JEFFREY TOBOLSKI DO
NPI 1861988586
Emergency Medicine in Mount Clemens, MI

Q: What is Jeffrey Tobolski's NPI number?

The NPI number for Jeffrey Tobolski is 1861988586. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Q: What is Jeffrey Tobolski's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Tobolski was last updated on January 23, 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 July 05, 2018PECOS EnrolledAccepts Medicare Assignment

1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043(586) 493-8142(586) 493-3250 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 23, 2019, Jul 5, 2018 (2 updates tracked since 2018).

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About Jeffrey Tobolski Do NPPES

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

JEFFREY TOBOLSKI DO (NPI 1861988586) is an individual emergency medicine provider in Mount Clemens, Michigan, licensed in Michigan (5101024035) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1861988586

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJEFFREY TOBOLSKICredential: DO

Location Address1000 HARRINGTON STMount Clemens, MI 48043-2920

Mailing Address1000 Harrington StMount Clemens, MI 48043-2920 · (586) 493-3727 · Fax (586) 493-3250

Phone(586) 493-8142

Fax(586) 493-3250

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2018

Enumeration DateJuly 5, 2018

Last NPPES UpdateJanuary 23, 20192 updates tracked since enumeration

✔ NPI 1861988586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MI · 5101024035

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1000 HARRINGTON ST, Mount Clemens, MI 48043

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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

Jeffrey Tobolski Do 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 ID9931458973

PECOS Enrollment IDI20210831003337

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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

634 services547 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

140 services139 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

123 services113 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

34 services33 patients

Hospital Affiliations CMS Care Compare

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

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180038

Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$95.11 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.

LEMAR GARDEZI MD

Student in an Organized Health Care Education/Training Program