Official registry information on file with the National Plan and Provider Enumeration System.
JOSEPH A TONNER M.D. (NPI 1629044086) is an individual pulmonary disease provider in Gainesville, Florida, licensed in Florida (ME43168) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
NPI1629044086
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJOSEPH A TONNERCredential: M.D.
Location Address4343 W NEWBERRY RD STE 6Gainesville, FL 32607-2824
Licenses✔ Licensed in FL · ME43168✔ Licensed in FL · ME0043168
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Joseph A Tonner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32607 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51(range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79(range $4.39 – $34.79)
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.
77.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality
57.57
Promoting Interoperability
87
Improvement Activities
40
Cost
77.24
Reported Quality Measures
Breast Cancer Screening
0%60 patients★★★★★1/55-star benchmark: 93%
Cervical Cancer Screening
0%22 patients★★★★★1/55-star benchmark: 98%
Colorectal Cancer Screening
2%108 patients★★★★★1/55-star benchmark: 88%
Controlling High Blood Pressure
87%78 patients★★★★★4/55-star benchmark: 91%
Diabetes: Eye Exam
0%25 patients★★★★★1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
67%24 patients★★★★★2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%216 patients★★★★★4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
32%155 patients★★★★★2/55-star benchmark: 100%
HIV Screening
0%58 patients★★★★★1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
63%205 patients★★★★★3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%182 patients★★★★★1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%104 patients★★★★★3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 27% · 203 patients
26%203 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
71%94 patients★★★★★3/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
Referred Medical Equipment & Supplies CMS DME claims35
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers93 claims93 services$40.61 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
9 suppliers133 claims272 services$1.41 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
2 suppliers19 claims38 services$1.16 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
6 suppliers20 claims20 services$13.17 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
16 suppliers287 claims288 services$92.60 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
15 suppliers284 claims817 services$35.88 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
15 suppliers189 claims1,097 services$21.38 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
11 suppliers112 claims640 services$14.47 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
19 suppliers333 claims333 services$59.77 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
19 suppliers353 claims353 services$18.76 avg. paid by Medicare
Chinstrap used with positive airway pressure device A7036
DME-Other DME · category DE001N
7 suppliers46 claims46 services$9.89 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
22 suppliers493 claims494 services$15.75 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
24 suppliers591 claims3,497 services$2.39 avg. paid by Medicare
Filter, non disposable, used with positive airway pressure device A7039
DME-Other DME · category DE001N
17 suppliers232 claims232 services$6.65 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
19 suppliers261 claims261 services$12.29 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
12 suppliers187 claims187 services$17.77 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier31 claims31 services$911.67 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
5 suppliers77 claims77 services$87.50 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
10 suppliers34 claims34 services$148.07 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
3 suppliers32 claims32 services$12.98 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
7 suppliers151 claims151 services$5.83 avg. paid by Medicare
14 suppliers443 claims462 services$34.86 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
23 suppliers867 claims868 services$92.43 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
12 suppliers493 claims493 services$33.45 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary G0333
DME-Other DME · category DE000N
3 suppliers13 claims13 services$45.14 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
4 suppliers81 claims4,830 services$4.56 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
2 suppliers23 claims1,380 services$6.52 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
12 suppliers59 claims10,069 services$0.03 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
26 suppliers249 claims30,678 services$0.09 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
13 suppliers263 claims15,652 services$0.77 avg. paid by Medicare
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644
DME-Drugs Administered Through DME · category DG006N
4 suppliers22 claims1,247 services$0.16 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
5 suppliers30 claims30 services$34.97 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier17 claims17 services$138.39 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
30 suppliers371 claims371 services$24.63 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 90 days Q0514
DME-Other DME · category DE000N
10 suppliers17 claims17 services$52.11 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Joseph Tonner's NPI number?
The NPI number for Joseph Tonner is 1629044086. It was assigned to this individual provider in the NPPES registry on February 27, 2006.
Where is Joseph Tonner located?
Joseph Tonner practices at 4343 W Newberry Rd Ste 6, Gainesville, FL 32607. The listed phone number is (352) 416-1082.
What is Joseph Tonner's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Joseph Tonner enrolled in Medicare?
Yes. Joseph Tonner is registered in the Medicare PECOS enrollment system.
What insurance does Joseph Tonner accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Joseph Tonner 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 Joseph Tonner was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Joseph A Tonner, M.D. · NPI 1629044086
Pulmonary Disease physician in Gainesville, Florida. Individual provider, active in the CMS NPPES registry since February 27, 2006.
## Identity
- **NPI:** 1629044086 (Entity type: Individual)
- **Enumerated:** February 27, 2006
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** ME43168 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4343 W NEWBERRY RD STE 6, Gainesville, FL 32607-2824
- **Phone:** (352) 416-1082 · **Fax:** (352) 373-6144
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 6, 2019
- **Other identifiers:** Medicaid 045317000 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1629044086) · Data from the CMS NPPES public registry.