NEAL A TOLCHIN M.D.
NPI 1902800642
Ophthalmology in Toledo, OH

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment
88.82/100
CMS Quality Rating
3000 REGENCY CT, STE 100, TOLEDO, OH 43623(419) 882-2020(419) 885-8440 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Neal A Tolchin M.d. NPPES

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

NEAL A TOLCHIN M.D. (NPI 1902800642) is an individual ophthalmology provider in Toledo, Ohio, licensed in Ohio (61778) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1986).

NPPES Registry Identity

NPI1902800642
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameNEAL A TOLCHINCredential: M.D.
Location Address3000 REGENCY CT, STE 100Toledo, OH 43623-3081
Mailing Address2723 S State St, Suite 220Ann Arbor, MI 48104-6188 · (877) 852-8463 · Fax (734) 994-6283
Fax(419) 885-8440
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1986
Enumeration DateJune 10, 2005
Last NPPES UpdateApril 22, 2008
NPI 1902800642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OH · 61778
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.
3000 REGENCY CT, Toledo, OH 43623

Other Identifiers 11

Other000000126979OH · Anthem Bcbs
Medicaid0825101OH
OtherP00403071Railroad Medicare
Medicare ID-Type UnspecifiedTO0695341OH
Medicare UPINE92536
Medicaid2746867MI
Medicare PIN0D66167003MI
Medicare ID-Type UnspecifiedOD66167003MI
Other180010853MI · Railroad Medicare
Other180016444OH · Railroad Medicare Ohio
Medicare PINE92536MI

Accepted 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

Neal A Tolchin 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 ID2769477876
PECOS Enrollment IDI20040607000905, I20100329000956
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 14

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.

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.
1,119 services109 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.
579 services332 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.
455 services329 patients
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.
319 services255 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
316 services296 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
308 services308 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43623 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

88.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost62.75

Other Providers at the Same Location NPPES 11

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

Specialist
3000 REGENCY CT, SUITE 201
TOLEDO, OH 43623
Ophthalmology
3000 REGENCY CT, STE 100
TOLEDO, OH 43623
Ophthalmology
3000 REGENCY CT, STE 100
TOLEDO, OH 43623
Radiology (Radiation Oncology)
3000 REGENCY CT, SUITE 207
TOLEDO, OH 43623
Radiology (Radiation Oncology)
3000 REGENCY CT, STE 207
TOLEDO, OH 43623
Optometrist
3000 REGENCY CT, STE 100
TOLEDO, OH 43623
Clinic/Center
3000 REGENCY CT, STE. 100
TOLEDO, OH 43623
Radiology (Therapeutic Radiology)
3000 REGENCY CT, STE 207
TOLEDO, OH 43623

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 Neal Tolchin's NPI number?

The NPI number for Neal Tolchin is 1902800642. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Neal Tolchin located?

Neal Tolchin practices at 3000 Regency Ct Ste 100, Toledo, OH 43623. The listed phone number is (419) 882-2020.

What is Neal Tolchin's specialty?

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

Is Neal Tolchin enrolled in Medicare?

Yes. Neal Tolchin 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 Neal Tolchin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Neal Tolchin 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.

When was this NPI record last updated?

The NPPES record for Neal Tolchin was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.