TINA RENEE TOLER NP
NPI 1518279546
Nurse Practitioner - Family in Huntington, WV

Active since July 07, 2010PECOS Enrolled
1249 15TH ST, SUITE 3000, HUNTINGTON, WV 25701(304) 691-1000(304) 691-1693 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2021, Dec 22, 2015 (2 updates tracked since 2015).

About Tina Renee Toler Np NPPES

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

TINA RENEE TOLER NP (NPI 1518279546) is an individual family provider in Huntington, West Virginia, licensed in West Virginia (57295) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518279546
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA RENEE TOLERCredential: NP
Location Address1249 15TH ST, SUITE 3000Huntington, WV 25701-3662
Mailing AddressPo Box 88, 5 E Alvon Road Suite 7White Sulphur Springs, WV 24986-2373 · (304) 536-5030 · Fax (304) 536-5031
Fax(304) 691-1693
Sole ProprietorNo
Enumeration DateJuly 7, 2010
Last NPPES UpdateNovember 18, 20212 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
NPI 1518279546 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
Licenses Licensed in WV · 57295 Licensed in KY · 49197
1249 15TH ST, Huntington, WV 25701

Other Identifiers 3

Medicaid3115033OH
Medicaid3810018757WV
Medicaid7100144750KY

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 (PECOS)

Tina Renee Toler Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.
113 services93 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.
99 services72 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%38 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 21

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers23 claims23 services$36.85 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers125 claims125 services$82.16 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers103 claims288 services$31.39 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers33 claims189 services$15.69 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers14 claims74 services$12.97 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers54 claims54 services$49.89 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 20

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

Student in an Organized Health Care Education/Training Program
1249 15TH ST, SUITE 2000
HUNTINGTON, WV 25701
Internal Medicine
1249 15TH ST, SUITE 2000
HUNTINGTON, WV 25701
Nurse Practitioner (Family)
1249 15TH ST, SUITE 4000
HUNTINGTON, WV 25701
Internal Medicine
1249 15TH ST
HUNTINGTON, WV 25701
Nurse Practitioner (Family)
1249 15TH ST, SUITE 3000
HUNTINGTON, WV 25701
Internal Medicine (Pulmonary Disease)
1249 15TH ST, SUITE 3000
HUNTINGTON, WV 25701
Internal Medicine
1249 15TH ST, SUITE 2000
HUNTINGTON, WV 25701
Internal Medicine (Cardiovascular Disease)
1249 15TH ST
HUNTINGTON, WV 25701

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 Tina Toler's NPI number?

The NPI number for Tina Toler is 1518279546. It was assigned to this individual provider in the NPPES registry on July 7, 2010.

Where is Tina Toler located?

Tina Toler practices at 1249 15th St Suite 3000, Huntington, WV 25701. The listed phone number is (304) 691-1000.

What is Tina Toler's specialty?

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

Is Tina Toler enrolled in Medicare?

Yes. Tina Toler is registered in the Medicare PECOS enrollment system.

What insurance does Tina Toler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Tina 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.

When was this NPI record last updated?

The NPPES record for Tina Toler was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.