TONYA KRISTIN OBITA MD
NPI 1497841019
Pediatrics in Marinette, WI

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
3003 UNIVERSITY DR, MARINETTE, WI 54143(715) 735-4200 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2026, Jul 15, 2024, May 4, 2023 and 6 more (9 updates tracked since 2021).

About Tonya Kristin Obita Md NPPES

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

TONYA KRISTIN OBITA MD (NPI 1497841019) is an individual pediatrics provider in Marinette, Wisconsin, licensed in North Carolina (2021-00919) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Wake Forest University School Of Medicine (2001).

NPPES Registry Identity

NPI1497841019
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTONYA KRISTIN OBITACredential: MD
Location Address3003 UNIVERSITY DRMarinette, WI 54143-4110
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2001
Enumeration DateOctober 4, 2006
Last NPPES UpdateMay 12, 20269 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
NPI 1497841019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in NC · 2021-00919 Licensed in WI · 103689-875
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 ListedHospitalistTaxonomy 208M00000X · License 2021-00919 (NC)
3003 UNIVERSITY DR, Marinette, WI 54143

Other Identifiers 1

Medicaid100413163WI

Accepted 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

Tonya Kristin Obita 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 ID8022089747
PECOS Enrollment IDI20260505000596
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54143 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
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.

Obstetrics & Gynecology
3003 UNIVERSITY DR
MARINETTE, WI 54143
Physician Assistant
3003 UNIVERSITY DR
MARINETTE, WI 54143
Emergency Medicine
3003 UNIVERSITY DR
MARINETTE, WI 54143
General Acute Care Hospital
3003 UNIVERSITY DR
MARINETTE, WI 54143
Hospitalist
3003 UNIVERSITY DR
MARINETTE, WI 54143
Anesthesiology
3003 UNIVERSITY DR
MARINETTE, WI 54143
Physician Assistant
3003 UNIVERSITY DR
MARINETTE, WI 54143
Clinical Medical Laboratory
3003 UNIVERSITY DR
MARINETTE, WI 54143

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 Tonya Obita's NPI number?

The NPI number for Tonya Obita is 1497841019. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Tonya Obita located?

Tonya Obita practices at 3003 University Dr, Marinette, WI 54143. The listed phone number is (715) 735-4200.

What is Tonya Obita's specialty?

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

Is Tonya Obita enrolled in Medicare?

Yes. Tonya Obita 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 Tonya Obita accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Tonya Obita 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.

When was this NPI record last updated?

The NPPES record for Tonya Obita was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.