DOREEN TONER NP
NPI 1730628694
Nurse Practitioner in Bay City, MI

Q: What is Doreen Toner's NPI number?

The NPI number for Doreen Toner is 1730628694. It was assigned to this individual provider in the NPPES registry on February 13, 2017.

Q: What is Doreen Toner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Doreen Toner was last updated on May 4, 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.

Active since February 13, 2017PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

4121 SHRESTHA DR, BAY CITY, MI 48706(989) 686-6900(989) 686-6911 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2021, Feb 13, 2017 (2 updates tracked since 2017).

On this page

About Doreen Toner Np NPPES

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

DOREEN TONER NP (NPI 1730628694) is an individual nurse practitioner in Bay City, Michigan, licensed in Michigan (4704287732) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1730628694

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDOREEN TONERCredential: NP

Location Address4121 SHRESTHA DRBay City, MI 48706-2171

Mailing Address5555 Glenwood Hills Pkwy Se Ste 2Grand Rapids, MI 49512-2091 · (616) 940-2662 · Fax (616) 242-2512

Phone(989) 686-6900

Fax(989) 686-6911

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 13, 2017

Last NPPES UpdateMay 4, 20212 updates tracked since enumeration

NPPES CertifiedMay 4, 2021

✔ NPI 1730628694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704287732

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4121 SHRESTHA DR, Bay City, MI 48706

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.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

Doreen Toner Np 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 ID1658658331

PECOS Enrollment IDI20170505001327

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 10

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 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.

299 services69 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

191 services44 patients

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.

112 services91 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.

59 services59 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

49 services42 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

49 services42 patients

Hospital Affiliations CMS Care Compare 5

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230041

Location1900 Columbus AveBay City, MI 48708 · Bay County

Emergency services Birthing friendly

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230070

Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County

Emergency services Birthing friendly

Ascension St Mary's Hospital

Acute Care Hospitals · Saginaw, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230077

Location800 S Washington AvenueSaginaw, MI 48601 · Saginaw County

Emergency services

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230222

Location4000 Wellness DriveMidland, MI 48670 · Midland County

Birthing friendly

Saint Mary's Standish Community Hospital

Critical Access Hospitals · Standish, MI

OwnershipVoluntary non-profit - Church

CMS Certification Number231305

Location805 W Cedar StStandish, MI 48658 · Arenac County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48706 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

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 6

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

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