ADRIANA TOBAR MD
NPI 1609821826
Family Medicine in Elkhorn, WI
About Adriana Tobar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADRIANA TOBAR MD (NPI 1609821826) is an individual family medicine provider in Elkhorn, Wisconsin, licensed in Wisconsin (53420-020) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Other Identifiers 3
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
Adriana Tobar 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
5Medicare enrollment records show Adriana Tobar reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Beloit, IL 61080
- Reassigned Medicare billing, Illinois enrollment
- 2,127 clinicians in this Medicare group
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Rockford, IL 61108
- Reassigned Medicare billing, Illinois enrollment
South Milwaukee, WI 53172
- Reassigned Medicare billing, Wisconsin enrollment
- 960 clinicians in this Medicare group
Milwaukee, WI 53209
- Reassigned Medicare billing, Wisconsin enrollment
- 1,615 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 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53121 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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
ELKHORN, WI 53121
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 Adriana Tobar's NPI number?
The NPI number for Adriana Tobar is 1609821826. It was assigned to this individual provider in the NPPES registry on May 24, 2006. The provider is also known as Adriana Tobar Taylor MD.
Where is Adriana Tobar located?
Adriana Tobar practices at 201 E Morrissy Dr, Elkhorn, WI 53121. The listed phone number is (262) 741-1900.
What is Adriana Tobar's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Adriana Tobar enrolled in Medicare?
Yes. Adriana Tobar 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 Adriana Tobar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adriana Tobar reassigns Medicare benefits to 5 organizations: The Board Of Trustees Of The University Of Illinois (South Beloit, IL), Aurora Medical Group, Inc. (West Allis, WI), Vedic Roots Integrative Medicine Inc (Rockford, IL), Lakeshore Medical Clinic Ltd (South Milwaukee, WI) and Aurora Advanced Healthcare, Inc. (Milwaukee, WI). 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 Adriana Tobar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Adriana Tobar accept?
Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and UnitedHealthcare list Adriana Tobar 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 Adriana Tobar was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Adriana Tobar, MD · NPI 1609821826
Family Medicine physician in Elkhorn, Wisconsin. Individual provider, active in the CMS NPPES registry since May 24, 2006.
## Identity
- **NPI:** 1609821826 (Entity type: Individual)
- **Enumerated:** May 24, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 53420-020 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 E MORRISSY DR, Elkhorn, WI 53121-4395
- **Phone:** (262) 741-1900
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): The Board Of Trustees Of The University Of Illinois (NPI 1871905190, South Beloit, IL); Aurora Medical Group, Inc. (NPI 1457592735, West Allis, WI); Vedic Roots Integrative Medicine Inc (NPI 1124958632, Rockford, IL); Lakeshore Medical Clinic Ltd (NPI 1174851893, South Milwaukee, WI); Aurora Advanced Healthcare, Inc. (NPI 1265629133, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** January 24, 2025
- **Other identifiers:** Medicaid 82888900 (WI); Medicaid 1609821826 (WI); Other 60974 (WI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1609821826) · Data from the CMS NPPES public registry.