Toks Macarthy, MD
NPI 1164608964 · Hospitalist Physician · West Allis, WI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Toks Macarthy, MD is a Hospitalist Physician provider in West Allis, WI (NPI 1164608964).
Provider details
- NPI number
- 1164608964
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 73125 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
152 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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 127 | $164 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 25 | $112 |
Typical Medicare-allowed amounts for these services range $112–$164 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 3579 Highway 138 Se Ste 103Stockbridge, GA 30281-4127Phone: (770) 629-4374Fax: (678) 545-1735
- 1401 Harrodsburg RdLexington, KY 40504-3751Phone: (859) 258-6784
Registry dates
- Enumerated
- 2008-01-11
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Frequently asked questions
- What is Toks Macarthy's NPI number?
- Toks Macarthy's National Provider Identifier (NPI) is 1164608964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Toks Macarthy's specialty?
- Toks Macarthy is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Toks Macarthy located?
- Toks Macarthy's practice location on file with NPPES is 1701 West Lincoln Avenue, West Allis, WI 53227.
- What is Toks Macarthy's phone number?
- The practice phone number listed in the NPPES registry for Toks Macarthy is (414) 328-6000.
- Does Toks Macarthy accept Medicare?
- Toks Macarthy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Toks Macarthy's NPI active?
- Yes — Toks Macarthy's NPI (1164608964) is active in the NPPES registry as of the last update on 2025-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.