Provider Profile
Margianna S. Toms, CRNM CRNP
Unclaimed ProfileAbout Margianna Toms
Listed in the NPI registry as a nurse practitioner, Margianna S. Toms, CRNM CRNP practices in Hagerstown, MD. Margianna is also listed as specializing in advanced practice midwife and nurse practitioner — primary care. Medicare claims data shows Margianna provided 1,016 services to 275 patients. The services billed most often include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes, residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes, and residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes. NPI 1245676881 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (301) 992-3724
- Email not available
Practice Locations
15844 FAIRVIEW RD
Hagerstown, MD 21740
Procedures Most Often Billed to Medicare
1,016 services · 275 patients · 8 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | Office visit | 99349 |
424 | More often than most peers in Nurse Practitioner |
| Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | Office visit | 99350 |
182 | More often than most peers in Nurse Practitioner |
| Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | Office visit | 99348 |
166 | More often than most peers in Nurse Practitioner |
| Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | Office visit | 99347 |
103 | More often than most peers in Nurse Practitioner |
| Telephone medical discussion with physician, 21-30 minutes | Office visit | 99443 |
74 | More often than most peers in Nurse Practitioner |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | Billing code | G0180 |
42 | More often than most peers in Nurse Practitioner |
| Advance care planning, first 30 minutes | Office visit | 99497 |
13 | Less often than most peers in Nurse Practitioner |
| Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | Office visit | 99345 |
12 | Less often than most peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Other nurse practitioners in Hagerstown 8
Same specialty, same city.
Trained at Other 8
Other providers in the same specialty who trained at the same institution.
Class of 2018 at Other 7
Providers who graduated from the same medical school in the same year.
Common questions
What is Margianna S. Toms's specialty?
Margianna S. Toms is a nurse practitioner in Hagerstown, MD. That is the designation recorded for this NPI in the federal registry.
NPI registry
Where can I find Margianna S. Toms?
Margianna S. Toms is listed at 15844 Fairview Rd, Hagerstown, MD 21740. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How do I contact Margianna S. Toms?
The number on file is (301) 992-3724. Contact the office directly to confirm availability and scheduling.
NPI registry
What is the NPI for Margianna S. Toms?
Margianna S. Toms's National Provider Identifier is 1245676881. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
What is Margianna S. Toms's education?
Margianna S. Toms attended Other, graduating in 2018. This comes from the CMS National Downloadable File.
CMS public data
How much experience does Margianna S. Toms have?
Margianna S. Toms has 8 years experience. Calculated from a graduation year of 2018, reported in the CMS National Downloadable File.
CMS public data
What is Margianna S. Toms known for?
According to Medicare billing data, Margianna S. Toms the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Is Margianna S. Toms's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by Margianna S. Toms. If this is you, claiming it is free.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.