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TOBY M MILGROME MD
NPI 1417919184
Pediatrics in Leominster, MA

Active since April 06, 2006PECOS Enrolled
165 MILL ST, LEOMINSTER, MA 01453(978) 534-6500(978) 534-2991 Get Directions Write a Review

NPPES record last updated: February 18, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Toby M Milgrome Md NPPES

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

TOBY M MILGROME MD (NPI 1417919184) is an individual pediatrics provider in Leominster, Massachusetts, licensed in Massachusetts (223080) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417919184
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTOBY M MILGROMECredential: MD
Location Address165 MILL STLeominster, MA 01453
Mailing Address630 Plantation StWorcester, MA 01605 · (978) 534-6500 · Fax (978) 534-2991
Phone(978) 534-6500
Fax(978) 534-2991
Sole ProprietorNo
Enumeration DateApril 6, 2006
Last NPPES UpdateFebruary 18, 2009
✔ NPI 1417919184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 223080
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
165 MILL ST, Leominster, MA 01453
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Other Identifiers 20

Other042472266Three Rivers
Other042472266Private Healthcare System
Other5550803First Health
Other784163Mvp Health Care
Medicare UPING65439
Other042472266One Health Plan
OtherJ28304Blue Shield Hmo Blue
Other042472266Tricare Champus
Other2087570Medicaid Welfare
OtherJ28304Blue Care Elect
Other419293Tufts Health Plan
Other5015435Cigna Health Plan
Other5624765Aetna Us Healthcare
OtherJ28304Blue Shield Indemnity
Medicare ID-Type UnspecifiedA37777MA
Medicaid2087570MA
Other83258Childrens Med Security
Other91201Fallon Community Health
OtherA37777Medicare B
OtherAA19860Harvard Pilgrim

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Toby M Milgrome Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Toby Milgrome reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Reliant Medical Group, Inc
16 mi
Family Medicine
5 NEPONSET ST
Worcester, MA 01606
  • Reassigned Medicare billing, Massachusetts enrollment
  • 718 clinicians in this Medicare group
NPI 1720017528 (508) 852-0600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01453 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

BRITTANY MARTINEZ MD
Family Medicine
165 MILL ST
LEOMINSTER, MA 01453
Worcester County (978) 878-8100
MRS. ANNAMARIA ROY
Registered Nurse (Pediatrics)
165 MILL ST
LEOMINSTER, MA 01453
Worcester County (978) 878-8346
JOHN R SCHNEEWEIS MD
Family Medicine
165 MILL ST
LEOMINSTER, MA 01453
Worcester County (978) 466-3208
TASNIM ABU-AIN
Counselor (Mental Health)
165 MILL ST
LEOMINSTER, MA 01453
Worcester County (978) 878-8581
FAITH FARNHAM MSN, APRN, FNP-C
Nurse Practitioner (Family)
165 MILL ST
LEOMINSTER, MA 01453
Worcester County (978) 878-8100
YOUSSIF ADAM
Dentist (General Practice)
165 MILL ST
LEOMINSTER, MA 01453
Worcester County (978) 878-8100
RENEE ANNA VIGNEAULT RN, FNP-BC
Nurse Practitioner
165 MILL ST
LEOMINSTER, MA 01453
Worcester County (978) 878-8100
DR. TAMIRES MOREIRA
Dental Hygienist
165 MILL ST
LEOMINSTER, MA 01453
Worcester County (978) 878-8100

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 Milgrome's NPI number?

The NPI number for Toby Milgrome is 1417919184. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Toby Milgrome located?

Toby Milgrome practices at 165 Mill St, Leominster, MA 01453. The listed phone number is (978) 534-6500.

What is Toby Milgrome's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Toby Milgrome enrolled in Medicare?

Yes. Toby Milgrome is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Toby Milgrome's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toby Milgrome reassigns Medicare benefits to Reliant Medical Group, Inc (Worcester, MA). 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 Toby Milgrome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Toby Milgrome was last updated on February 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.