DR. KENNETH P TOLER JR. M.D.
NPI 1841295573
Ophthalmology in Jackson, MS
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 maintains a secondary practice location in Jackson.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Toler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, MS 39110
- Reassigned Medicare billing, Mississippi enrollment
- 13 clinicians in this Medicare group
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 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.
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, MSS E Lackey Memorial Hospital
Critical Access Hospitals · Forest, MSPhysician 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.
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.
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.
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.
JACKSON, MS 39202
JACKSON, MS 39202
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.
Which organization bills Medicare for Kenneth Toler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Toler reassigns Medicare benefits to Jackson Eye Associates PLLC (Madison, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Toler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Toler accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 11 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.
# Dr. Kenneth P Toler Jr., M.D. · NPI 1841295573
Ophthalmology physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since June 17, 2005.
## Identity
- **NPI:** 1841295573 (Entity type: Individual)
- **Enumerated:** June 17, 2005
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 13218 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N STATE ST, STE 330, Jackson, MS 39202-2027
- **Phone:** (601) 353-2020 · **Fax:** (601) 714-5110
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Jackson Eye Associates PLLC (NPI 1164428868, Madison, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 1991
## Record status
- **NPPES last updated:** March 18, 2019
- **Other identifiers:** Medicaid 009976275 (AL); Medicaid 00115308 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1841295573) · Data from the CMS NPPES public registry.