DR. GRETCHEN F TOLER MD
NPI 1477629699
Internal Medicine in Dallas, TX

Q: What is Gretchen Toler's NPI number?

The NPI number for Gretchen Toler is 1477629699. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Q: What is Gretchen Toler's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Gretchen Toler was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment

5477 GLEN LAKES DR, SUITE 150, DALLAS, TX 75231(214) 373-9391(214) 373-9303 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2019, Dec 21, 2016 (2 updates tracked since 2016).

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About Dr. Gretchen F Toler Md NPPES

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

DR. GRETCHEN F TOLER MD (NPI 1477629699) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (G8466) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1984).

NPPES Registry Identity

NPI1477629699

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. GRETCHEN F TOLERCredential: MD

Location Address5477 GLEN LAKES DR, SUITE 150Dallas, TX 75231-0978

Mailing Address5477 Glen Lakes Dr, Suite 150Dallas, TX 75231-0978 · (214) 373-9391 · Fax (214) 373-9303

Phone(214) 373-9391

Fax(214) 373-9303

Sole ProprietorYes

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1984

Enumeration DateNovember 28, 2006

Last NPPES UpdateSeptember 24, 20192 updates tracked since enumeration

✔ NPI 1477629699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · G8466

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License G8466 (TX)

5477 GLEN LAKES DR, Dallas, TX 75231

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Other Identifiers 2

Other110243665TX · Railroad Medicare

Other85284GTX · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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. Gretchen F Toler 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 ID7416072103

PECOS Enrollment IDI20100917001017

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.

Areas of Expertise CMS Part B claims 11

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.

451 services163 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

251 services137 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.

203 services114 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

84 services84 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

67 services63 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

47 services45 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450021

Location3500 Gaston AveDallas, TX 75246 · Dallas County

Emergency services Birthing friendly

Texas Health Presbyterian Hospital Dallas

Acute Care Hospitals · Dallas, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450462

Location8200 Walnut Hill LaneDallas, TX 75231 · Dallas County

Emergency services Birthing friendly

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450647

Location7777 Forest LaneDallas, TX 75230 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75231 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 18

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

SLEEP MEDICINE ASSOCIATES OF TEXAS, PA

Clinic/Center (Sleep Disorder Diagnostic)

5477 GLEN LAKES DR, SUITE 100
DALLAS, TX 75231

Dallas County (214) 750-7776

RAVI P GADA M.D.

Obstetrics & Gynecology (Reproductive Endocrinology)

5477 GLEN LAKES DR
DALLAS, TX 75231

Dallas County (214) 363-5965

KATHLEEN BARRY ERDMAN MD

Psychiatry & Neurology (Psychiatry)

5477 GLEN LAKES DR, SUITE 210
DALLAS, TX 75231

Dallas County (214) 265-1342

GRETCHEN F. TOLER, MD PLLC

Clinic/Center (Primary Care)

5477 GLEN LAKES DR, SUITE 150
DALLAS, TX 75231

Dallas County (214) 432-4039

SLEEP MEDICINE ASSOCIATES OF TEXAS, PA

Clinic/Center (Sleep Disorder Diagnostic)

5477 GLEN LAKES DR
DALLAS, TX 75231

Dallas County (214) 750-7776

JOHN R DEBUS MD PLLC

Psychiatry & Neurology (Sleep Medicine)

5477 GLEN LAKES DR, SUITE 150
DALLAS, TX 75231

Dallas County (214) 373-9300

JOHN R DEBUS M.D.

Psychiatry & Neurology (Sleep Medicine)

5477 GLEN LAKES DR
DALLAS, TX 75231

Dallas County (214) 750-7776

MRS. TRINA ANN CHARLESWORTH LCSW

Social Worker (Clinical)

5477 GLEN LAKES DR, SUITE 210
DALLAS, TX 75231

Dallas County (214) 298-8840

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 Gretchen Toler's NPI number?

The NPI number for Gretchen Toler is 1477629699. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Gretchen Toler located?

Gretchen Toler practices at 5477 Glen Lakes Dr Suite 150, Dallas, TX 75231. The listed phone number is (214) 373-9391.

What is Gretchen Toler's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gretchen Toler enrolled in Medicare?

Yes. Gretchen Toler 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.

What insurance does Gretchen Toler accept?

Health plans from Blue Cross and Blue Shield of Texas list Gretchen Toler 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 Gretchen Toler affiliated with any hospitals?

According to CMS data, Gretchen Toler is affiliated with Baylor University Medical Center, Texas Health Presbyterian Hospital Dallas and Medical City Dallas Hospital.

When was this NPI record last updated?

The NPPES record for Gretchen Toler was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.