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DR. MARIA PAULA TOVAR TORRES M.D.
NPI 1952695819
Internal Medicine - Sleep Medicine in Bingham Farms, MI

Active since June 07, 2011PECOS EnrolledAccepts Medicare Assignment
79.77/100
CMS Quality Rating
31000 TELEGRAPH RD STE 100, BINGHAM FARMS, MI 48025(248) 757-5337(248) 731-7331 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2025, Mar 10, 2021, Jan 20, 2021 and 7 more (10 updates tracked since 2016).

About Dr. Maria Paula Tovar Torres M.d. NPPES

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

DR. MARIA PAULA TOVAR TORRES M.D. (NPI 1952695819) is an individual sleep medicine provider in Bingham Farms, Michigan, licensed in Michigan (4301105718) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1952695819
Entity TypeIndividualFemale
Primary Taxonomy207RS0012X
Provider Legal NameDR. MARIA PAULA TOVAR TORRESCredential: M.D.
Location Address31000 TELEGRAPH RD STE 100Bingham Farms, MI 48025-4321
Mailing Address31000 Telegraph Rd Ste 100Bingham Farms, MI 48025-4321 · (248) 757-5337 · Fax (248) 731-7331
Phone(248) 757-5337
Fax(248) 731-7331
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 7, 2011
Last NPPES UpdateMay 27, 202510 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1952695819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
Licenses✔ Licensed in MI · 4301105718✔ Licensed in VA · 0101259239
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
31000 TELEGRAPH RD STE 100, Bingham Farms, MI 48025
Open in Google Maps ↗

Other Identifiers 8

Other1952695819VA · Coventry Heatlh Care
Other1952695819VA · Optima Health
Other1952695819VA · Multiplan
Other1952695819VA · Virginia Health Network
Other1952695819VA · Usa Managed Care
Other1952695819VA · Tricare/champus
Other1952695819VA · United Healthcare
Other1952695819VA · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Maria Paula Tovar Torres 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 ID1658677752
PECOS Enrollment IDI20161005000095
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.

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48025 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
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.

79.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.65
Promoting Interoperability100
Improvement Activities40
Cost53.3

Referred Medical Equipment & Supplies CMS DME claims 15

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers50 claims50 services$32.46 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
15 suppliers122 claims122 services$71.24 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
14 suppliers94 claims179 services$26.46 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers56 claims240 services$14.72 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers22 claims112 services$10.87 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
12 suppliers93 claims94 services$43.12 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 2

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

GREAT LAKES PEDIATRIC GI CLINIC PLLC
Pediatrics (Pediatric Gastroenterology)
31000 TELEGRAPH RD STE 100
BINGHAM FARMS, MI 48025
Oakland County (248) 854-5309
SLEEP HEALTH AND WELLNESS PLLC
Clinic/Center (Sleep Disorder Diagnostic)
31000 TELEGRAPH RD STE 100
BINGHAM FARMS, MI 48025
Oakland County (248) 670-0233

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 Maria Tovar Torres's NPI number?

The NPI number for Maria Tovar Torres is 1952695819. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Maria Tovar Torres located?

Maria Tovar Torres practices at 31000 Telegraph Rd Ste 100, Bingham Farms, MI 48025. The listed phone number is (248) 757-5337.

What is Maria Tovar Torres's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Maria Tovar Torres enrolled in Medicare?

Yes. Maria Tovar Torres 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 Maria Tovar Torres accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Maria Tovar Torres 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 Maria Tovar Torres affiliated with any hospitals?

According to CMS data, Maria Tovar Torres is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Maria Tovar Torres was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.