James Toombs, M.D.
NPI 1417916222 · Family Medicine Physician · Ballwin, MO
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Toombs, M.D. is a Family Medicine Physician provider in Ballwin, MO (NPI 1417916222).
Provider details
- NPI number
- 1417916222
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2001014708 (MO)
Specialties & taxonomies
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
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
130 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 52 | $85 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 28 | $107 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 23 | $39 |
| X-Ray of Chest, 2 Views71046 | 14 | $22 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 13 | $16 |
Typical Medicare-allowed amounts for these services range $16–$107 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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
Registry dates
- Enumerated
- 2006-03-21
- Last updated
- 2023-09-29
- Certified
- 2023-09-29
Frequently asked questions
- What is James Toombs's NPI number?
- James Toombs's National Provider Identifier (NPI) is 1417916222, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Toombs's specialty?
- James Toombs is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is James Toombs located?
- James Toombs's practice location on file with NPPES is 1348 Rusticview Dr, Ballwin, MO 63011-4271.
- What is James Toombs's phone number?
- The practice phone number listed in the NPPES registry for James Toombs is (573) 823-8066.
- Does James Toombs accept Medicare?
- James Toombs is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Toombs's NPI active?
- Yes — James Toombs's NPI (1417916222) is active in the NPPES registry as of the last update on 2023-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.