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JAMES R. TOOTHMAN DO PLLC
NPI 1528627957
Internal Medicine in Gallipolis, OH

Active since June 10, 2019
170 PINECREST DR, GALLIPOLIS, OH 45631(304) 422-3904 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 19, 2025, Aug 21, 2023, Sep 20, 2019 and 1 more (4 updates tracked since 2019).

About James R. Toothman Do Pllc NPPES

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

JAMES R. TOOTHMAN DO PLLC (NPI 1528627957) is a healthcare organization registered as an internal medicine in Gallipolis, Ohio and active in the NPI registry since June 2019. The organization maintains a secondary practice location in Elizabeth and lists Ally Cardenas, Authorized Official/credentialing S, as its authorized official.

NPPES Registry Identity

NPI1528627957
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJAMES R. TOOTHMAN DO PLLC
Location Address170 PINECREST DRGallipolis, OH 45631-1347
Mailing Address601 Avery St Ste 501Parkersburg, WV 26101-5192 · (304) 422-3904
Phone(304) 422-3904
Organization SubpartNo
Authorized OfficialAlly CardenasAuthorized Official/credentialing S · (740) 580-0881
Enumeration DateJune 10, 2019
Last NPPES UpdateMarch 19, 20254 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1528627957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
170 PINECREST DR, Gallipolis, OH 45631
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Secondary Practice Location 1

Location 183 Little Kanawha PkwyElizabeth, WV 26143-5995 · Phone (740) 446-7150

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James R. Toothman Do Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to James R. Toothman Do PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Colbe Ingels, FNP-BC
Nurse Practitioner
NPI 1780109207
2520 VALLEY DR
Point Pleasant, WV 25550
(304) 675-4340
✔ PECOS✔ Accepts Medicare7.7 mi
Gretchen Hammond, CNP
Nurse Practitioner
NPI 1467840975
859 CENTURY ROAD
Ravenswood, WV 26164
(304) 273-6261
✔ PECOS✔ Accepts Medicare24 mi
Alisha Brock, APRN, FNP-C
Nurse Practitioner
NPI 1215491006
4421 EMERSON AVE STE 205
Parkersburg, WV 26104
(304) 693-6096
✔ PECOS50 mi

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 James R. Toothman Do PLLC's NPI number?

The NPI number for James R. Toothman Do PLLC is 1528627957. It was assigned to this organization in the NPPES registry on June 10, 2019.

Where is James R. Toothman Do PLLC located?

James R. Toothman Do PLLC is located at 170 Pinecrest Dr, Gallipolis, OH 45631. The listed phone number is (304) 422-3904.

What is James R. Toothman Do PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James R. Toothman Do PLLC enrolled in Medicare?

Yes. James R. Toothman Do PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through James R. Toothman Do PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to James R. Toothman Do PLLC. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does James R. Toothman Do PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list James R. Toothman Do PLLC 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 James R. Toothman Do PLLC was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.