identity

NPI1366430936
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TOBY PALMCredential: O.D.
Location Address201 DAKOTA STREETSutherlin, OR 97479-9113
Mailing Address201 Dakota StreetSutherlin, OR 97479-9113 · (541) 459-4333 · Fax (541) 459-7512
Phone(541) 459-4333
Fax(541) 459-7512
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2002
Enumeration DateOctober 7, 2005
Last NPPES UpdateJuly 17, 2015
✔ NPI 1366430936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in OR · 2872T✔ Licensed in AZ · 1327
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
201 DAKOTA STREET, Sutherlin, OR 97479
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Other Identifiers 1

Medicare PIN137404OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Moda Health Plan, Inc. 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. Toby Palm O.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 ID3375443260
PECOS Enrollment IDI20061016000593
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 10

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
163 services161 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
114 services111 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
62 services48 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
56 services56 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
36 services31 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
33 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97479 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

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 Toby Palm's NPI number?

The NPI number for Toby Palm is 1366430936. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Toby Palm located?

Toby Palm practices at 201 Dakota Street, Sutherlin, OR 97479. The listed phone number is (541) 459-4333.

What is Toby Palm's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Toby Palm enrolled in Medicare?

Yes. Toby Palm 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 Toby Palm accept?

Health plans from BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Toby Palm 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 Toby Palm was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.