JAMES BURTON TOONE
NPI 1942942024
Nurse Practitioner - Acute Care in Overland Park, KS

Q: What is James Toone's NPI number?

The NPI number for James Toone is 1942942024. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Q: What is James Toone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for James Toone was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 10, 2022PECOS EnrolledAccepts Medicare Assignment

11512 HAUSER ST, OVERLAND PARK, KS 66210(816) 872-4446 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2023, Apr 10, 2022 (2 updates tracked since 2022).

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About James Burton Toone NPPES

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

JAMES BURTON TOONE (NPI 1942942024) is an individual acute care provider in Overland Park, Kansas, licensed in Missouri (2014038852) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Bothwell Regional Health Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942942024

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameJAMES BURTON TOONE

Location Address11512 HAUSER STOverland Park, KS 66210-3544

Mailing Address11512 Hauser StOverland Park, KS 66210-3544 · (816) 872-4446

Phone(816) 872-4446

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateApril 10, 2022

Last NPPES UpdateJanuary 3, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2023

✔ NPI 1942942024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MO · 2014038852

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 2014038852 (MO)

11512 HAUSER ST, Overland Park, KS 66210

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.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

James Burton Toone 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 ID7719348861

PECOS Enrollment IDI20230804002539

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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

118 services110 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.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Bothwell Regional Health Center

Acute Care Hospitals · Sedalia, MO

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number260009

Location601 E 14th StSedalia, MO 65302 · Pettis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66210 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

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 James Toone's NPI number?

The NPI number for James Toone is 1942942024. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Where is James Toone located?

James Toone practices at 11512 Hauser St, Overland Park, KS 66210. The listed phone number is (816) 872-4446.

What is James Toone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is James Toone enrolled in Medicare?

Yes. James Toone 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 James Toone accept?

Health plans from Blue Cross and Blue Shield of Kansas City list James Toone 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 James Toone affiliated with any hospitals?

According to CMS data, James Toone is affiliated with Bothwell Regional Health Center.

When was this NPI record last updated?

The NPPES record for James Toone was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.