Duane Tolsma, O.D.
NPI 1306841630 · Optometrist · Saint Joseph, MI
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Duane Tolsma, O.D. is a Optometrist provider in Saint Joseph, MI (NPI 1306841630).
Provider details
- NPI number
- 1306841630
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4901003188 (MI)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
21 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,262 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 Complete Exam of Visual System92014 | 497 | $122 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 370 | $90 |
| Exam to Measure Eye Deviation and Range of Motion92060 | 126 | $62 |
| Imaging of Retina92134 | 68 | $38 |
| Imaging of Optic Nerve92133 | 59 | $35 |
| Closure of Tear Duct Opening Using Plug68761 | 39 | $109 |
| New Patient Complete Exam of Visual System |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Latanoprost | 63 | 22 |
| Neomycin/Polymyxin B/Dexamethabrand: Neomycin-Polymyxin-Dexameth | 57 | 50 |
| Prednisolone Acetate | 47 | 43 |
| Erythromycin Basebrand: Erythromycin | 41 | 35 |
| Cyclosporinebrand: Restasis | 31 | 11 |
| Timolol Maleate | 26 | 14 |
| Ketorolac Tromethamine | 17 | 16 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$20 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-06-14
- Last updated
- 2023-04-26
- Certified
- 2023-04-26
Frequently asked questions
- What is Duane Tolsma's NPI number?
- Duane Tolsma's National Provider Identifier (NPI) is 1306841630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Duane Tolsma's specialty?
- Duane Tolsma is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Duane Tolsma located?
- Duane Tolsma's practice location on file with NPPES is 2848 Niles Rd, Saint Joseph, MI 49085-3352.
- What is Duane Tolsma's phone number?
- The practice phone number listed in the NPPES registry for Duane Tolsma is (269) 428-3300.
- Does Duane Tolsma accept Medicare?
- Duane Tolsma is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Duane Tolsma's NPI active?
- Yes — Duane Tolsma's NPI (1306841630) is active in the NPPES registry as of the last update on 2023-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.