ADRIANA TOBAR MD
NPI 1609821826
Family Medicine in Elkhorn, WI

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
74.98/100
CMS Quality Rating
201 E MORRISSY DR, ELKHORN, WI 53121(262) 741-1900 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2021, Mar 2, 2018 (2 updates tracked since 2018).

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

NPI1609821826
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameADRIANA TOBARCredential: MD
Location Address201 E MORRISSY DRElkhorn, WI 53121-4395
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 24, 2006
Last NPPES UpdateJanuary 24, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
NPI 1609821826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WI · 53420-020 Licensed in IL · 036-115942
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
201 E MORRISSY DR, Elkhorn, WI 53121

Other Names 1

Other Name (5)Adriana Tobar Taylor Md

Secondary Practice Locations 3

Location 13505 N Bell School RdRockford, IL 61114-6624 · Phone (779) 696-0300
Location 23200 E Racine StJanesville, WI 53546-2343 · Phone (608) 371-8000 · Fax (608) 371-8938
Location 3360 Station Dr Ste 300ACrystal Lake, IL 60014-7978 · Phone (815) 788-7500 · Fax (815) 455-8044

Other Identifiers 3

Medicaid82888900WI
Medicaid1609821826WI
Other60974WI · Dean Health Insurance

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

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.

PECOS PAC ID1658375829
PECOS Enrollment IDI20091103000655
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 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.

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.
114 services111 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.
97 services97 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
49 services48 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
38 services38 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
19 services19 patients

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.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

74.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.92
Promoting Interoperability78
Improvement Activities40
Cost55.01

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims28 services$6.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
201 E MORRISSY DR
ELKHORN, WI 53121
Nurse Practitioner
201 E MORRISSY DR
ELKHORN, WI 53121
Audiologist
201 E MORRISSY DR
ELKHORN, WI 53121
Family Medicine
201 E MORRISSY DR
ELKHORN, WI 53121
Advanced Practice Midwife
201 E MORRISSY DR
ELKHORN, WI 53121
Otolaryngology
201 E MORRISSY DR
ELKHORN, WI 53121
Nurse Practitioner
201 E MORRISSY DR
ELKHORN, WI 53121
Nurse Practitioner
201 E MORRISSY DR
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.

What insurance does Adriana Tobar accept?

Health plans from Aspirus Health Plan and CareSource (Common Ground Healthcare) 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 18 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.