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DR. BRANDON MICHAEL TOY MD
NPI 1609403872
Internal Medicine in Pelham, AL

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
161 SOMMERSBY CIR, PELHAM, AL 35124(504) 621-4506 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2024, Mar 22, 2023, Jun 23, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Brandon Michael Toy Md NPPES

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

DR. BRANDON MICHAEL TOY MD (NPI 1609403872) is an individual internal medicine provider in Pelham, Alabama, licensed in Alabama (MD.47240) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2020).

NPPES Registry Identity

NPI1609403872
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BRANDON MICHAEL TOYCredential: MD
Location Address161 SOMMERSBY CIRPelham, AL 35124-1584
Mailing Address161 Sommersby CirPelham, AL 35124-1584 · (504) 621-4506
Phone(504) 621-4506
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateJune 21, 20244 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1609403872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · MD.47240
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License L.5862R (AL)
161 SOMMERSBY CIR, Pelham, AL 35124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Dr. Brandon Michael Toy 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 ID8820414634
PECOS Enrollment IDI20240715002751
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 Reassignments

2

Medicare enrollment records show Brandon Toy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oak Mountain Group Services, LLC
8.7 mi
Physical Medicine & Rehabilitation
3070 HEALTHY WAY
Vestavia Hills, AL 35243
  • Reassigned Medicare billing, Alabama enrollment
  • 215 clinicians in this Medicare group
NPI 1609321165 (205) 977-7216
Hospital Medicine Associates LLC
316 mi
Hospitalist
17000 MEDICAL CENTER DR
Baton Rouge, LA 70816
  • Reassigned Medicare billing, Alabama enrollment
  • 229 clinicians in this Medicare group
NPI 1093758781 (225) 752-2470

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35124 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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 Brandon Toy's NPI number?

The NPI number for Brandon Toy is 1609403872. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Brandon Toy located?

Brandon Toy practices at 161 Sommersby Cir, Pelham, AL 35124. The listed phone number is (504) 621-4506.

What is Brandon Toy's specialty?

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

Is Brandon Toy enrolled in Medicare?

Yes. Brandon Toy 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 Brandon Toy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Toy reassigns Medicare benefits to 2 organizations: Oak Mountain Group Services, LLC (Vestavia Hills, AL) and Hospital Medicine Associates LLC (Baton Rouge, LA). 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 Brandon Toy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandon Toy accept?

Health plans from Blue Cross and Blue Shield of Alabama list Brandon Toy 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 Brandon Toy was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.