MARIO TOVAR MD
NPI 1619612975
Emergency Medicine in Iowa City, IA
About Mario Tovar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIO TOVAR MD (NPI 1619612975) is an individual emergency medicine provider in Iowa City, Iowa, licensed in Iowa (MD-55084) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center - Cedar Rapids, and maintains a secondary practice location in North Liberty.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mario Tovar 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
2Medicare enrollment records show Mario Tovar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Iowa City, IA 52242
- Reassigned Medicare billing, Iowa enrollment
- 2,190 clinicians in this Medicare group
Cedar Rapids, IA 52403
- Reassigned Medicare billing, Iowa enrollment
- 51 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Center - Cedar Rapids
Acute Care Hospitals · Cedar Rapids, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 52242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
IOWA CITY, IA 52242
IOWA CITY, IA 52242
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 Mario Tovar's NPI number?
The NPI number for Mario Tovar is 1619612975. It was assigned to this individual provider in the NPPES registry on May 2, 2022.
Where is Mario Tovar located?
Mario Tovar practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-2233.
What is Mario Tovar's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Mario Tovar enrolled in Medicare?
Yes. Mario Tovar 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 Mario Tovar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mario Tovar reassigns Medicare benefits to 2 organizations: State University Of Iowa (Iowa City, IA) and Linn County Emergency Medicine PC (Cedar Rapids, IA). 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 Mario Tovar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mario Tovar accept?
Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Mario Tovar 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 Mario Tovar affiliated with any hospitals?
According to CMS data, Mario Tovar is affiliated with Mercy Medical Center - Cedar Rapids.
When was this NPI record last updated?
The NPPES record for Mario Tovar was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mario Tovar, MD · NPI 1619612975
Emergency Medicine physician in Iowa City, Iowa. Individual provider, active in the CMS NPPES registry since May 2, 2022.
## Identity
- **NPI:** 1619612975 (Entity type: Individual)
- **Enumerated:** May 2, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD-55084 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 HAWKINS DR, Iowa City, IA 52242-1009
- **Phone:** (319) 356-2233 · **Fax:** (319) 353-7006
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): State University Of Iowa (NPI 1114905387, Iowa City, IA); Linn County Emergency Medicine PC (NPI 1679521124, Cedar Rapids, IA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Texas A & M University System, Hsc, College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** August 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619612975) · Data from the CMS NPPES public registry.