GALINA TONEVA M.D.
NPI 1841637766
Surgery - Surgical Critical Care in Houston, TX

Q: What is Galina Toneva's NPI number?

The NPI number for Galina Toneva is 1841637766. It was assigned to this individual provider in the NPPES registry on June 1, 2013.

Q: What is Galina Toneva's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Q: When was this NPI record last updated?

The NPPES record for Galina Toneva was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 01, 2013PECOS EnrolledAccepts Medicare Assignment

91.34/100

CMS Quality Rating

7200 CAMBRIDGE ST FL 10, HOUSTON, TX 77030(713) 798-7911 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 5, 2022, Aug 19, 2021 (2 updates tracked since 2021).

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About Galina Toneva M.d. NPPES

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

GALINA TONEVA M.D. (NPI 1841637766) is an individual surgical critical care provider in Houston, Texas, licensed in Texas (R5482) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1841637766

Entity TypeIndividualFemale

Primary Taxonomy2086S0102X

Provider Legal NameGALINA TONEVACredential: M.D.

Location Address7200 CAMBRIDGE ST FL 10Houston, TX 77030-4202

Mailing Address33 Greensward LnSugar Land, TX 77479-2504 · (913) 568-2259

Phone(713) 798-7911

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 1, 2013

Last NPPES UpdateSeptember 13, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2023

✔ NPI 1841637766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in TX · R5482

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License R5482 (TX)

Also ListedSurgeryTaxonomy 208600000X · License R5482 (TX), BP10046904 (TX)

7200 CAMBRIDGE ST FL 10, Houston, TX 77030

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Secondary Practice Location 1

Location 11 Baylor Plz Ste 404DHouston, TX 77030-3411 · Phone (713) 798-5302

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas 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

Galina Toneva 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 ID7416285622

PECOS Enrollment IDI20190827000639

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 2

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.

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.

45 services16 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.

33 services21 patients

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

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.

91.34/100

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

Scored through an Alternative Payment Model

Quality

81.64

Promoting Interoperability

89.13

Improvement Activities

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.

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