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DR. MARISA ELIZABETH TOOMEY M.D.
NPI 1528296860
Pediatrics - Developmental - Behavioral Pediatrics in Lexington, KY

Active since June 25, 2009PECOS Enrolled
UNIVERSITY OF KENTUCKY L447 KENTUCKY CLINIC, 740 SOUTH LIMESTONE, LEXINGTON, KY 40536(859) 257-8992 Get Directions Write a Review

NPPES record last updated: December 27, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Marisa Elizabeth Toomey M.d. NPPES

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

DR. MARISA ELIZABETH TOOMEY M.D. (NPI 1528296860) is an individual developmental - behavioral pediatrics provider in Lexington, Kentucky, licensed in Kentucky (49818) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528296860
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameDR. MARISA ELIZABETH TOOMEYCredential: M.D.
Location AddressUNIVERSITY OF KENTUCKY L447 KENTUCKY CLINIC, 740 SOUTH LIMESTONELexington, KY 40536-0284
Mailing AddressUniversity Of Kentucky L447 Kentucky Clinic, 740 South LimestoneLexington, KY 40536-0284 · (859) 257-8992
Phone(859) 257-8992
Sole ProprietorNo
Enumeration DateJune 25, 2009
Last NPPES UpdateDecember 27, 2016
✔ NPI 1528296860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
Licenses✔ Licensed in KY · 49818✔ Licensed in TX · Q4320
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedPediatricsTaxonomy 208000000X · License MT194901 (PA)
UNIVERSITY OF KENTUCKY L447 KENTUCKY CLINIC, Lexington, KY 40536
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marisa Elizabeth Toomey M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Marisa Toomey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kentucky Medical Services Foundation, Inc
3.3 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Marisa Toomey's NPI number?

The NPI number for Marisa Toomey is 1528296860. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Marisa Toomey located?

Marisa Toomey practices at University Of Kentucky L447 Kentucky Clinic 740 South Limestone, Lexington, KY 40536. The listed phone number is (859) 257-8992.

What is Marisa Toomey's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Marisa Toomey enrolled in Medicare?

Yes. Marisa Toomey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marisa Toomey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Toomey reassigns Medicare benefits to Kentucky Medical Services Foundation, Inc (Lexington, KY). The 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 Marisa Toomey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marisa Toomey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Marisa Toomey 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 Marisa Toomey was last updated on December 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.