ROLANDO TOYOS M.D.
NPI 1962497826
Ophthalmology in Memphis, TN

Q: What is Rolando Toyos's NPI number?

The NPI number for Rolando Toyos is 1962497826. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Q: What is Rolando Toyos's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Rolando Toyos was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 16, 2005PECOS EnrolledAccepts Medicare Assignment

53.09/100

CMS Quality Rating

6465 N QUAIL HOLLOW RD STE 100, MEMPHIS, TN 38120(901) 683-7255(901) 683-3523 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 15, 2026, Apr 13, 2021, Jun 17, 2016 (3 updates tracked since 2016).

On this page

About Rolando Toyos M.d. NPPES

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

ROLANDO TOYOS M.D. (NPI 1962497826) is an individual ophthalmology provider in Memphis, Tennessee, licensed in Tennessee (MD30047) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Tristar Skyline Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1962497826

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameROLANDO TOYOSCredential: M.D.

Location Address6465 N QUAIL HOLLOW RD STE 100Memphis, TN 38120-1448

Mailing AddressPo Box 306469Nashville, TN 37230-6469 · (901) 683-7255 · Fax (901) 683-3523

Phone(901) 683-7255

Fax(901) 683-3523

Sole ProprietorYes

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1994

Enumeration DateSeptember 16, 2005

Last NPPES UpdateMay 15, 20263 updates tracked since enumeration

NPPES CertifiedMay 15, 2026

✔ NPI 1962497826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in TN · MD30047✔ Licensed in FL · ME84619✔ Licensed in NY · 295577-1✔ Licensed in MS · 18014✔ Licensed in CA · A63430

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

6465 N QUAIL HOLLOW RD STE 100, Memphis, TN 38120

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Secondary Practice Locations 3

Location 15740 Getwell Rd Bldg 7Southaven, MS 38672-7361 · Phone (662) 349-0320 · Fax (662) 349-1389

Location 25050 Carothers Pkwy Ste 106Franklin, TN 37067-6024 · Phone (615) 764-1999 · Fax (615) 769-3999

Location 34200 Stammer PlNashville, TN 37215-3308 · Phone (615) 327-4015 · Fax (615) 327-4080

Other Identifiers 3

Other1881743375TN · Group Npi #

Medicaid3372454TN

Medicaid08155312MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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

Rolando Toyos 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 ID5890698872

PECOS Enrollment IDI20041119000519, I20080602000206

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 Reassignment

Medicare enrollment records show Rolando Toyos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

West Tennessee Eye Care, PC

Same address

Ophthalmology

6465 N QUAIL HOLLOW RD STE 100
Memphis, TN 38120

Reassigned Medicare billing, Mississippi and Tennessee enrollments
3 clinicians in this Medicare group

NPI 1881743375 (901) 683-7255

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 6

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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

133 services76 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

116 services75 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

41 services25 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.

40 services32 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

18 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440006

Location3441 Dickerson PikeNashville, TN 37207 · Davidson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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.

53.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

23.64

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.

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

3 suppliers12 claims12 services$53.58 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 5

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

DR. MELISSA MORRISON TOYOS MD

Ophthalmology