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DR. TOBY REID MARSHALL MD
NPI 1861400863
Obstetrics & Gynecology in Marianna, FL

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
76.02/100
CMS Quality Rating
4230 HOSPITAL DR STE 209, MARIANNA, FL 32446(850) 526-6711(850) 482-8108 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 28, 2026, Oct 9, 2025, Mar 26, 2025 and 6 more (9 updates tracked since 2016).

About Dr. Toby Reid Marshall Md NPPES

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

DR. TOBY REID MARSHALL MD (NPI 1861400863) is an individual obstetrics & gynecology provider in Marianna, Florida, licensed in Florida (ME134192) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Montana Hospital, and is a graduate of Creighton University School Of Medicine (1999).

NPPES Registry Identity

NPI1861400863
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. TOBY REID MARSHALLCredential: MD
Location Address4230 HOSPITAL DR STE 209Marianna, FL 32446-1955
Mailing Address4250 Hospital DrMarianna, FL 32446-1917 · (850) 526-2200
Phone(850) 526-6711
Fax(850) 482-8108
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1999
Enumeration DateAugust 4, 2006
Last NPPES UpdateJanuary 23, 20239 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
✔ NPI 1861400863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME134192
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4230 HOSPITAL DR STE 209, Marianna, FL 32446
Open in Google Maps ↗

Other Identifiers 1

OtherMD-38815IA · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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

Dr. Toby Reid Marshall 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 ID547160400
PECOS Enrollment IDI20180119000166, I20241125003116
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

4

Medicare enrollment records show Toby Marshall reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

ER Physician Group At Jackson Hospital
Same address
General Practice
4250 HOSPITAL DR
Marianna, FL 32446
  • Reassigned Medicare billing, Florida enrollment
  • 180 clinicians in this Medicare group
NPI 1407801194 (850) 526-2200
Ob Hospitalist Group LLC
121 mi
Obstetrics & Gynecology
1000 W MORENO ST
Pensacola, FL 32501
  • Reassigned Medicare billing, Florida enrollment
  • 683 clinicians in this Medicare group
NPI 1679292569 (864) 908-3530
Schwenker & Stavoy, MD, PA
271 mi
Obstetrics & Gynecology
1890 LPGA BLVD, STE 160
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1386679249 (386) 252-4701
Northern Montana Hospital
1,774 mi
Rural Health
1410 1ST AVE
Havre, MT 59501
  • Reassigned Medicare billing, Montana enrollment
  • Also billed through NPI 1427059070 (Montana)
  • 81 clinicians in this Medicare group
NPI 1538131172 (406) 265-5408

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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services14 patients

Hospital Affiliations CMS Care Compare

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

Northern Montana Hospital

Critical Access Hospitals · Havre, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271348
Location30 13th StHavre, MT 59501 · Hill County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32446 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

76.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56
Promoting Interoperability97
Improvement Activities40
Cost60.39

Other Providers at the Same Location NPPES 3

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

JACQUELYN MARIE BARD APRN
Nurse Practitioner (Women's Health)
4230 HOSPITAL DR STE 209
MARIANNA, FL 32446
Jackson County (850) 526-6711
ORLANDO S MUNIZ MD
Obstetrics & Gynecology (Obstetrics)
4230 HOSPITAL DR STE 209
MARIANNA, FL 32446
Jackson County (850) 526-6711
MR. ANTHONY YAO DORBU MD
Obstetrics & Gynecology
4230 HOSPITAL DR STE 209
MARIANNA, FL 32446
Jackson County (850) 526-6711

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 Toby Marshall's NPI number?

The NPI number for Toby Marshall is 1861400863. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Toby Marshall located?

Toby Marshall practices at 4230 Hospital Dr Ste 209, Marianna, FL 32446. The listed phone number is (850) 526-6711.

What is Toby Marshall's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Toby Marshall enrolled in Medicare?

Yes. Toby Marshall 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 organizations bill Medicare for Toby Marshall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toby Marshall reassigns Medicare benefits to 4 organizations: ER Physician Group At Jackson Hospital (Marianna, FL), Ob Hospitalist Group LLC (Pensacola, FL), Schwenker & Stavoy, MD, PA (Daytona Beach, FL) and Northern Montana Hospital (Havre, MT). Each 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 Toby Marshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toby Marshall accept?

Health plans from Blue Cross and Blue Shield of Montana, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health and Oscar Health Maintenance Organization of Florida and 3 other insurers list Toby Marshall 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 Toby Marshall affiliated with any hospitals?

According to CMS data, Toby Marshall is affiliated with Northern Montana Hospital.

When was this NPI record last updated?

The NPPES record for Toby Marshall was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.