DR. STEPHEN W. TOBIA M.D.
NPI 1932303336
Obstetrics & Gynecology in Melbourne, FL

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
1223 GATEWAY DR, SUITE 1D, MELBOURNE, FL 32901(321) 312-3481(321) 722-1237 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2020, Oct 31, 2018, Aug 24, 2016 (3 updates tracked since 2016).

About Dr. Stephen W. Tobia M.d. NPPES

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

DR. STEPHEN W. TOBIA M.D. (NPI 1932303336) is an individual obstetrics & gynecology provider in Melbourne, Florida, licensed in Florida (ME106080) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2004).

NPPES Registry Identity

NPI1932303336
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. STEPHEN W. TOBIACredential: M.D.
Location Address1223 GATEWAY DR, SUITE 1DMelbourne, FL 32901-2607
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306
Fax(321) 722-1237
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2004
Enumeration DateJune 12, 2007
Last NPPES UpdateMarch 12, 20203 updates tracked since enumeration
NPPES CertifiedMarch 12, 2020
NPI 1932303336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in FL · ME106080
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.
1223 GATEWAY DR, Melbourne, FL 32901

Other Identifiers 2

Other148AGFL · Bcbs Of Florida
Medicaid002064200FL

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

Dr. Stephen W. Tobia 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 ID9436220449
PECOS Enrollment IDI20100517000473
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.

Hospital Affiliations CMS Care Compare

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.65
Promoting Interoperability78
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 (Adult Health)
1223 GATEWAY DR
MELBOURNE, FL 32901
Nurse Practitioner
1223 GATEWAY DR
MELBOURNE, FL 32901
Audiologist
1223 GATEWAY DR
MELBOURNE, FL 32901
Surgery
1223 GATEWAY DR, SUITE 2B
MELBOURNE, FL 32901
Nurse Practitioner
1223 GATEWAY DR
MELBOURNE, FL 32901
Obstetrics & Gynecology
1223 GATEWAY DR
MELBOURNE, FL 32901
Nurse Practitioner
1223 GATEWAY DR
MELBOURNE, FL 32901
Nurse Practitioner (Family)
1223 GATEWAY DR
MELBOURNE, FL 32901

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 Stephen Tobia's NPI number?

The NPI number for Stephen Tobia is 1932303336. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Stephen Tobia located?

Stephen Tobia practices at 1223 Gateway Dr Suite 1D, Melbourne, FL 32901. The listed phone number is (321) 312-3481.

What is Stephen Tobia's specialty?

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

Is Stephen Tobia enrolled in Medicare?

Yes. Stephen Tobia 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 Stephen Tobia accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Wellpoint list Stephen Tobia 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 Stephen Tobia affiliated with any hospitals?

According to CMS data, Stephen Tobia is affiliated with Holmes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Tobia was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.