TONYA J HOLE MD
NPI 1578758975
Emergency Medicine in Avon, IN
About Tonya J Hole Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONYA J HOLE MD (NPI 1578758975) is an individual emergency medicine provider in Avon, Indiana, licensed in Indiana (01062246A) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and maintains a secondary practice location in Indianapolis.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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
Tonya J Hole 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tonya Hole reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Indianapolis, IN 46260
- Reassigned Medicare billing, Indiana enrollment
- 598 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St Vincent Kokomo
Acute Care Hospitals · Kokomo, INAscension St Vincent Hospital
Acute Care Hospitals · Indianapolis, INSt Vincent Heart Center
Acute Care Hospitals · Carmel, INAscension St Vincent Carmel
Acute Care Hospitals · Carmel, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tonya Hole's NPI number?
The NPI number for Tonya Hole is 1578758975. It was assigned to this individual provider in the NPPES registry on September 9, 2007.
Where is Tonya Hole located?
Tonya Hole practices at 1111 N Ronald Reagan Pkwy, Avon, IN 46123. The listed phone number is (317) 217-3000.
What is Tonya Hole's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Tonya Hole enrolled in Medicare?
Yes. Tonya Hole 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 Tonya Hole's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Hole reassigns Medicare benefits to 2 organizations: Iu Health Medical Group, LLC (Indianapolis, IN) and Cep America LLC (Indianapolis, IN). 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 Tonya Hole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tonya Hole accept?
Health plans from CareSource list Tonya Hole 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 Tonya Hole affiliated with any hospitals?
According to CMS data, Tonya Hole is affiliated with Ascension St Vincent Kokomo, Ascension St Vincent Hospital, St Vincent Heart Center and Ascension St Vincent Carmel.
When was this NPI record last updated?
The NPPES record for Tonya Hole was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tonya J Hole, MD · NPI 1578758975
Emergency Medicine physician in Avon, Indiana. Individual provider, active in the CMS NPPES registry since September 9, 2007.
## Identity
- **NPI:** 1578758975 (Entity type: Individual)
- **Enumerated:** September 9, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 01062246A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1111 N RONALD REAGAN PKWY, Avon, IN 46123-7085
- **Phone:** (317) 217-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN); Cep America LLC (NPI 1548912553, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** August 19, 2026
- **Other identifiers:** Other 1102222456 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1578758975) · Data from the CMS NPPES public registry.