TONYA M DUGUID DO
NPI 1952524035
Family Medicine in Warsaw, IN

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
2235 DUBOIS DR, WARSAW, IN 46580(574) 371-2625(260) 479-2904 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2021, Oct 1, 2021, Oct 10, 2016 and 1 more (4 updates tracked since 2016).

About Tonya M Duguid Do NPPES

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

TONYA M DUGUID DO (NPI 1952524035) is an individual family medicine provider in Warsaw, Indiana, licensed in Indiana (02003415A) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Kosciusko Community Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2006).

NPPES Registry Identity

NPI1952524035
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTONYA M DUGUIDCredential: DO
Location Address2235 DUBOIS DRWarsaw, IN 46580-3212
Mailing Address6920 Pointe Inverness Way, Suite 200Fort Wayne, IN 46804-7938 · (260) 479-3513 · Fax (260) 479-3520
Fax(260) 479-2904
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2006
Enumeration DateApril 10, 2007
Last NPPES UpdateDecember 15, 20214 updates tracked since enumeration
NPPES CertifiedDecember 15, 2021
NPI 1952524035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 02003415A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2235 DUBOIS DR, Warsaw, IN 46580

Other Identifiers 1

Medicaid200948640IN

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

Tonya M Duguid Do 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 ID4688724818
PECOS Enrollment IDI20090610000320
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 7

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 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.
108 services61 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
77 services48 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
36 services36 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.
30 services22 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
19 services17 patients

Hospital Affiliations CMS Care Compare

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

Kosciusko Community Hospital

Acute Care Hospitals · Warsaw, IN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number150133
Location2101 E Dubois DrWarsaw, IN 46580 · Kosciusko County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46580 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$35.00 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 12

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

Family Medicine
2235 DUBOIS DR
WARSAW, IN 46580
Nurse Practitioner (Family)
2235 DUBOIS DR
WARSAW, IN 46580
Radiology (Diagnostic Radiology)
2235 DUBOIS DR
WARSAW, IN 46580
Physician Assistant
2235 DUBOIS DR
WARSAW, IN 46580
Family Medicine
2235 DUBOIS DR
WARSAW, IN 46580
Nurse Practitioner (Family)
2235 DUBOIS DR
WARSAW, IN 46580
Family Medicine
2235 DUBOIS DR
WARSAW, IN 46580
Family Medicine
2235 DUBOIS DR
WARSAW, IN 46580

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 Tonya Duguid's NPI number?

The NPI number for Tonya Duguid is 1952524035. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Tonya Duguid located?

Tonya Duguid practices at 2235 Dubois Dr, Warsaw, IN 46580. The listed phone number is (574) 371-2625.

What is Tonya Duguid's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tonya Duguid enrolled in Medicare?

Yes. Tonya Duguid 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 Tonya Duguid accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Tonya Duguid 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 Tonya Duguid affiliated with any hospitals?

According to CMS data, Tonya Duguid is affiliated with Kosciusko Community Hospital.

When was this NPI record last updated?

The NPPES record for Tonya Duguid was last updated on December 15, 2021. 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.