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MARC TOOFAN M.D.
NPI 1952569600
Emergency Medicine in Iowa City, IA

Active since May 29, 2008PECOS EnrolledAccepts Medicare Assignment
200 HAWKINS DR, IOWA CITY, IA 52242(319) 356-7205 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marc Toofan M.d. NPPES

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

MARC TOOFAN M.D. (NPI 1952569600) is an individual emergency medicine provider in Iowa City, Iowa, licensed in Texas (N1479) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1952569600
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARC TOOFANCredential: M.D.
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 356-7205
Phone(319) 356-7205
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 29, 2008
Last NPPES UpdateFebruary 24, 2023
NPPES CertifiedFebruary 24, 2023
✔ NPI 1952569600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in TX · N1479✔ Licensed in AZ · 49734
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License MD-50505 (IA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 HAWKINS DR, Iowa City, IA 52242
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc..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

Marc Toofan 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 ID4688739519
PECOS Enrollment IDI20250520002753
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Marc Toofan reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Professional Services, PC
1,114 mi
Emergency Medicine
501 N NAVAJO DR
Page, AZ 86040
  • Reassigned Medicare billing, Arizona enrollment
  • 199 clinicians in this Medicare group
NPI 1104151786 (480) 421-9700
Nes Arizona Inc
1,232 mi
Emergency Medicine
450 S OCOTILLO AVE
Benson, AZ 85602
  • Reassigned Medicare billing, Arizona enrollment
  • 60 clinicians in this Medicare group
NPI 1205217700 (520) 586-2261
Mountain Vista Emergency Physicians, LLC
1,242 mi
Emergency Medicine
5750 E BASELINE RD
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 58 clinicians in this Medicare group
NPI 1164642963 (602) 833-6900
Tec Emergency Physicians Of Arizona, LLC
1,245 mi
Emergency Care
70 S VAL VISTA DR STE A3-621
Gilbert, AZ 85296
  • Reassigned Medicare billing, Arizona enrollment
  • 263 clinicians in this Medicare group
NPI 1245772870 (480) 573-8460
Banner - University Hospital Based Physicians LLC
1,256 mi
General Acute Care Hospital
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 728 clinicians in this Medicare group
NPI 1750751566 (602) 747-4000
Banner - University Physician Specialists LLC
1,256 mi
Multi-Specialty
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 553 clinicians in this Medicare group
NPI 1417312760 (602) 747-4000
Tempe Emergency Physicians, Ltd
1,323 mi
Emergency Medicine
2735 SILVER CREEK RD
Bullhead City, AZ 86442
  • Reassigned Medicare billing, Arizona enrollment
  • 55 clinicians in this Medicare group
NPI 1376934315 (928) 763-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$4.23 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 20

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

SANGIL LEE M.D.
Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2233
RAMI G. EL ABIAD M.D.
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-4901
GRERK SUTAMTEWAGUL MD
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Johnson County (319) 356-1616
DR. KALEB TANNER VEIT D.O.
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2320
OMAR JABER M.D
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 471-8958
JENNIFER MANCUSO MS, CGC
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Johnson County (319) 384-7983
ASHLEY KAISER M.D.
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Johnson County (319) 356-2294
MRS. NANCY JANE MILLICE
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242
Johnson County (319) 356-3825

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 Marc Toofan's NPI number?

The NPI number for Marc Toofan is 1952569600. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Where is Marc Toofan located?

Marc Toofan practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-7205.

What is Marc Toofan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Marc Toofan enrolled in Medicare?

Yes. Marc Toofan 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 organizations bill Medicare for Marc Toofan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Toofan reassigns Medicare benefits to 7 organizations: Emergency Professional Services, PC (Page, AZ), Nes Arizona Inc (Benson, AZ), Mountain Vista Emergency Physicians, LLC (Mesa, AZ), Tec Emergency Physicians Of Arizona, LLC (Gilbert, AZ), Banner - University Hospital Based Physicians LLC (Phoenix, AZ) and 2 more organizations, listed in the Medicare section above. Each 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 Marc Toofan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Toofan accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Marc Toofan 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.

When was this NPI record last updated?

The NPPES record for Marc Toofan was last updated on February 24, 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.