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

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: August 09, 2026.

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

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
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

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

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

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.

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
Quality40
Improvement Activities40
Cost23.64

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.

Ophthalmology
6465 N QUAIL HOLLOW RD STE 100
MEMPHIS, TN 38120
Optometrist
6465 N QUAIL HOLLOW RD STE 100
MEMPHIS, TN 38120
Optometrist
6465 N QUAIL HOLLOW RD STE 100
MEMPHIS, TN 38120
Optometrist
6465 N QUAIL HOLLOW RD STE 100
MEMPHIS, TN 38120
Ophthalmology
6465 N QUAIL HOLLOW RD STE 100
MEMPHIS, TN 38120

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 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.

Where is Rolando Toyos located?

Rolando Toyos practices at 6465 N Quail Hollow Rd Ste 100, Memphis, TN 38120. The listed phone number is (901) 683-7255.

What is Rolando Toyos's specialty?

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

Is Rolando Toyos enrolled in Medicare?

Yes. Rolando Toyos 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 Rolando Toyos accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter of Alabama and 13 other insurers list Rolando Toyos 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 Rolando Toyos affiliated with any hospitals?

According to CMS data, Rolando Toyos is affiliated with Tristar Skyline Medical Center.

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 3 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.