ALLISON MARGARET TOTH NP
NPI 1508352832
Nurse Practitioner - Family in Grand Rapids, MI

Active since July 10, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3800 LAKE MICHIGAN DR NW STE A, GRAND RAPIDS, MI 49534(616) 267-8225 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2025, Jun 26, 2024, Mar 3, 2021 and 2 more (5 updates tracked since 2018).

About Allison Margaret Toth Np NPPES

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

ALLISON MARGARET TOTH NP (NPI 1508352832) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704302152) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1508352832
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALLISON MARGARET TOTHCredential: NP
Location Address3800 LAKE MICHIGAN DR NW STE AGrand Rapids, MI 49534-4583
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 10, 2018
Last NPPES UpdateMarch 17, 20255 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
NPI 1508352832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704302152
3800 LAKE MICHIGAN DR NW STE A, Grand Rapids, MI 49534

Other Names 1

Former Name (1)Allison Margaret Brown

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

Allison Margaret Toth Np 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 ID7315296597
PECOS Enrollment IDI20180821003202
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 5

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.
46 services46 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.
31 services29 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
23 services22 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services13 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49534 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers25 claims1,980 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier29 claims2,820 services$1.68 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers25 claims2,550 services$5.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Obstetrics & Gynecology
3800 LAKE MICHIGAN DR NW STE A
GRAND RAPIDS, MI 49534
Nurse Practitioner (Family)
3800 LAKE MICHIGAN DR NW STE A
GRAND RAPIDS, MI 49534
Obstetrics & Gynecology
3800 LAKE MICHIGAN DR NW STE A
GRAND RAPIDS, MI 49534
Obstetrics & Gynecology
3800 LAKE MICHIGAN DR NW STE A
GRAND RAPIDS, MI 49534
Nurse Practitioner
3800 LAKE MICHIGAN DR NW STE A
GRAND RAPIDS, MI 49534
Obstetrics & Gynecology
3800 LAKE MICHIGAN DR NW STE A
GRAND RAPIDS, MI 49534
Nurse Practitioner (Family)
3800 LAKE MICHIGAN DR NW STE A
GRAND RAPIDS, MI 49534
Obstetrics & Gynecology
3800 LAKE MICHIGAN DR NW STE A
GRAND RAPIDS, MI 49534

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 Allison Toth's NPI number?

The NPI number for Allison Toth is 1508352832. It was assigned to this individual provider in the NPPES registry on July 10, 2018. The provider is also known as Allison Margaret Brown.

Where is Allison Toth located?

Allison Toth practices at 3800 Lake Michigan Dr NW Ste A, Grand Rapids, MI 49534. The listed phone number is (616) 267-8225.

What is Allison Toth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Allison Toth enrolled in Medicare?

Yes. Allison Toth 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 Allison Toth accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list Allison Toth 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 Allison Toth affiliated with any hospitals?

According to CMS data, Allison Toth is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Allison Toth was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.