Toby Nelson, MD
NPI 1093211039 · Endocrinology, Diabetes & Metabolism Physician · Chesapeake, VA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Toby Nelson, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Chesapeake, VA (NPI 1093211039).
Provider details
- NPI number
- 1093211039
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101278840 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
375 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 151 | $123 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 55 | $9 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 50 | $32 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 42 | $88 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 41 | $161 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'S |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 71 | 26 |
| Semaglutidebrand: Ozempic | 70 | 18 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 64 | 30 |
| Pen Needle, Diabeticbrand: Nano 2nd Gen Pen Needle | 50 | 26 |
| Insulin Glargine,hum.rec.anlogbrand: Basaglar Kwikpen U-100 | 35 | — |
| Metformin Hclbrand: Metformin Hcl Er | 32 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-03-30
- Last updated
- 2023-06-21
- Certified
- 2023-06-21
Frequently asked questions
- What is Toby Nelson's NPI number?
- Toby Nelson's National Provider Identifier (NPI) is 1093211039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Toby Nelson's specialty?
- Toby Nelson is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Toby Nelson located?
- Toby Nelson's practice location on file with NPPES is 1600 Crossways Blvd Ste a, Chesapeake, VA 23320-2895.
- What is Toby Nelson's phone number?
- The practice phone number listed in the NPPES registry for Toby Nelson is (757) 282-4085.
- Does Toby Nelson accept Medicare?
- Toby Nelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Toby Nelson's NPI active?
- Yes — Toby Nelson's NPI (1093211039) is active in the NPPES registry as of the last update on 2023-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.