DR. KENNETH P TOLER JR. M.D.
NPI 1841295573
Ophthalmology in Jackson, MS

Q: What is Kenneth Toler's NPI number?

The NPI number for Kenneth Toler is 1841295573. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Q: What is Kenneth Toler's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Toler was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment

68.81/100

CMS Quality Rating

1200 N STATE ST, STE 330, JACKSON, MS 39202(601) 353-2020(601) 714-5110 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2019, Dec 6, 2018 (2 updates tracked since 2018).

On this page

About Dr. Kenneth P Toler Jr. M.d. NPPES

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

DR. KENNETH P TOLER JR. M.D. (NPI 1841295573) is an individual ophthalmology provider in Jackson, Mississippi, licensed in Mississippi (13218) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Neshoba County General Hospital, and is a graduate of University Of Mississippi School Of Medicine (1991).

NPPES Registry Identity

NPI1841295573

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. KENNETH P TOLER JR.Credential: M.D.

Location Address1200 N STATE ST, STE 330Jackson, MS 39202-2027

Mailing Address1200 N State St, Ste 330Jackson, MS 39202-2027 · (601) 353-2020 · Fax (601) 714-5110

Phone(601) 353-2020

Fax(601) 714-5110

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1991

Enumeration DateJune 17, 2005

Last NPPES UpdateMarch 18, 20192 updates tracked since enumeration

✔ NPI 1841295573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MS · 13218

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1200 N STATE ST, Jackson, MS 39202

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Other Identifiers 2

Medicaid009976275AL

Medicaid00115308MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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 and accepts Medicare assignment

Dr. Kenneth P Toler Jr. 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 ID4587552997

PECOS Enrollment IDI20040309000401

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 11

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

975 services840 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

472 services289 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

444 services193 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

239 services239 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

211 services134 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

147 services146 patients

Hospital Affiliations CMS Care Compare 2

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

Neshoba County General Hospital

Acute Care Hospitals · Philadelphia, MS

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250043

Location1001 Holland AvenuePhiladelphia, MS 39350 · Neshoba County

Emergency services

S E Lackey Memorial Hospital

Critical Access Hospitals · Forest, MS

OwnershipVoluntary non-profit - Private

CMS Certification Number251300

Location330 N Broad StreetForest, MS 39074 · Scott County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39202 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

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.

68.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.84

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

5 suppliers23 claims23 services$65.76 avg. paid by Medicare

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303

Other-Vision, Hearing, and Speech Services · category OC000N

4 suppliers11 claims18 services$57.67 avg. paid by Medicare

U-v lens, per lens V2755

Other-Vision, Hearing, and Speech Services · category OC000N

3 suppliers11 claims18 services$13.27 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC.

Neuromusculoskeletal Medicine & OMM

1200 N STATE ST, SUITE 420
JACKSON, MS 39202

Hinds County (601) 355-3353

DR. REBECCA CHICK PACE M.D.

Internal Medicine

1200 N STATE ST, SUITE 500
JACKSON, MS 39202

Hinds County (601) 352-2273

CHRISTINA L BARLOW M.D.

Internal Medicine

1200 N STATE ST, SUITE 500
JACKSON, MS 39202

Hinds County (601) 352-2273

CHARLES DAVID HERRINGTON

Physical Therapist

1200 N STATE ST, SUITE 500
JACKSON, MS 39202

Hinds County (601) 352-2273

DR. RAJESH G PATEL MD

Specialist

1200 N STATE ST, SUITE 480
JACKSON, MS 39202

Hinds County (601) 352-2273

DR. KEVIN A HEINTZELMAN DO

Internal Medicine

1200 N STATE ST, SUITE 480
JACKSON, MS 39202

Hinds County (601) 352-2273

GINA BURKHEAD BURGE NP

Nurse Practitioner (Family)

1200 N STATE ST, SUITE 420
JACKSON, MS 39202

Hinds County (601) 355-3353

DR. BRET J BARRETT MD

Internal Medicine (Infectious Disease)

1200 N STATE ST, SUITE 500
JACKSON, MS 39202

Hinds County (601) 352-2273

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 Kenneth Toler's NPI number?

The NPI number for Kenneth Toler is 1841295573. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Kenneth Toler located?

Kenneth Toler practices at 1200 N State St Ste 330, Jackson, MS 39202. The listed phone number is (601) 353-2020.

What is Kenneth Toler's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kenneth Toler enrolled in Medicare?

Yes. Kenneth Toler 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 Kenneth Toler accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 6 other insurers list Kenneth Toler 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 Kenneth Toler affiliated with any hospitals?

According to CMS data, Kenneth Toler is affiliated with Neshoba County General Hospital and S E Lackey Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Toler was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.