ALLEN TOLES MD
NPI 1821168964
Obstetrics & Gynecology - Gynecologic Oncology in Manhasset, NY

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
WOMEN'S COMP.HEALTH CENTER, 1554 NORTHERN BOULEVARD, MANHASSET, NY 11030(516) 390-9242 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Allen Toles Md NPPES

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

ALLEN TOLES MD (NPI 1821168964) is an individual gynecologic oncology provider in Manhasset, New York, licensed in New York (182403) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Meharry Medical College School Of Medicine (1986).

NPPES Registry Identity

NPI1821168964
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameALLEN TOLESCredential: MD
Location AddressWOMEN'S COMP.HEALTH CENTER, 1554 NORTHERN BOULEVARDManhasset, NY 11030
Mailing Address972 Brush Hollow RdWestbury, NY 11590-1740 · (516) 876-5555
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1986
Enumeration DateNovember 8, 2006
Last NPPES UpdateMarch 12, 2008
NPI 1821168964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License Licensed in NY · 182403
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 182403 (NY)
WOMEN'S COMP.HEALTH CENTER, Manhasset, NY 11030

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

Allen Toles Md 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 ID9234212440
PECOS Enrollment IDI20080212000167
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Allen Toles's NPI number?

The NPI number for Allen Toles is 1821168964. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Allen Toles located?

Allen Toles practices at Women's Comp.Health Center 1554 Northern Boulevard, Manhasset, NY 11030. The listed phone number is (516) 390-9242.

What is Allen Toles's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Allen Toles enrolled in Medicare?

Yes. Allen Toles 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 Allen Toles affiliated with any hospitals?

According to CMS data, Allen Toles is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Allen Toles was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.