Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. MARK SABAH TOMA M.D.
NPI 1598083024
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Dearborn, MI

Active since May 07, 2010PECOS Enrolled
32.64/100
CMS Quality Rating
2454 MONROE ST STE A, DEARBORN, MI 48124(313) 562-4100(313) 562-4590 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mark Sabah Toma M.d. NPPES

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

MR. MARK SABAH TOMA M.D. (NPI 1598083024) is an individual otolaryngology/facial plastic surgery provider in Dearborn, Michigan, licensed in Michigan (4301106632) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and is a graduate of Wayne State University School Of Medicine (2010).

NPPES Registry Identity

NPI1598083024
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameMR. MARK SABAH TOMACredential: M.D.
Location Address2454 MONROE ST STE ADearborn, MI 48124-3038
Mailing Address2454 Monroe St Ste ADearborn, MI 48124-3038 · (313) 562-4100 · Fax (313) 562-4590
Fax(313) 562-4590
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2010
Enumeration DateMay 7, 2010
Last NPPES UpdateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
NPI 1598083024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License Licensed in MI · 4301106632
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
2454 MONROE ST STE A, Dearborn, MI 48124

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

Mr. Mark Sabah Toma M.d. 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 ID9032420534
PECOS Enrollment IDI20150625000461
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 14

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
828 services37 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
520 services13 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
434 services40 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
424 services63 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.
244 services199 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.
206 services151 patients

Hospital Affiliations CMS Care Compare 5

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

Corewell Health Wayne Hospital

Acute Care Hospitals · Wayne, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230142
Location33155 Annapolis AveWayne, MI 48184 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230151
Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County
Emergency services Birthing friendly

Corewell Health Trenton Hospital

Acute Care Hospitals · Trenton, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230176
Location5450 Fort StreetTrenton, MI 48183 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital - Taylor

Acute Care Hospitals · Taylor, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230270
Location10000 Telegraph RoadTaylor, MI 48180 · Wayne County
Emergency services

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.

32.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.99
Improvement Activities0

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
85%939 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%3,055 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%1,139 patients4/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
20%1,090 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
82%1,055 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%1,165 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 771 patients
Patients tobacco: 84% · 771 patients
6%132 patients1/55-star benchmark: 98%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
91%1,055 patients4/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
100%174 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
1%1,055 patients1/55-star benchmark: 75%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 296 patients
5%296 patients4/55-star benchmark: 100%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
1%1,090 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients physicalActivity: 1% · 172 patients
1%172 patients
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.

Other Providers at the Same Location NPPES 11

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

Audiologist
2454 MONROE ST STE A
DEARBORN, MI 48124
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2454 MONROE ST STE A
DEARBORN, MI 48124
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2454 MONROE ST STE A
DEARBORN, MI 48124
Audiologist
2454 MONROE ST STE A
DEARBORN, MI 48124
Audiologist
2454 MONROE ST STE A
DEARBORN, MI 48124
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2454 MONROE ST STE A
DEARBORN, MI 48124
Audiologist
2454 MONROE ST STE A
DEARBORN, MI 48124
Physician Assistant
2454 MONROE ST STE A
DEARBORN, MI 48124

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 Mark Toma's NPI number?

The NPI number for Mark Toma is 1598083024. It was assigned to this individual provider in the NPPES registry on May 7, 2010.

Where is Mark Toma located?

Mark Toma practices at 2454 Monroe St Ste A, Dearborn, MI 48124. The listed phone number is (313) 562-4100.

What is Mark Toma's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Mark Toma enrolled in Medicare?

Yes. Mark Toma 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 Mark Toma accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Mark Toma 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 Mark Toma affiliated with any hospitals?

According to CMS data, Mark Toma is affiliated with Beaumont Hospital - Dearborn, Corewell Health Wayne Hospital, Beaumont Hospital - Farmington Hills, Corewell Health Trenton Hospital and Beaumont Hospital - Taylor.

When was this NPI record last updated?

The NPPES record for Mark Toma was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.