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CONICKA M TONEY PA-C
NPI 1770229551
Physician Assistant in Detroit, MI

Active since May 05, 2022PECOS Enrolled
93.62/100
CMS Quality Rating
4000 W MCNICHOLS RD, DETROIT, MI 48221(313) 578-0438 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 10, 2023, May 5, 2022 (2 updates tracked since 2022).

About Conicka M Toney Pa-c NPPES

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

CONICKA M TONEY PA-C (NPI 1770229551) is an individual physician assistant in Detroit, Michigan and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770229551
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCONICKA M TONEYCredential: PA-C
Location Address4000 W MCNICHOLS RDDetroit, MI 48221-3039
Mailing Address4000 W Mcnichols RdDetroit, MI 48221-3039 · (313) 578-0438
Phone(313) 578-0438
Sole ProprietorNo
Enumeration DateMay 5, 2022
Last NPPES UpdateMay 10, 20232 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1770229551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
4000 W MCNICHOLS RD, Detroit, MI 48221
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, McLaren Health Plan Community, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conicka M Toney Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48221 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

93.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.81
Promoting Interoperability100
Improvement Activities40
Cost82.06

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 Conicka Toney's NPI number?

The NPI number for Conicka Toney is 1770229551. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Where is Conicka Toney located?

Conicka Toney practices at 4000 W Mcnichols Rd, Detroit, MI 48221. The listed phone number is (313) 578-0438.

What is Conicka Toney's specialty?

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

Is Conicka Toney enrolled in Medicare?

Yes. Conicka Toney is registered in the Medicare PECOS enrollment system.

What insurance does Conicka Toney accept?

Health plans from AvMed, McLaren Health Plan Community, Oscar Health Maintenance Organization of Florida, Priority Health and UnitedHealthcare list Conicka Toney 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 Conicka Toney was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.