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DR. JORGE ENRIQUE TOLOSA MD, MSCE
NPI 1699780106
Obstetrics & Gynecology - Maternal & Fetal Medicine in Fountain Hill, PA

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
701 OSTRUM ST STE 303, FOUNTAIN HILL, PA 18015(503) 494-2101(866) 410-7401 Get Directions Write a Review

NPPES record last updated: June 5, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2020, Aug 10, 2018 (2 updates tracked since 2018).

About Dr. Jorge Enrique Tolosa Md, Msce NPPES

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

DR. JORGE ENRIQUE TOLOSA MD, MSCE (NPI 1699780106) is an individual maternal & fetal medicine provider in Fountain Hill, Pennsylvania, licensed in Pennsylvania (MD065192L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1699780106
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameDR. JORGE ENRIQUE TOLOSACredential: MD, MSCE
Location Address701 OSTRUM ST STE 303Fountain Hill, PA 18015
Mailing Address701 Ostrum St Ste 303Fountain Hill, PA 18015-1152 · (484) 526-3900 · Fax (866) 410-7401
Phone(503) 494-2101
Fax(866) 410-7401
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJuly 31, 2006
Last NPPES UpdateJune 5, 20202 updates tracked since enumeration
NPPES CertifiedJune 5, 2020
✔ NPI 1699780106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses✔ Licensed in PA · MD065192L✔ Licensed in OR · MD25459✔ Licensed in WA · MD00048485
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD25459 (OR), MD00048485 (WA)
701 OSTRUM ST STE 303, Fountain Hill, PA 18015
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Secondary Practice Location 1

Location 13181 Sam Jackson Park Rd, L468Portland, OR 97239-9723 · Phone (503) 418-4200 · Fax (503) 494-4473

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.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

Dr. Jorge Enrique Tolosa Md, Msce 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 ID3072575281
PECOS Enrollment IDI20041101000014, I20041221000398
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

5

Medicare enrollment records show Jorge Tolosa reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Physician Group, Inc.
Same address
Maternal & Fetal Medicine
701 OSTRUM ST, SUITE 303
Fountain Hill, PA 18015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1003867623 (484) 526-3900
Star Community Health, Inc
1.1 mi
General Practice
511 E 3RD ST STE 202
Bethlehem, PA 18015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 318 clinicians in this Medicare group
NPI 1033686159 (484) 526-4700
University Professional Services
2,381 mi
Multi-Specialty
2858 EBERLEIN AVE
Klamath Falls, OR 97603
  • Reassigned Medicare billing, Oregon enrollment
  • 2,212 clinicians in this Medicare group
NPI 1659605707 (503) 494-9000
Tuality Medical Group LLC
2,397 mi
Neurology
364 SE 8TH AVE STE 101
Hillsboro, OR 97123
  • Reassigned Medicare billing, Oregon enrollment
  • 691 clinicians in this Medicare group
NPI 1639690704 (503) 681-1000
Tuality Healthcare
2,397 mi
Psychiatric Hospital
335 SE 8TH AVE
Hillsboro, OR 97123
  • Reassigned Medicare billing, Oregon enrollment
  • 185 clinicians in this Medicare group
NPI 1073817714 (503) 681-1111

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 18015 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 9

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

ALEXIA L RENNA CRNP
Nurse Practitioner
701 OSTRUM ST STE 303
FOUNTAIN HILL, PA 18015
Northampton County (484) 503-1018
DR. MIA ANNALISE HEILIGENSTEIN M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
701 OSTRUM ST STE 303
FOUNTAIN HILL, PA 18015
Northampton County (608) 335-7556
MS. MELODY JEANNE LINDNER RDN, LDN
Dietitian, Registered
701 OSTRUM ST STE 303
FOUNTAIN HILL, PA 18015
Northampton County (484) 526-3900
JUANITA KANESS CRNP,RN
Nurse Practitioner
701 OSTRUM ST STE 303
FOUNTAIN HILL, PA 18015
Northampton County (484) 526-3900
ALMA IRIS CRUZ CRNP
Nurse Practitioner (Family)
701 OSTRUM ST STE 303
FOUNTAIN HILL, PA 18015
Northampton County (484) 526-3900
BRIANNA MARIE SMITH RD, MS
Dietitian, Registered
701 OSTRUM ST STE 303
FOUNTAIN HILL, PA 18015
Northampton County (484) 526-3900
DR. HANNAH BROTZMAN ANASTASIO MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
701 OSTRUM ST STE 303
FOUNTAIN HILL, PA 18015
Northampton County (484) 526-3900
MELISSA KERSHNER LENIHAN MS
Genetic Counselor, MS
701 OSTRUM ST STE 303
FOUNTAIN HILL, PA 18015
Northampton County (484) 526-3900

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 Jorge Tolosa's NPI number?

The NPI number for Jorge Tolosa is 1699780106. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Jorge Tolosa located?

Jorge Tolosa practices at 701 Ostrum St Ste 303, Fountain Hill, PA 18015. The listed phone number is (503) 494-2101.

What is Jorge Tolosa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Jorge Tolosa enrolled in Medicare?

Yes. Jorge Tolosa 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 Jorge Tolosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jorge Tolosa reassigns Medicare benefits to 5 organizations: St. Luke's Physician Group, Inc. (Fountain Hill, PA), Star Community Health, Inc (Bethlehem, PA), University Professional Services (Klamath Falls, OR), Tuality Medical Group LLC (Hillsboro, OR) and Tuality Healthcare (Hillsboro, OR). 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 Jorge Tolosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jorge Tolosa accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Jorge Tolosa 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 Jorge Tolosa was last updated on June 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.