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DR. ELMER TORO M.D.
NPI 1912108804
Family Medicine in Lehigh Acres, FL

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
391 LEE BLVD, 400, LEHIGH ACRES, FL 33936(239) 369-2226(239) 369-5820 Get Directions Write a Review

NPPES record last updated: August 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Elmer Toro M.d. NPPES

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

DR. ELMER TORO M.D. (NPI 1912108804) is an individual family medicine provider in Lehigh Acres, Florida, licensed in Florida (ME87058) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1999).

NPPES Registry Identity

NPI1912108804
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ELMER TOROCredential: M.D.
Location Address391 LEE BLVD, 400Lehigh Acres, FL 33936-4973
Mailing Address391 Lee Blvd, 400Lehigh Acres, FL 33936-4973 · (239) 369-2226 · Fax (239) 369-5820
Phone(239) 369-2226
Fax(239) 369-5820
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1999
Enumeration DateMay 30, 2007
Last NPPES UpdateAugust 29, 2010
✔ NPI 1912108804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME87058
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
391 LEE BLVD, Lehigh Acres, FL 33936
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Other Identifiers 4

Medicare UPINH82182FL
Medicaid266565400FL
Other830349039FL · Tax Id Of Office
Medicare ID-Type UnspecifiedK4360FL

Accepted Insurance

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

Dr. Elmer Toro 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 ID4688869381
PECOS Enrollment IDI20101108000842
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 7

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
249 services22 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.
144 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
124 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
41 services17 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
21 services18 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33936 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers17 claims17 services$206.32 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 9

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

HURRICANE PAIN CLINIC, LLC
Clinic/Center (Pain)
391 LEE BLVD, SUITE 200
LEHIGH ACRES, FL 33936
Lee County (239) 333-8618
DIANELIS GARCIA AZCUY
Behavior Technician
391 LEE BLVD
LEHIGH ACRES, FL 33936
Lee County (239) 344-9236
KATIUSKA RODRIGUEZ PEREZ
Behavior Technician
391 LEE BLVD
LEHIGH ACRES, FL 33936
Lee County (239) 344-9236
ASDRUBAL REINA CORBEA
Behavior Technician
391 LEE BLVD
LEHIGH ACRES, FL 33936
Lee County (239) 491-2603
KEYS CARDIOLOGY PA
Internal Medicine (Cardiovascular Disease)
391 LEE BLVD, SUITE 300
LEHIGH ACRES, FL 33936
Lee County (239) 369-4088
LOYMA CAMPO CORDERO
Behavior Technician
391 LEE BLVD
LEHIGH ACRES, FL 33936
Lee County (239) 491-2603
WILLIAM WEBB RICHARDSON D.O.
Internal Medicine (Cardiovascular Disease)
391 LEE BLVD, SUITE 300
LEHIGH ACRES, FL 33936
Lee County (239) 369-4088
PERSONAL FAMILY HEALTH CARE
Family Medicine
391 LEE BLVD, 400
LEHIGH ACRES, FL 33936
Lee County (239) 369-2226

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 Elmer Toro's NPI number?

The NPI number for Elmer Toro is 1912108804. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Elmer Toro located?

Elmer Toro practices at 391 Lee Blvd 400, Lehigh Acres, FL 33936. The listed phone number is (239) 369-2226.

What is Elmer Toro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elmer Toro enrolled in Medicare?

Yes. Elmer Toro 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 Elmer Toro accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Elmer Toro 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 Elmer Toro was last updated on August 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.