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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PAUL PLEZ TINSLEY M.D.
NPI 1689669707
Otolaryngology in Toledo, OH

Active since September 14, 2005PECOS Enrolled
2213 CHERRY ST, TOLEDO, OH 43608(419) 251-1020(419) 251-1021 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, Mar 12, 2026, Sep 14, 2016 (3 updates tracked since 2016).

About Dr. Paul Plez Tinsley M.d. NPPES

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

DR. PAUL PLEZ TINSLEY M.D. (NPI 1689669707) is an individual otolaryngology provider in Toledo, Ohio, licensed in Ohio (35C.004293) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689669707
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. PAUL PLEZ TINSLEYCredential: M.D.
Location Address2213 CHERRY STToledo, OH 43608-2603
Mailing Address571 Saint Josephs Blvd, 2nd FloorElmira, NY 14901-3230 · (607) 271-2050
Phone(419) 251-1020
Fax(419) 251-1021
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateSeptember 14, 2005
Last NPPES UpdateAugust 7, 20263 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1689669707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in OH · 35C.004293✔ Licensed in MS · 08056
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License 08056 (MS)
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License MD053253L (PA)
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License 08056 (MS)
Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License 153582 (NY), 08056 (MS)
2213 CHERRY ST, Toledo, OH 43608
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 John Roemmelt Dr, SUITE 200Horseheads, NY 14845-8301 · Phone (607) 795-2850 · Fax (607) 795-1205
Location 2924 Colonial Ave Ste EYork, PA 17403-3450 · Phone (717) 843-9089

Other Identifiers 4

Medicaid07955361MS
Other009932725Medicaid Of Al
Other73104019Blue Cross Of Al
Medicaid01510443NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Paul Plez Tinsley 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 ID4183716301
PECOS Enrollment IDI20070817000300, I20200121002007
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 6

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.
85 services66 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
67 services67 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.
62 services53 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.
36 services36 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
31 services30 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43608 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

JENNIFER DAWN TROST NNP
Nurse Practitioner (Neonatal)
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-4360
ROCIO CROSBY CNP
Nurse Practitioner (Family)
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-2878
JACOBY JACOBSEN D.O.
Orthopaedic Surgery
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-6596
DR. NIZHONI W DENIPAH M.D.
Otolaryngology
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-1020
JANILLE ANN BLAYLOCK APRN, NP-C
Nurse Practitioner (Family)
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 696-5555
NEW CENTURY MEDICAL OBSERVATION SERVICES OF LUCAS COUNTY, INC
Emergency Medicine
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-3232
DR. ANTHONY JOSEPH DOLNEY MD
Emergency Medicine
2213 CHERRY ST, ACC TRAUMA CLINIC
TOLEDO, OH 43608
Lucas County (419) 251-4724
GREGORY HALSTEAD CRNA
Nurse Anesthetist, Certified Registered
2213 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-4524

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 Paul Tinsley's NPI number?

The NPI number for Paul Tinsley is 1689669707. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Paul Tinsley located?

Paul Tinsley practices at 2213 Cherry St, Toledo, OH 43608. The listed phone number is (419) 251-1020.

What is Paul Tinsley's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Paul Tinsley enrolled in Medicare?

Yes. Paul Tinsley 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 Paul Tinsley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Paul Tinsley 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 Paul Tinsley affiliated with any hospitals?

According to CMS data, Paul Tinsley is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, United Health Services Hospitals, Inc and Wellspan York Hospital.

When was this NPI record last updated?

The NPPES record for Paul Tinsley was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.