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AMY M. TOCCO M.D.
NPI 1437162195
Pediatrics in Sharon, CT

Active since August 14, 2006PECOS Enrolled
94.24/100
CMS Quality Rating
50 HOSPITAL HILL RD, SHARON, CT 06069(860) 364-4515 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2024, Feb 1, 2017 (2 updates tracked since 2017).

About Amy M. Tocco M.d. NPPES

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

AMY M. TOCCO M.D. (NPI 1437162195) is an individual pediatrics provider in Sharon, Connecticut, licensed in Connecticut (40528) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437162195
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAMY M. TOCCOCredential: M.D.
Location Address50 HOSPITAL HILL RDSharon, CT 06069-2092
Mailing Address50 Hospital Hill RdSharon, CT 06069-2096 · (860) 364-4471 · Fax (860) 364-4410
Phone(860) 364-4515
Sole ProprietorNo
Enumeration DateAugust 14, 2006
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1437162195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 40528
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 40528 (CT)
50 HOSPITAL HILL RD, Sharon, CT 06069
Open in Google Maps ↗

Other Identifiers 2

Medicaid02714038NY
Medicaid110008736CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy M. Tocco M.d. 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 Reassignments

3

Medicare enrollment records show Amy Tocco reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sun River Health Inc
4.1 mi
Federally Qualified Health Center (FQHC)
3360 ROUTE 343, HUDSON RIVER HEALTHCARE, INC.
Amenia, NY 12501
  • Reassigned Medicare billing, New York and Connecticut enrollments
  • Also billed through NPI 1619969458 (Connecticut)
  • 683 clinicians in this Medicare group
NPI 1568526838 (845) 373-9006
Nuvance Health Medical Practice PC
27 mi
Internal Medicine
45 READE PLACE
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, Connecticut enrollment
  • 88 clinicians in this Medicare group
NPI 1437358033 (845) 475-9661
Nuvance Health Medical Practice Ct, Inc.
33 mi
Internal Medicine
24 HOSPITAL AVE
Danbury, CT 06810
  • Reassigned Medicare billing, Connecticut enrollment
  • 818 clinicians in this Medicare group
NPI 1407898117 (203) 739-7742

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

Areas of Expertise CMS Part B claims 2

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 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.
39 services15 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.
20 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06069 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

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.

MRS. SUZANNE TAYLOR THOMPSON APRN
Nurse Practitioner
50 HOSPITAL HILL RD
SHARON, CT 06069
Northwest Hills Planning Region (860) 364-0647
MISS RACHEL T. SOBOL R.D.
Dietitian, Registered
50 HOSPITAL HILL RD
SHARON, CT 06069
Northwest Hills Planning Region (860) 364-4170
DR. MICHAEL KAUFF MD
Specialist
50 HOSPITAL HILL RD
SHARON, CT 06069
Northwest Hills Planning Region (860) 364-4141
MR. JEFFREY DARREN LITISHIN MPT
Physical Therapist
50 HOSPITAL HILL RD
SHARON, CT 06069
Northwest Hills Planning Region (860) 364-4065
REGIONAL HEALTHCARE ASSOCIATES LLC
Internal Medicine
50 HOSPITAL HILL RD
SHARON, CT 06069
Northwest Hills Planning Region (860) 364-4091
BIRGIT CLAGUE AGACNP-BC
Nurse Practitioner (Acute Care)
50 HOSPITAL HILL RD
SHARON, CT 06069
Northwest Hills Planning Region (860) 364-4000
MUSTAFA M UGURLU M.D.
Surgery
50 HOSPITAL HILL RD
SHARON, CT 06069
Northwest Hills Planning Region (860) 364-5411
ATKA MACKEREL INPATIENT SERVICES LLC
Internal Medicine
50 HOSPITAL HILL RD
SHARON, CT 06069
Northwest Hills Planning Region (469) 401-2386

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 Amy Tocco's NPI number?

The NPI number for Amy Tocco is 1437162195. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Amy Tocco located?

Amy Tocco practices at 50 Hospital Hill Rd, Sharon, CT 06069. The listed phone number is (860) 364-4515.

What is Amy Tocco's specialty?

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

Is Amy Tocco enrolled in Medicare?

Yes. Amy Tocco is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amy Tocco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Tocco reassigns Medicare benefits to 3 organizations: Sun River Health Inc (Amenia, NY), Nuvance Health Medical Practice PC (Poughkeepsie, NY) and Nuvance Health Medical Practice Ct, Inc. (Danbury, CT). Each 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 Amy Tocco'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 Amy Tocco was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.