ADAM J TOOMEY PA-C
NPI 1710312467
Physician Assistant in Kalamazoo, MI

Active since September 12, 2013PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
6565 W MAIN ST, KALAMAZOO, MI 49009(269) 375-0400(269) 372-8478 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2021, Dec 30, 2020 (2 updates tracked since 2020).

About Adam J Toomey Pa-c NPPES

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

ADAM J TOOMEY PA-C (NPI 1710312467) is an individual physician assistant in Kalamazoo, Michigan, licensed in Michigan (5601006753) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1710312467
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameADAM J TOOMEYCredential: PA-C
Location Address6565 W MAIN STKalamazoo, MI 49009-6114
Mailing Address6565 W Main StKalamazoo, MI 49009-6114 · (269) 375-0400 · Fax (269) 372-8478
Fax(269) 372-8478
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 12, 2013
Last NPPES UpdateJanuary 8, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2021
NPI 1710312467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601006753
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6565 W MAIN ST, Kalamazoo, MI 49009

Accepted 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

Adam J Toomey Pa-c 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 ID2567693427
PECOS Enrollment IDI20140410000497
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

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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49009 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $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.

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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

Other Providers at the Same Location NPPES 19

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

Physical Medicine & Rehabilitation
6565 W MAIN ST
KALAMAZOO, MI 49009
Family Medicine
6565 W MAIN ST
KALAMAZOO, MI 49009
Family Medicine
6565 W MAIN ST
KALAMAZOO, MI 49009
Orthopaedic Surgery
6565 W MAIN ST, SUITE 235
KALAMAZOO, MI 49009
Family Medicine
6565 W MAIN ST
KALAMAZOO, MI 49009
Family Medicine
6565 W MAIN ST
KALAMAZOO, MI 49009
Family Medicine
6565 W MAIN ST
KALAMAZOO, MI 49009
Family Medicine
6565 W MAIN ST
KALAMAZOO, MI 49009

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 Adam Toomey's NPI number?

The NPI number for Adam Toomey is 1710312467. It was assigned to this individual provider in the NPPES registry on September 12, 2013.

Where is Adam Toomey located?

Adam Toomey practices at 6565 W Main St, Kalamazoo, MI 49009. The listed phone number is (269) 375-0400.

What is Adam Toomey's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Adam Toomey enrolled in Medicare?

Yes. Adam Toomey 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 Adam Toomey accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Adam Toomey 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 Adam Toomey affiliated with any hospitals?

According to CMS data, Adam Toomey is affiliated with Bronson Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Adam Toomey was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.