SCOTT WILLIAM TOLAN M.D.
NPI 1821313610
Internal Medicine - Interventional Cardiology in Kyle, TX

Q: What is Scott Tolan's NPI number?

The NPI number for Scott Tolan is 1821313610. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Q: What is Scott Tolan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Scott Tolan was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 April 05, 2010PECOS EnrolledAccepts Medicare Assignment

1180 SETON PKWY STE 450, KYLE, TX 78640(512) 324-1000(512) 406-6513 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2025, May 24, 2022, Sep 24, 2020 (3 updates tracked since 2020).

On this page

About Scott William Tolan M.d. NPPES

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

SCOTT WILLIAM TOLAN M.D. (NPI 1821313610) is an individual interventional cardiology provider in Kyle, Texas, licensed in Texas (Q1920) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1821313610

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameSCOTT WILLIAM TOLANCredential: M.D.

Location Address1180 SETON PKWY STE 450Kyle, TX 78640-6178

Mailing Address1004 W 32nd St Ste 300Austin, TX 78705-1917 · (512) 324-1000 · Fax (512) 406-6513

Phone(512) 324-1000

Fax(512) 406-6513

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 5, 2010

Last NPPES UpdateApril 8, 20253 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1821313610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in TX · Q1920

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License Q1920 (TX)

Also ListedPediatricsTaxonomy 208000000X · License Q1920 (TX)

1180 SETON PKWY STE 450, Kyle, TX 78640

Open in Google Maps ↗

Other Identifiers 2

Medicaid345412601TX

Medicaid345412602TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott William Tolan 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 ID3678890449

PECOS Enrollment IDI20150317000528

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.

Medicare Billing Reassignments

Medicare enrollment records show Scott Tolan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Seton Family Of Doctors

0.1 mi

Neurological Surgery

6001 KYLE PKWY
Kyle, TX 78640

Reassigned Medicare billing, Texas enrollment
1,188 clinicians in this Medicare group

NPI 1730412388 (512) 324-8300

Dell Children's Medical Group

22 mi

Pediatrics

1301 BARBARA JORDAN BLVD STE 200
Austin, TX 78723

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Dell Childrens Medical Group
576 clinicians in this Medicare group

NPI 1326072943 (512) 628-1800

Aco Jason Martin Medical Consulting

26 mi

Internal Medicine

208 BELLA COLINAS DR
Austin, TX 78738

Reassigned Medicare billing, Texas enrollment
75 clinicians in this Medicare group

NPI 1881578961 (512) 234-4685

Jason Martin Medical Consulting LLC

26 mi

General Practice

208 BELLA COLINAS DR
Austin, TX 78738

Reassigned Medicare billing, Texas enrollment
111 clinicians in this Medicare group

NPI 1851736243 (512) 840-1158

University Of Texas Health Science Center At San Antonio

53 mi

Diagnostic Radiology

25753 OLD FREDERICKSBURG
Boerne, TX 78015

Reassigned Medicare billing, Texas enrollment
2,397 clinicians in this Medicare group

NPI 1417921834 (210) 450-9000

Hospitalist Medicine Physicians Of Texas, PLLC

154 mi

Internal Medicine

18951 N MEMORIAL DR
Humble, TX 77338

Reassigned Medicare billing, Texas enrollment
2,009 clinicians in this Medicare group

NPI 1629307095 (281) 540-7700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

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.

235 services94 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

84 services84 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

80 services46 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

64 services60 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

55 services30 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.

52 services52 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

47 services42 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

46 services29 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

33 services32 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

32 services26 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

19 services18 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

19 services18 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

19 services18 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

17 services11 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

14 services13 patients

Insertion of tube in right heart chambers for measurement 93451

This procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.

12 services12 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

12 services12 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450056

Location1201 W 38th StAustin, TX 78705 · Travis County

Emergency services Birthing friendly

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450124

Location601 E 15th StreetAustin, TX 78701 · Travis County

Ascension Seton Edgar B Davis

Critical Access Hospitals · Luling, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451371

Location130 Hays StreetLuling, TX 78648 · Caldwell County

Emergency services

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670056

Location6001 Kyle PkwyKyle, TX 78640 · Hays County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78640 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%138 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

WILLIAM SHAW HUNTER APRN

Nurse Practitioner (Family)