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NICOLE SONDRA TONEY M.D.
NPI 1679791560
Emergency Medicine in Greenville, NC

Active since April 23, 2007PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
2100 STANTONSBURG RD, GREENVILLE, NC 27834(252) 744-4757(252) 744-5014 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2024, Dec 1, 2020, Feb 27, 2018 and 2 more (5 updates tracked since 2016).

About Nicole Sondra Toney M.d. NPPES

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

NICOLE SONDRA TONEY M.D. (NPI 1679791560) is an individual emergency medicine provider in Greenville, North Carolina, licensed in North Carolina (2017-01678) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of State University Of New York Downstate Medical Center (2003).

NPPES Registry Identity

NPI1679791560
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameNICOLE SONDRA TONEYCredential: M.D.
Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818
Mailing AddressPo Box 751069Charlotte, NC 28275-1069
Phone(252) 744-4757
Fax(252) 744-5014
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2003
Enumeration DateApril 23, 2007
Last NPPES UpdateMarch 8, 20245 updates tracked since enumeration
NPPES CertifiedMarch 8, 2024
✔ NPI 1679791560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 2017-01678
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedGeneral Acute Care Hospital · Critical AccessTaxonomy 282NC0060X · License 243162 (NY)
2100 STANTONSBURG RD, Greenville, NC 27834
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Other Names 1

Former Name (1)Nicole Sondra Johnson M.d.

Other Identifiers 3

Other19TBXNC · Bcbs Of Nc
Medicaid1679791560NC
OtherNN0138ANC · Medicare

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

Nicole Sondra Toney M.d. 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 ID1850489758
PECOS Enrollment IDI20171219000116
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
105 services104 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
78 services78 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

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.

KATHRYN M DONATO CRNA
Nurse Anesthetist, Certified Registered
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 847-4100
DR. STEPHEN ERIC GREGG M.D.
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-5262
DR. TYLER RICHARD FLEMING MD
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 847-4100
MARY CLAIRE CRON PA-C
Physician Assistant
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 816-2273
DR. SETH TYLER SCHIPINSKI DO
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-4611
BRIANNAE THEODORE
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-3229
SHELLEY ELIZABETH MATTHEWS
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (910) 298-3125
LEONARDO JOSE DIAZ GANDICA MD
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-5291

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 Nicole Toney's NPI number?

The NPI number for Nicole Toney is 1679791560. It was assigned to this individual provider in the NPPES registry on April 23, 2007. The provider is also known as Nicole Sondra Johnson M.D..

Where is Nicole Toney located?

Nicole Toney practices at 2100 Stantonsburg Rd, Greenville, NC 27834. The listed phone number is (252) 744-4757.

What is Nicole Toney's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicole Toney enrolled in Medicare?

Yes. Nicole Toney 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.

Is Nicole Toney affiliated with any hospitals?

According to CMS data, Nicole Toney is affiliated with Ecu Health Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Toney was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.