TONI S PITTMAN MD
NPI 1578660536
Emergency Medicine - Emergency Medical Services in Lawrence, KS

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
85.39/100
CMS Quality Rating
325 MAINE ST, LAWRENCE, KS 66044(785) 505-6162 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2021, Mar 1, 2021 (2 updates tracked since 2021).

About Toni S Pittman Md NPPES

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

TONI S PITTMAN MD (NPI 1578660536) is an individual emergency medical services provider in Lawrence, Kansas, licensed in Kansas (0431936) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Lmh, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2003).

NPPES Registry Identity

NPI1578660536
Entity TypeIndividualFemale
Primary Taxonomy207PE0004X
Provider Legal NameTONI S PITTMANCredential: MD
Location Address325 MAINE STLawrence, KS 66044-1360
Mailing Address325 Maine StLawrence, KS 66044-1360 · (785) 505-6162
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2003
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 11, 20212 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
NPI 1578660536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License Licensed in KS · 0431936
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Also ListedPhlebologyTaxonomy 202K00000X · License 0431936 (KS)
325 MAINE ST, Lawrence, KS 66044

Other Names 1

Former Name (1)Toni S Reynolds Md

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

Toni S Pittman Md 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 ID42218752
PECOS Enrollment IDI20061113000312
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 8

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.
191 services189 patients
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.
140 services85 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.
59 services57 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.
39 services39 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
28 services17 patients

Hospital Affiliations CMS Care Compare

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

Lmh

Acute Care Hospitals · Lawrence, KS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170137
Location325 Maine StreetLawrence, KS 66044 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66044 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

85.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.44
Promoting Interoperability100
Improvement Activities40
Cost69.88

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.

Emergency Medicine
325 MAINE ST
LAWRENCE, KS 66044
Registered Nurse
325 MAINE ST
LAWRENCE, KS 66044
Physical Therapist
325 MAINE ST
LAWRENCE, KS 66044
Rehabilitation Unit
325 MAINE ST
LAWRENCE, KS 66044
Internal Medicine
325 MAINE ST
LAWRENCE, KS 66044
Surgery (Vascular Surgery)
325 MAINE ST
LAWRENCE, KS 66044
Pharmacist (Ambulatory Care)
325 MAINE ST
LAWRENCE, KS 66044
Dietitian, Registered
325 MAINE ST
LAWRENCE, KS 66044

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 Toni Pittman's NPI number?

The NPI number for Toni Pittman is 1578660536. It was assigned to this individual provider in the NPPES registry on September 20, 2006. The provider is also known as Toni S Reynolds MD.

Where is Toni Pittman located?

Toni Pittman practices at 325 Maine St, Lawrence, KS 66044. The listed phone number is (785) 505-6162.

What is Toni Pittman's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Toni Pittman enrolled in Medicare?

Yes. Toni Pittman 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 Toni Pittman accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Kansas, Inc. list Toni Pittman 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 Toni Pittman affiliated with any hospitals?

According to CMS data, Toni Pittman is affiliated with Lmh.

When was this NPI record last updated?

The NPPES record for Toni Pittman was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.