James Toney, MD
NPI 1336115104 · Otolaryngology Physician · Tyler, TX
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Toney, MD is a Otolaryngology Physician provider in Tyler, TX (NPI 1336115104).
Provider details
- NPI number
- 1336115104
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- D5234 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 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
484 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) |
|---|---|---|
| Removal of Impacted Ear Wax69210 | 176 | $30 |
| Simple Removal of Skin Debris and Drainage of Mastoid Cavity69220 | 109 | $67 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 84 | $81 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 70 | $64 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 31 | $35 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 33 | 13 |
| Neomycin/Polymyxin B/Hydrocortbrand: Neomycin-Polymyxin-Hydrocort | 31 | 24 |
| Methylprednisolone | 29 | 23 |
| Azelastine Hcl | 19 | 12 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 15 | 14 |
| Neomycin/Polymyxin B/Hydrocortbrand: Neomycin-Polymyxin-Hc | 12 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-23
- Last updated
- 2014-10-14
Frequently asked questions
- What is James Toney's NPI number?
- James Toney's National Provider Identifier (NPI) is 1336115104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Toney's specialty?
- James Toney is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is James Toney located?
- James Toney's practice location on file with NPPES is 630 S Fleishel Ave, Tyler, TX 75701-2041.
- What is James Toney's phone number?
- The practice phone number listed in the NPPES registry for James Toney is (903) 533-1491.
- Does James Toney accept Medicare?
- James Toney is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Toney's NPI active?
- Yes — James Toney's NPI (1336115104) is active in the NPPES registry as of the last update on 2014-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.