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MRS. TONI LEE OSTMANN NP-C
NPI 1790224970
Nurse Practitioner - Family in Glen Carbon, IL

Active since February 21, 2017PECOS EnrolledAccepts Medicare Assignment
54.72/100
CMS Quality Rating
17 GINGER CREEK MDWS, GLEN CARBON, IL 62034(618) 656-9777 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2020, May 23, 2018, Feb 21, 2017 (3 updates tracked since 2017).

About Mrs. Toni Lee Ostmann Np-c NPPES

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

MRS. TONI LEE OSTMANN NP-C (NPI 1790224970) is an individual family provider in Glen Carbon, Illinois, licensed in Illinois (209015465) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790224970
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TONI LEE OSTMANNCredential: NP-C
Location Address17 GINGER CREEK MDWSGlen Carbon, IL 62034
Mailing Address26 Oak Valley DrMaryville, IL 62062-6473 · (618) 670-4055
Phone(618) 656-9777
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 21, 2017
Last NPPES UpdateOctober 7, 20203 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
✔ NPI 1790224970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IL · 209015465✔ Licensed in MO · 2017005258
Also ListedRegistered NurseTaxonomy 163W00000X · License 041415993 (IL), 2012038003 (MO)
17 GINGER CREEK MDWS, Glen Carbon, IL 62034
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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

Mrs. Toni Lee Ostmann Np-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 ID7012292733
PECOS Enrollment IDI20170327002116
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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62034 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

54.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.43
Promoting Interoperability0
Improvement Activities40
Cost84.97

Other Providers at the Same Location NPPES 4

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

UPTOWN EMERGENCY PHYSICIANS, LLP
Emergency Medicine
17 GINGER CREEK MDWS
GLEN CARBON, IL 62034
Madison County (618) 656-9777
ABIODUN SANGOSENI MD
Internal Medicine
17 GINGER CREEK MDWS
GLEN CARBON, IL 62034
Madison County (800) 968-6866
LEGATUS EMERGENCY SERVICES
Emergency Medicine
17 GINGER CREEK MDWS
GLEN CARBON, IL 62034
Madison County (618) 656-9777
CHRISTOPHER CRUZ MD
Emergency Medicine
17 GINGER CREEK MDWS
GLEN CARBON, IL 62034
Madison County (800) 968-6866

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 Toni Ostmann's NPI number?

The NPI number for Toni Ostmann is 1790224970. It was assigned to this individual provider in the NPPES registry on February 21, 2017.

Where is Toni Ostmann located?

Toni Ostmann practices at 17 Ginger Creek Mdws, Glen Carbon, IL 62034. The listed phone number is (618) 656-9777.

What is Toni Ostmann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Toni Ostmann enrolled in Medicare?

Yes. Toni Ostmann 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.

Is Toni Ostmann affiliated with any hospitals?

According to CMS data, Toni Ostmann is affiliated with Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Toni Ostmann was last updated on October 7, 2020. 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.