DR. JOSEPH C TOULOUSE (MD) – Emergency Medicine Physician, NPI 1013934801

DR. JOSEPH C TOULOUSE (MD) is a healthcare provider. based in Avon park, Florida. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 33082 (IA). The NPI Number for DR. JOSEPH C TOULOUSE (MD) is 1013934801

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH C TOULOUSE (MD)
NPI
1013934801
Phone
(863) 257-3963
Address
2435 N AZALEA DR
Enumeration Date
16 July 2006
Last Update Date
2 May 2022

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
6417545145
Graduation Year
1998 (28 years ago)
PAC ID
3577558428
Group Practice PAC ID
0941587307
Professional Enrollment ID
I20120320000887
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

Provider Addresses for DR. JOSEPH C TOULOUSE (MD)

  • 2435 N AZALEA DR

    AVON PARK, FL 338259516

    Phone: (863) 257-3963

    Fax: (863) 354-6616

    Type: Mailing

  • 2545 N ORANGEWOOD ST

    AVON PARK, FL 338257917

    Phone: (863) 257-3936

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040419001396IEmergency MedicineFLTBD
I20120320000887IFamily PracticeIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making224214$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only173160$0
99284Emergency department visit with moderate level of medical decision making160153$0
99283Emergency department visit with low level of medical decision making2828$0
99291Critical care, first 30-74 minutes2221$0
View full utilization report →

Insurance plans in this area (ZIP 33825)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941587307View full group profile
NameSpecialtyState
Physician AssistantIA
Physician AssistantIA
-MI
Orthopedic SurgeryIA
Certified Registered Nurse Anesthetist (Crna)MO
-IA
A N E S T H E S I O L O G YIA
-OH
Certified Registered Nurse Anesthetist (Crna)IA
-FL

Reviews

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Frequently asked questions

What is the registry number for DR. JOSEPH C TOULOUSE (MD)?
The registry entry for DR. JOSEPH C TOULOUSE (MD) shows NPI 1013934801.
Should I treat DR. JOSEPH C TOULOUSE (MD) as an active provider?
Patients and plans typically see DR. JOSEPH C TOULOUSE (MD) as active in the national extract.
How should patients interpret DR. JOSEPH C TOULOUSE (MD)'s specialty?
The extract shows Emergency Medicine Physician for DR. JOSEPH C TOULOUSE (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JOSEPH C TOULOUSE (MD)?
DR. JOSEPH C TOULOUSE (MD) is associated with Avon Park, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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