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DR. PHYLLIS B. TOON M.D.
NPI 1629058854
Obstetrics & Gynecology in Boca Raton, FL

Active since January 23, 2006PECOS Enrolled
100/100
CMS Quality Rating
899 MEADOWS RD, 302, BOCA RATON, FL 33486(561) 368-0233(561) 368-7244 Get Directions Write a Review

NPPES record last updated: May 17, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Phyllis B. Toon M.d. NPPES

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

DR. PHYLLIS B. TOON M.D. (NPI 1629058854) is an individual obstetrics & gynecology provider in Boca Raton, Florida, licensed in Florida (ME0043706) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629058854
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. PHYLLIS B. TOONCredential: M.D.
Location Address899 MEADOWS RD, 302Boca Raton, FL 33486-2338
Mailing Address899 Meadows Rd, 302Boca Raton, FL 33486-2338 · (561) 368-0233 · Fax (561) 368-7244
Phone(561) 368-0233
Fax(561) 368-7244
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateMay 17, 2012
✔ NPI 1629058854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME0043706
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
899 MEADOWS RD, Boca Raton, FL 33486
Open in Google Maps ↗

Other Identifiers 5

Medicaid064829900FL
Medicare UPIND50517FL
Other02442FL · Bcbs
Medicare ID-Type Unspecified02442ZFL
Other160019882FL · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Phyllis B. Toon 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Phyllis Toon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ob Hospitalist Group LLC
0.1 mi
Obstetrics & Gynecology
800 MEADOWS RD
Boca Raton, FL 33486
  • Reassigned Medicare billing, Florida enrollment
  • 683 clinicians in this Medicare group
NPI 1710647334 (864) 908-3530
Dhp Of Manatee PA
27 mi
Obstetrics & Gynecology
901 45TH ST
Mangonia Park, FL 33407
  • Reassigned Medicare billing, Florida enrollment
  • 237 clinicians in this Medicare group
NPI 1134771611 (561) 844-6300
Women's Care Florida LLC
185 mi
Obstetrics & Gynecology
4030 W BOY SCOUT BLVD STE 800
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Womens Care Florida LLC
  • 679 clinicians in this Medicare group
NPI 1013902923 (813) 286-0333
Womens' Health Hospitalists, LLC
185 mi
Obstetrics & Gynecology
4030 W BOY SCOUT BLVD STE 800
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 619 clinicians in this Medicare group
NPI 1205295599 (813) 286-0333

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 33486 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
95%704 patients5/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
97%844 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%2,338 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%139 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
84%1,499 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
73%1,387 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 1,237 patients
Patients tobacco: 19% · 27 patients
97%1,236 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,499 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
67%1,499 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
63%1,499 patients
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOCA DETOX CENTER LLC
Substance Abuse Rehabilitation Facility
899 MEADOWS RD, SUITE100
BOCA RATON, FL 33486
Palm Beach County (561) 921-4769
FLORIDA WOMAN CARE, LLC
Obstetrics & Gynecology
899 MEADOWS RD, SUITE 302
BOCA RATON, FL 33486
Palm Beach County (561) 368-0233
TOON & BATASKOV, M.D., P.A.
Obstetrics & Gynecology
899 MEADOWS RD, 302
BOCA RATON, FL 33486
Palm Beach County (561) 368-0233
AUREA R TOMESKI MD PA
Internal Medicine
899 MEADOWS RD, SUITE 201
BOCA RATON, FL 33486
Palm Beach County (561) 392-6226

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 Phyllis Toon's NPI number?

The NPI number for Phyllis Toon is 1629058854. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Phyllis Toon located?

Phyllis Toon practices at 899 Meadows Rd 302, Boca Raton, FL 33486. The listed phone number is (561) 368-0233.

What is Phyllis Toon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Phyllis Toon enrolled in Medicare?

Yes. Phyllis Toon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Phyllis Toon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phyllis Toon reassigns Medicare benefits to 4 organizations: Ob Hospitalist Group LLC (Boca Raton, FL), Dhp Of Manatee PA (Mangonia Park, FL), Women's Care Florida LLC (Tampa, FL) and Womens' Health Hospitalists, LLC (Tampa, FL). 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 Phyllis Toon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phyllis Toon accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Phyllis Toon 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 Phyllis Toon was last updated on May 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.