TONI DOMINIQUE MCDOWELL NURSE PRACTITIONER
NPI 1922532928
Nurse Practitioner - Family in Baltimore, MD

Q: What is Toni Mcdowell's NPI number?

The NPI number for Toni Mcdowell is 1922532928. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Q: What is Toni Mcdowell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Toni Mcdowell was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 April 17, 2017PECOS EnrolledAccepts Medicare Assignment

630 S EXETER ST, BALTIMORE, MD 21202(410) 962-6520 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2024, Sep 22, 2021, Nov 8, 2017 and 1 more (4 updates tracked since 2017).

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About Toni Dominique Mcdowell Nurse Practitioner NPPES

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

TONI DOMINIQUE MCDOWELL NURSE PRACTITIONER (NPI 1922532928) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R188055) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Forest Hill, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1922532928

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTONI DOMINIQUE MCDOWELLCredential: NURSE PRACTITIONER

Location Address630 S EXETER STBaltimore, MD 21202-4316

Mailing Address630 S Exeter StBaltimore, MD 21202-4316 · (410) 962-6520

Phone(410) 962-6520

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateApril 17, 2017

Last NPPES UpdateAugust 23, 20244 updates tracked since enumeration

NPPES CertifiedAugust 23, 2024

✔ NPI 1922532928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MD · R188055

Also ListedNurse PractitionerTaxonomy 363L00000X · License R188055 (MD)

630 S EXETER ST, Baltimore, MD 21202

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Secondary Practice Location 1

Location 11528 Rock Spring RdForest Hill, MD 21050 · Phone (443) 773-1131

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

Toni Dominique Mcdowell Nurse Practitioner 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 ID3476826728

PECOS Enrollment IDI20171201001059, I20230906001379

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 8

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 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.

97 services95 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

45 services45 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.

33 services32 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

23 services23 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

18 services18 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21202 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

Other Providers at the Same Location NPPES 17

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

FLORENCE W GICHAIYA CRNP-FAMILY

Nurse Practitioner (Family)