Theresa Toledo, MD
NPI 1477962884 · Psychiatry Physician · Dearborn, MI
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Toledo, MD is a Psychiatry Physician provider in Dearborn, MI (NPI 1477962884).
Provider details
- NPI number
- 1477962884
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301106359 (MI)
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
11 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
478 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 210 | $121 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 179 | $16 |
| Telephone Medical Discussion With Physician, 21-30 Minutes99443 | 48 | $120 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 28 | $171 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 13 | $87 |
Typical Medicare-allowed amounts for these services range $16–$171 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 49 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sertraline Hcl | 234 | 64 |
| Clonazepam | 177 | 36 |
| Donepezil Hcl | 166 | 50 |
| Quetiapine Fumarate | 158 | 37 |
| Escitalopram Oxalate | 156 | 38 |
| Trazodone Hcl | 150 | 42 |
| Buspirone Hcl | 122 | 37 |
Practice location
Mailing address
Additional practice locations (3)
- Henry Ford HospitalDetroit, MI 48202Phone: (313) 916-2600
- 10300 W 8 Mile RdFerndale, MI 48220-2100Phone: (800) 653-6568
- Henry Ford West Bloomfield6777 W. Maple Rd.West Bloomfield, MI 48322Phone: (248) 325-1000
Registry dates
- Enumerated
- 2014-08-11
- Last updated
- 2021-03-29
- Certified
- 2021-03-29
Frequently asked questions
- What is Theresa Toledo's NPI number?
- Theresa Toledo's National Provider Identifier (NPI) is 1477962884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Toledo's specialty?
- Theresa Toledo is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Theresa Toledo located?
- Theresa Toledo's practice location on file with NPPES is 5500 Auto Club Dr, Dearborn, MI 48126.
- What is Theresa Toledo's phone number?
- The practice phone number listed in the NPPES registry for Theresa Toledo is (313) 425-4500.
- Does Theresa Toledo accept Medicare?
- Theresa Toledo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Toledo's NPI active?
- Yes — Theresa Toledo's NPI (1477962884) is active in the NPPES registry as of the last update on 2021-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.