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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: October 18, 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
Phone(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
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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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Vera Tolova reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Insight Chicago, Inc.
664 mi
Internal Medicine
2525 S MICHIGAN AVE
Chicago, IL 60616
  • Reassigned Medicare billing, Illinois enrollment
  • 354 clinicians in this Medicare group
NPI 1881261006 (312) 567-2000
Hospital & Medical Foundation Of Paris, Inc.
666 mi
Rural Health
112 W MADISON AVE
Chrisman, IL 61924
  • Reassigned Medicare billing, Illinois enrollment
  • 216 clinicians in this Medicare group
NPI 1447314653 (217) 269-2394
Em Strategies,ltd.
681 mi
Emergency Medicine
1900 SILVER CROSS BLVD
New Lenox, IL 60451
  • Reassigned Medicare billing, Illinois enrollment
  • 66 clinicians in this Medicare group
NPI 1679791834 (815) 300-1100
Illinois Emergency Medicine Specialists, LLC
687 mi
Emergency Medical Services
500 REMINGTON BLVD
Bolingbrook, IL 60440
  • Reassigned Medicare billing, Illinois enrollment
  • 187 clinicians in this Medicare group
NPI 1003150962 (630) 312-5000
Iems Physician Services PLLC
693 mi
Emergency Medicine
1400 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • 83 clinicians in this Medicare group
NPI 1790544047 (217) 337-2000

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 4

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 with high level of medical decision making 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.
151 services144 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
55 services54 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.
19 services19 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
17 services16 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

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140065
Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County
Emergency services

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

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page 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

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.

MS. ANNA GLINIANSKA DDS
Dentist
5501 OLD YORK ROAD, EINSTEIN HEALTHCARE NETWORK
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8033
SAMIA ALEEM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
5501 OLD YORK ROAD, ALBERT EINSTEIN MEDICAL CENTER
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7595
EDWARD SUTTON JR.
Physician Assistant
5501 OLD YORK ROAD, EINSTEINMEDICAL CENTER TABOR EMERGENCY PHYSICIANS
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8037
LAURA MCGARRY DO
Urology
5501 OLD YORK ROAD, ALBERT EINSTEIN MEDICAL CENTER
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-5140
SUE Y LEE MD
Orthopaedic Surgery
5501 OLD YORK ROAD, WILLOWCREST ROAD 4TH FL
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7900
ANNA SADUJKO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK ROAD
PHILADELPHIA, PA 19141
Philadelphia County (484) 622-1000
MS. BARBARA J HARE CRNP
Nurse Practitioner (Obstetrics & Gynecology)
5501 OLD YORK ROAD, PALEY 3 OB-GYN
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7180
DENISE D. NAJJAR M.D.
Pathology (Neuropathology)
5501 OLD YORK ROAD, TOWER GRD FL
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6157

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.

Which organizations bill Medicare for Vera Tolova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vera Tolova reassigns Medicare benefits to 5 organizations: Insight Chicago, Inc. (Chicago, IL), Hospital & Medical Foundation Of Paris, Inc. (Chrisman, IL), Em Strategies,ltd. (New Lenox, IL), Illinois Emergency Medicine Specialists, LLC (Bolingbrook, IL) and Iems Physician Services PLLC (Urbana, IL). 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 Vera Tolova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Vera Tolova affiliated with any hospitals?

According to CMS data, Vera Tolova is affiliated with West Suburban Medical Center, Adventist La Grange Memorial Hospital, Osf Sacred Heart Medical Center, Adventist Hinsdale Hospital and Silver Cross Hospital And Medical Centers.

When was this NPI record last updated?

The NPPES record for Vera Tolova was last updated on July 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.