MR. MARION VINCENT TOLLEY JR. ARNP
NPI 1437896198
Nurse Practitioner - Acute Care in Bartow, FL

Active since May 15, 2022PECOS EnrolledAccepts Medicare Assignment
84.08/100
CMS Quality Rating
1950 CHARLESTON LN, BARTOW, FL 33830(863) 412-9133 Get Directions Write a Review

NPPES record last updated: May 15, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Marion Vincent Tolley Jr. Arnp NPPES

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

MR. MARION VINCENT TOLLEY JR. ARNP (NPI 1437896198) is an individual acute care provider in Bartow, Florida, licensed in Florida (11019556) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1437896198
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. MARION VINCENT TOLLEY JR.Credential: ARNP
Location Address1950 CHARLESTON LNBartow, FL 33830-3035
Mailing Address1950 Charleston LnBartow, FL 33830-3035 · (863) 412-9133
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 15, 2022
NPPES CertifiedMay 15, 2022
✔ NPI 1437896198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in FL · 11019556
1950 CHARLESTON LN, Bartow, FL 33830

Accepted Insurance

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

Mr. Marion Vincent Tolley Jr. Arnp 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 ID5395128268
PECOS Enrollment IDI20220810003216
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

2

Medicare enrollment records show Marion Tolley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
40100 HIGHWAY 27
Davenport, FL 33837
  • Reassigned Medicare billing, Florida enrollment
  • 132 clinicians in this Medicare group
Hospitalist
8383 N DAVIS HWY
Pensacola, FL 32514
  • Reassigned Medicare billing, Florida enrollment
  • 601 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.

Areas of Expertise CMS Part B claims 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
193 services81 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33830 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

84.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.03
Improvement Activities40
Cost90.55

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 Marion Tolley's NPI number?

The NPI number for Marion Tolley is 1437896198. It was assigned to this individual provider in the NPPES registry on May 15, 2022.

Where is Marion Tolley located?

Marion Tolley practices at 1950 Charleston Ln, Bartow, FL 33830. The listed phone number is (863) 412-9133.

What is Marion Tolley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Marion Tolley enrolled in Medicare?

Yes. Marion Tolley 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 organizations bill Medicare for Marion Tolley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marion Tolley reassigns Medicare benefits to 2 organizations: Ridgewood Physician Services, LLC (Davenport, FL) and Hospital Physician Services Of Florida PA (Pensacola, FL). 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 Marion Tolley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marion Tolley accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Oscar Health and Oscar Health Maintenance Organization of Florida and 1 other insurer list Marion Tolley 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.

Is Marion Tolley affiliated with any hospitals?

According to CMS data, Marion Tolley is affiliated with Winter Haven Hospital.

When was this NPI record last updated?

The NPPES record for Marion Tolley was last updated on May 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.