DR. GINA TOBALINA MD
NPI 1376756833
Family Medicine in Folsom, CA

Active since May 08, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2042921 · Waiver
89.41/100
CMS Quality Rating
2545 E BIDWELL ST STE 110, FOLSOM, CA 95630(916) 817-4132(916) 817-4148 Get Directions Write a Review

NPPES record last updated: July 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gina Tobalina Md NPPES

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

DR. GINA TOBALINA MD (NPI 1376756833) is an individual family medicine provider in Folsom, California, licensed in California (A93320) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through June 21, 2028, and is a graduate of University Of California, Davis School Of Medicine (2004).

NPPES Registry Identity

NPI1376756833
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GINA TOBALINACredential: MD
Location Address2545 E BIDWELL ST STE 110Folsom, CA 95630-6443
Mailing Address2545 E Bidwell St Ste 110Folsom, CA 95630-6443 · (916) 817-4132 · Fax (916) 817-4148
Fax(916) 817-4148
Sole ProprietorYes
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2004
Enumeration DateMay 8, 2007
Last NPPES UpdateJuly 3, 2013
NPI 1376756833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A93320
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2545 E BIDWELL ST STE 110, Folsom, CA 95630

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. Gina Tobalina 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 ID4486747441
PECOS Enrollment IDI20070906000709
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2042921

Gina Tobalina MD Inc · Folsom, CA
Active · expires Jun 21, 2028
CLIA Number05D2042921
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorGina Tobalina
Laboratory Phone(916) 817-4132
Laboratory LocationGina Tobalina MD Inc1615 Creekside Dr Ste 101, Folsom, CA 95630
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
906 services149 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.
599 services175 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.
119 services79 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
88 services59 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
66 services66 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
62 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95630 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

89.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40
Cost64.7

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%93 patients
Appropriate Testing for Pharyngitis
64%22 patients3/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
94%159 patients4/55-star benchmark: 100%
Breast Cancer Screening
11%406 patients1/55-star benchmark: 93%
Cervical Cancer Screening
51%553 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
67%46 patients
Colorectal Cancer Screening
80%731 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
75%352 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
42%99 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
33%99 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
87%5,160 patients4/55-star benchmark: 100%
e-Prescribing
100%2,605 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
4%321 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
46%1,279 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
95%1,002 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
46%2,120 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 1,198 patients
Patients screened: 99% · 1,198 patients
37%62 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%1,385 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
72%270 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 12% · 351 patients
Patients totalRate: 18% · 351 patients
19%351 patients3/55-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 2

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

Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.91 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$184.36 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.

Nurse Practitioner (Family)
2545 E BIDWELL ST STE 110
FOLSOM, CA 95630
Family Medicine
2545 E BIDWELL ST STE 110
FOLSOM, CA 95630
Family Medicine (Sports Medicine)
2545 E BIDWELL ST STE 110
FOLSOM, CA 95630

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 Gina Tobalina's NPI number?

The NPI number for Gina Tobalina is 1376756833. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Gina Tobalina located?

Gina Tobalina practices at 2545 E Bidwell St Ste 110, Folsom, CA 95630. The listed phone number is (916) 817-4132.

What is Gina Tobalina's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gina Tobalina enrolled in Medicare?

Yes. Gina Tobalina 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.

Does Gina Tobalina hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2042921) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gina Tobalina was last updated on July 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.