JEANETTE ANN TONEY M.D.
NPI 1912304247
Obstetrics & Gynecology in Powell, TN

Active since December 02, 2014PECOS EnrolledAccepts Medicare Assignment
89.63/100
CMS Quality Rating
7557B DANNAHER DR STE 225, POWELL, TN 37849(865) 647-3450(865) 647-3468 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2020, Aug 19, 2019, Jun 9, 2019 and 1 more (4 updates tracked since 2019).

About Jeanette Ann Toney M.d. NPPES

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

JEANETTE ANN TONEY M.D. (NPI 1912304247) is an individual obstetrics & gynecology provider in Powell, Tennessee, licensed in Tennessee (MD59633) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with Physicians Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1912304247
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameJEANETTE ANN TONEYCredential: M.D.
Location Address7557B DANNAHER DR STE 225Powell, TN 37849-3568
Mailing Address7557b Dannaher Dr Ste 225Powell, TN 37849-3568 · (865) 647-3450 · Fax (865) 647-3468
Fax(865) 647-3468
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 2, 2014
Last NPPES UpdateSeptember 10, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
NPI 1912304247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in TN · MD59633 Licensed in NJ · 25MA10322700
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.
7557B DANNAHER DR STE 225, Powell, TN 37849

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

Jeanette Ann Toney 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 ID4981957289
PECOS Enrollment IDI20191003003617
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

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 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37849 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

89.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.66
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
7557B DANNAHER DR STE 225
POWELL, TN 37849
Clinical Nurse Specialist (Women's Health)
7557B DANNAHER DR STE 225
POWELL, TN 37849
Internal Medicine (Interventional Cardiology)
7557B DANNAHER DR STE 225
POWELL, TN 37849
Internal Medicine (Infectious Disease)
7557B DANNAHER DR STE 225
POWELL, TN 37849
Internal Medicine (Interventional Cardiology)
7557B DANNAHER DR STE 225
POWELL, TN 37849
Internal Medicine (Cardiovascular Disease)
7557B DANNAHER DR STE 225
POWELL, TN 37849
Internal Medicine (Gastroenterology)
7557B DANNAHER DR STE 225
POWELL, TN 37849
Internal Medicine (Interventional Cardiology)
7557B DANNAHER DR STE 225
POWELL, TN 37849

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 Jeanette Toney's NPI number?

The NPI number for Jeanette Toney is 1912304247. It was assigned to this individual provider in the NPPES registry on December 2, 2014.

Where is Jeanette Toney located?

Jeanette Toney practices at 7557B Dannaher Dr Ste 225, Powell, TN 37849. The listed phone number is (865) 647-3450.

What is Jeanette Toney's specialty?

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

Is Jeanette Toney enrolled in Medicare?

Yes. Jeanette Toney 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 Jeanette Toney accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Jeanette Toney 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 Jeanette Toney affiliated with any hospitals?

According to CMS data, Jeanette Toney is affiliated with Physicians Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jeanette Toney was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.