TONI D MCDOUGALD MSN, WHNP-BC
NPI 1396097622
Nurse Practitioner - Women's Health in Wadsworth, OH

Active since October 10, 2012PECOS EnrolledAccepts Medicare Assignment
1392 HIGH ST, SUITE 210, WADSWORTH, OH 44281(999) 999-9999 Get Directions Write a Review

NPPES record last updated: August 22, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Toni D Mcdougald Msn, Whnp-bc NPPES

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

TONI D MCDOUGALD MSN, WHNP-BC (NPI 1396097622) is an individual women's health provider in Wadsworth, Ohio, licensed in Ohio (COA.13921-NP) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1396097622
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameTONI D MCDOUGALDCredential: MSN, WHNP-BC
Location Address1392 HIGH ST, SUITE 210Wadsworth, OH 44281-8257
Mailing Address1392 High St, Suite 210Wadsworth, OH 44281-8257
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 10, 2012
Last NPPES UpdateAugust 22, 2013
✔ NPI 1396097622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in OH · COA.13921-NP
1392 HIGH ST, Wadsworth, OH 44281

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Toni D Mcdougald Msn, Whnp-bc 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 ID3476806068
PECOS Enrollment IDI20181029002308
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.

Medicare Billing Reassignment

Medicare enrollment records show Toni Mcdougald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
9500 EUCLID AVE
Cleveland, OH 44195
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44281 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 4

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

Midwife
1392 HIGH ST, SUITE 210
WADSWORTH, OH 44281
Nurse Practitioner (Psychiatric/Mental Health)
1392 HIGH ST
WADSWORTH, OH 44281
Chiropractor
1392 HIGH ST, 109
WADSWORTH, OH 44281
Dentist
1392 HIGH ST, #210
WADSWORTH, OH 44281

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 Toni Mcdougald's NPI number?

The NPI number for Toni Mcdougald is 1396097622. It was assigned to this individual provider in the NPPES registry on October 10, 2012.

Where is Toni Mcdougald located?

Toni Mcdougald practices at 1392 High St Suite 210, Wadsworth, OH 44281. The listed phone number is (999) 999-9999.

What is Toni Mcdougald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Toni Mcdougald enrolled in Medicare?

Yes. Toni Mcdougald 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.

Which organization bills Medicare for Toni Mcdougald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Mcdougald reassigns Medicare benefits to The Cleveland Clinic Foundation (Cleveland, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Toni Mcdougald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Toni Mcdougald affiliated with any hospitals?

According to CMS data, Toni Mcdougald is affiliated with Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Toni Mcdougald was last updated on August 22, 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.