TOBY OLIVER STEELE M.D.
NPI 1922236959
Otolaryngology in Sacramento, CA

Active since June 29, 2009PECOS EnrolledAccepts Medicare Assignment
90.92/100
CMS Quality Rating
2521 STOCKTON BLVD STE 7200, SACRAMENTO, CA 95817(916) 734-2801 Get Directions Write a Review

NPPES record last updated: September 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Toby Oliver Steele M.d. NPPES

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

TOBY OLIVER STEELE M.D. (NPI 1922236959) is an individual otolaryngology provider in Sacramento, California, licensed in California (114190) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2009).

NPPES Registry Identity

NPI1922236959
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameTOBY OLIVER STEELECredential: M.D.
Location Address2521 STOCKTON BLVD STE 7200Sacramento, CA 95817-2207
Mailing Address2521 Stockton Blvd Ste 7200Sacramento, CA 95817-2207 · (916) 734-2801
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2009
Enumeration DateJune 29, 2009
Last NPPES UpdateSeptember 8, 2015
NPI 1922236959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in CA · 114190 Licensed in OR · MD165381
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedSpecialistTaxonomy 174400000X · License 174400000X - SPECIAL (CA)
2521 STOCKTON BLVD STE 7200, Sacramento, CA 95817

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

Toby Oliver Steele 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 ID1254554959
PECOS Enrollment IDI20150917001860
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 16

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
276 services192 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.
74 services65 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.
62 services57 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.
51 services51 patients
Computer-assisted procedure outside membrane covering brain 61782
A computer-assisted procedure outside the brain's membrane involves using advanced technology to help doctors accurately navigate and perform operations near the brain. This method enhances precision, safety, and effectiveness, potentially reducing recovery time.
37 services37 patients
Removal of nasal sinus tissue using an endoscope 31267
This procedure, known as endoscopic sinus surgery, involves using a thin, flexible tube with a light and camera to view and remove problematic nasal sinus tissue. It helps to alleviate sinus issues and improve breathing.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

90.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality63.35
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier17 claims17 services$3.08 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
5 suppliers13 claims510 services$0.81 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.

Otolaryngology (Facial Plastic Surgery)
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817
Otolaryngology
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817
Otolaryngology (Pediatric Otolaryngology)
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817
Otolaryngology
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817
Otolaryngology
2521 STOCKTON BLVD STE 7200
SACRAMENTO, CA 95817

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 Steele's NPI number?

The NPI number for Toby Steele is 1922236959. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Toby Steele located?

Toby Steele practices at 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817. The listed phone number is (916) 734-2801.

What is Toby Steele's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Toby Steele enrolled in Medicare?

Yes. Toby Steele 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.

When was this NPI record last updated?

The NPPES record for Toby Steele was last updated on September 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.