TONYA M DUGUID DO
NPI 1952524035
Family Medicine in Warsaw, IN
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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Tonya Duguid reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Warsaw, IN 46580
- Reassigned Medicare billing, Indiana enrollment
- 44 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, INPhysician 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.
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.
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.
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.
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.
Which organization bills Medicare for Tonya Duguid's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Duguid reassigns Medicare benefits to Kosciusko Medical Group LLC (Warsaw, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tonya Duguid's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tonya Duguid accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield 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.
# Tonya M Duguid, DO · NPI 1952524035
Family Medicine physician in Warsaw, Indiana. Individual provider, active in the CMS NPPES registry since April 10, 2007.
## Identity
- **NPI:** 1952524035 (Entity type: Individual)
- **Enumerated:** April 10, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 02003415A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2235 DUBOIS DR, Warsaw, IN 46580-3212
- **Phone:** (574) 371-2625 · **Fax:** (260) 479-2904
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kosciusko Medical Group LLC (NPI 1932349594, Warsaw, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2006
## Record status
- **NPPES last updated:** December 15, 2021
- **Other identifiers:** Medicaid 200948640 (IN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1952524035) · Data from the CMS NPPES public registry.