Arpan Tolia, DO
NPI 1407389810 · Hospitalist Physician · Middletown, NY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Arpan Tolia, DO is a Hospitalist Physician provider in Middletown, NY (NPI 1407389810).
Provider details
- NPI number
- 1407389810
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- DO4121 (ME)
Specialties & taxonomies
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
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
197 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 151 | $75 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 24 | $113 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 22 | $109 |
Typical Medicare-allowed amounts for these services range $75–$113 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ceftriaxone Sodiumbrand: Ceftriaxone | 16 | — |
| Prednisone | 14 | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude 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 no Part D record, 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
Additional practice locations (3)
- 1 Medical Center DrBiddeford, ME 04005-9422Phone: (207) 283-7937Fax: (207) 283-7018
- 22 Bramhall StPortland, ME 04102-3134Phone: (207) 662-4618Fax: (207) 662-6254
- 25 June StSanford, ME 04073-2621Phone: (207) 324-4310
Registry dates
- Enumerated
- 2017-04-04
- Last updated
- 2025-09-05
- Certified
- 2025-09-05
Frequently asked questions
- What is Arpan Tolia's NPI number?
- Arpan Tolia's National Provider Identifier (NPI) is 1407389810, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Arpan Tolia's specialty?
- Arpan Tolia is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Arpan Tolia located?
- Arpan Tolia's practice location on file with NPPES is 155 Crystal Run Rd, Middletown, NY 10941-4028.
- What is Arpan Tolia's phone number?
- The practice phone number listed in the NPPES registry for Arpan Tolia is (845) 703-6999.
- Does Arpan Tolia accept Medicare?
- Arpan Tolia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Arpan Tolia's NPI active?
- Yes — Arpan Tolia's NPI (1407389810) is active in the NPPES registry as of the last update on 2025-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.