TOYA CLEMONS NURSE PRACTITIONER
NPI 1932631975
Nurse Practitioner - Adult Health in Southfield, MI

Active since March 29, 2017PECOS EnrolledAccepts Medicare Assignment
39.65/100
CMS Quality Rating
20905 GREENFIELD RD STE 200, SOUTHFIELD, MI 48075(248) 809-3119 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2022, Mar 29, 2017 (2 updates tracked since 2017).

About Toya Clemons Nurse Practitioner NPPES

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

TOYA CLEMONS NURSE PRACTITIONER (NPI 1932631975) is an individual adult health provider in Southfield, Michigan, licensed in Michigan (4704232973) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and maintains a secondary practice location in Ypsilanti.

NPPES Registry Identity

NPI1932631975
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTOYA CLEMONSCredential: NURSE PRACTITIONER
Location Address20905 GREENFIELD RD STE 200Southfield, MI 48075-5346
Mailing Address8840 Somerset LnYpsilanti, MI 48198-9559
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 29, 2017
Last NPPES UpdateAugust 3, 20222 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
NPI 1932631975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MI · 4704232973
20905 GREENFIELD RD STE 200, Southfield, MI 48075

Secondary Practice Location 1

Location 18840 Somerset LnYpsilanti, MI 48198-9559 · Phone (734) 674-5435

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

Toya Clemons 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 ID9739430182
PECOS Enrollment IDI20180924002141
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
58 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services35 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

39.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability0
Improvement Activities30
Cost69.24

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Pain)
20905 GREENFIELD RD STE 200
SOUTHFIELD, MI 48075
Clinic/Center (Pain)
20905 GREENFIELD RD STE 200
SOUTHFIELD, MI 48075
Home Health
20905 GREENFIELD RD STE 200
SOUTHFIELD, MI 48075
Pain Medicine (Pain Medicine)
20905 GREENFIELD RD STE 200
SOUTHFIELD, MI 48075
Clinic/Center (Pain)
20905 GREENFIELD RD STE 200
SOUTHFIELD, MI 48075

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 Toya Clemons's NPI number?

The NPI number for Toya Clemons is 1932631975. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Toya Clemons located?

Toya Clemons practices at 20905 Greenfield Rd Ste 200, Southfield, MI 48075. The listed phone number is (248) 809-3119.

What is Toya Clemons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Toya Clemons enrolled in Medicare?

Yes. Toya Clemons 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 Toya Clemons accept?

Health plans from Priority Health list Toya Clemons 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 Toya Clemons affiliated with any hospitals?

According to CMS data, Toya Clemons is affiliated with Trinity Health Oakland Hospital.

When was this NPI record last updated?

The NPPES record for Toya Clemons was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.