1. Home
  2. Directory
  3. Tennessee
  4. Mt Juliet
  5. Internal Medicine
  6. NPI Profile

MARYO A TOMA MD
NPI 1609570282
Internal Medicine in Mt Juliet, TN

Active since March 28, 2023PECOS EnrolledAccepts Medicare Assignment
325 OLD PLEASANT GROVE RD, MT JULIET, TN 37122(629) 255-2074(629) 255-4149 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Maryo A Toma Md NPPES

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

MARYO A TOMA MD (NPI 1609570282) is an individual internal medicine provider in Mt Juliet, Tennessee, licensed in Tennessee (77523) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2023).

NPPES Registry Identity

NPI1609570282
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARYO A TOMACredential: MD
Location Address325 OLD PLEASANT GROVE RDMt Juliet, TN 37122-4493
Mailing Address222 22nd Ave NNashville, TN 37203-1802 · (629) 255-3486 · Fax (629) 255-4000
Phone(629) 255-2074
Fax(629) 255-4149
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2023
Enumeration DateMarch 28, 2023
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1609570282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 77523
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.
325 OLD PLEASANT GROVE RD, Mt Juliet, TN 37122
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.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

Maryo A Toma 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 ID1850751108
PECOS Enrollment IDI20260709003680
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 Reassignment

Medicare enrollment records show Maryo Toma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heritage Medical Associates PC
16 mi
Internal Medicine
222 22ND AVE N
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 183 clinicians in this Medicare group
NPI 1548284060 (629) 255-3486

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37122 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

ASHLI ELIZABETH FITZPATRICK MD
Dermatology
325 OLD PLEASANT GROVE RD
MT JULIET, TN 37122
Wilson County (629) 255-2495
CHRISTI A WITHERSPOON M.D.
Internal Medicine
325 OLD PLEASANT GROVE RD
MT JULIET, TN 37122
Wilson County (629) 255-2100
CORY E DECLUE MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
325 OLD PLEASANT GROVE RD
MT JULIET, TN 37122
Wilson County (629) 255-2281
DR. KRISTIN LEANNE STEVENS M.D.
Otolaryngology
325 OLD PLEASANT GROVE RD
MT JULIET, TN 37122
Wilson County (629) 255-2263
DEEPAK MEHROTRA M.D.
Pediatrics
325 OLD PLEASANT GROVE RD
MT JULIET, TN 37122
Wilson County (629) 255-2032
JAMES T ELROD JR. M.D.
Internal Medicine
325 OLD PLEASANT GROVE RD
MT JULIET, TN 37122
Wilson County (629) 255-2106
SAAWAN B SATIYA MD
Internal Medicine
325 OLD PLEASANT GROVE RD
MT JULIET, TN 37122
Wilson County (629) 255-2273
STACY B BROWN APN
Nurse Practitioner (Family)
325 OLD PLEASANT GROVE RD
MT JULIET, TN 37122
Wilson County (629) 255-2109

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 Maryo Toma's NPI number?

The NPI number for Maryo Toma is 1609570282. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Maryo Toma located?

Maryo Toma practices at 325 Old Pleasant Grove Rd, Mt Juliet, TN 37122. The listed phone number is (629) 255-2074.

What is Maryo Toma's specialty?

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

Is Maryo Toma enrolled in Medicare?

Yes. Maryo 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.

Which organization bills Medicare for Maryo Toma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryo Toma reassigns Medicare benefits to Heritage Medical Associates PC (Nashville, TN). The 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 Maryo Toma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maryo Toma accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, BlueCross BlueShield of Tennessee and Oscar Insurance Company and 1 other insurer list Maryo 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.

When was this NPI record last updated?

The NPPES record for Maryo Toma was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.