DR. VERA TOLOVA M.D.
NPI 1518222181
Emergency Medicine in Philadelphia, PA

Active since July 10, 2012PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
5501 OLD YORK ROAD, PHILADELPHIA, PA 19141(610) 608-7051 Get Directions Write a Review

NPPES record last updated: July 10, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Vera Tolova M.d. NPPES

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

DR. VERA TOLOVA M.D. (NPI 1518222181) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT202155) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with West Suburban Medical Center, and is a graduate of George Washington University School Of Medicine (2012).

NPPES Registry Identity

NPI1518222181
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. VERA TOLOVACredential: M.D.
Location Address5501 OLD YORK ROADPhiladelphia, PA 19141
Mailing Address5501 Old York RoadPhiladelphia, PA 19141 · (610) 608-7051
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2012
Enumeration DateJuly 10, 2012
NPI 1518222181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in PA · MT202155
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

5501 OLD YORK ROAD, Philadelphia, PA 19141

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

Dr. Vera Tolova M.d. 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 ID5193018026
PECOS Enrollment IDI20220921002223
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 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.

Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
31 services29 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

West Suburban Medical Center

Acute Care Hospitals · Oak Park, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140049
Location3 Erie CourtOak Park, IL 60302 · Cook County
Birthing friendly

Osf Sacred Heart Medical Center

Acute Care Hospitals · Danville, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140093
Location812 N Logan AveDanville, IL 61832 · Vermilion County
Emergency services Birthing friendly

Osf Heart Of Mary Medical Center

Acute Care Hospitals · Urbana, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140113
Location1400 West Park AvenueUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140213
Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County
Emergency services Birthing friendly

Paris Community Hospital

Critical Access Hospitals · Paris, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number141320
Location721 E Court StreetParis, IL 61944 · Edgar County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
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.

Internal Medicine (Hematology & Oncology)
5501 OLD YORK ROAD, ALBERT EINSTEIN MEDICAL CENTER
PHILADELPHIA, PA 19141
Internal Medicine (Hematology & Oncology)
5501 OLD YORK ROAD, BRAEMER BLDG 2ND FL
PHILADELPHIA, PA 19141
Nurse Practitioner (Obstetrics & Gynecology)
5501 OLD YORK ROAD, PALEY 3 OB-GYN
PHILADELPHIA, PA 19141
Surgery
5501 OLD YORK ROAD
PHILADELPHIA, PA 19141
Orthopaedic Surgery
5501 OLD YORK ROAD, WILLOWCREST ROAD 4TH FL
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK ROAD
PHILA, PA 19141
Otolaryngology
5501 OLD YORK ROAD
PHILADELPHIA, PA 19141
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK ROAD
PHILADELPHIA, PA 19141

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 Vera Tolova's NPI number?

The NPI number for Vera Tolova is 1518222181. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Where is Vera Tolova located?

Vera Tolova practices at 5501 Old York Road, Philadelphia, PA 19141. The listed phone number is (610) 608-7051.

What is Vera Tolova's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Vera Tolova enrolled in Medicare?

Yes. Vera Tolova 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 Vera Tolova accept?

Health plans from CareSource list Vera Tolova 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 Vera Tolova affiliated with any hospitals?

According to CMS data, Vera Tolova is affiliated with West Suburban Medical Center, Osf Sacred Heart Medical Center, Osf Heart Of Mary Medical Center, Silver Cross Hospital And Medical Centers and Paris Community Hospital.

When was this NPI record last updated?

The NPPES record for Vera Tolova was last updated on July 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.