JAMES TONIOLO M.D.
NPI 1801815154
Radiology - Diagnostic Radiology in New Berlin, WI

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
2875 S 171ST ST, NEW BERLIN, WI 53151(262) 786-3107(262) 780-0442 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James Toniolo M.d. NPPES

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

JAMES TONIOLO M.D. (NPI 1801815154) is an individual diagnostic radiology provider in New Berlin, Wisconsin, licensed in Wisconsin (32695) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Memorial Hospital Burlington, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1801815154
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJAMES TONIOLOCredential: M.D.
Location Address2875 S 171ST STNew Berlin, WI 53151-3511
Mailing Address2875 S 171st StNew Berlin, WI 53151-3511 · (262) 786-3107 · Fax (262) 780-0442
Fax(262) 780-0442
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 18, 2006
Last NPPES UpdateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
NPI 1801815154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in WI · 32695
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2875 S 171ST ST, New Berlin, WI 53151

Other Identifiers 1

Medicaid31795800WI

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

James Toniolo M.d. 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 ID4486607249
PECOS Enrollment IDI20050222000441
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 43

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
658 services658 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
658 services658 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
503 services474 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
153 services150 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
135 services133 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
126 services126 patients

Hospital Affiliations CMS Care Compare 5

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

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520059
Location252 Mchenry StBurlington, WI 53105 · Racine County
Emergency services

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53151 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 13

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

Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Radiology (Diagnostic Radiology)
2875 S 171ST ST
NEW BERLIN, WI 53151
Durable Medical Equipment & Medical Supplies
2875 S 171ST ST
NEW BERLIN, WI 53151

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 James Toniolo's NPI number?

The NPI number for James Toniolo is 1801815154. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is James Toniolo located?

James Toniolo practices at 2875 S 171st St, New Berlin, WI 53151. The listed phone number is (262) 786-3107.

What is James Toniolo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is James Toniolo enrolled in Medicare?

Yes. James Toniolo 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 James Toniolo accept?

Health plans from CareSource (Common Ground Healthcare) list James Toniolo 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 James Toniolo affiliated with any hospitals?

According to CMS data, James Toniolo is affiliated with Aurora Memorial Hospital Burlington, Aurora St Lukes Medical Center, West Allis Memorial Hospital, Aurora Medical Center Kenosha and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for James Toniolo was last updated on November 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.