CLAUDIO CONSTANTINO TOLEDO (M.D.) – Emergency Medicine Physician, NPI 1104050061

CLAUDIO CONSTANTINO TOLEDO (M.D.) is a healthcare provider. based in Spring branch, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. P2169 (TX). The NPI Number for CLAUDIO CONSTANTINO TOLEDO (M.D.) is 1104050061

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
CLAUDIO CONSTANTINO TOLEDO (M.D.)
NPI
1104050061
Phone
(713) 277-2222
Address
19851 HIGHWAY 46 W
Enumeration Date
7 May 2009
Last Update Date
7 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9569752300
Graduation Year
2007 (19 years ago)
PAC ID
1850557943
Group Practice PAC ID
9638246408
Professional Enrollment ID
I20120717000594
Address ID
TX785994332WE330XXEXPR301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,050 EMERGENCY MEDICINE in TX

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Provider Addresses for CLAUDIO CONSTANTINO TOLEDO (M.D.)

  • Spring Branch Middle School, 21053, State Highway 46 West, Spring Branch, Comal County, Texas, 78070, United States

    STE 201

    SPRING BRANCH, TX 78163

    Phone: (713) 277-2222

    Fax: (210) 703-0934

    Type: Location

  • 222, Bartlett Drive, El Paso, El Paso County, Texas, 79912, United States

    APT. 1103

    EL PASO, TX 799121608

    Phone: (915) 412-8735

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-07-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20120717000594IEmergency MedicineTXTBD

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 making281253$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only154142$0
99284Emergency department visit with moderate level of medical decision making132124$0
99291Critical care, first 30-74 minutes3232$0
View full utilization report →

Insurance plans in this area (ZIP 78163)

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Provider's Procedures

CLAUDIO CONSTANTINO TOLEDO (M.D.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX83036Hemoglobin A1C level1514

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: 9638246408View full group profile
NameSpecialtyState
Nurse PractitionerTX
-NV
-TX
Emergency MedicineTX
Family Practice, Emergency MedicineTX
-TX
Emergency MedicinePR
Emergency Medicine, Family PracticeTX
-LA
Emergency MedicineTX

Reviews

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Frequently asked questions

Can I use this page to confirm CLAUDIO CONSTANTINO TOLEDO (M.D.)'s NPI?
Yes. CLAUDIO CONSTANTINO TOLEDO (M.D.) is listed with NPI 1104050061 in the public NPI dataset.
Is CLAUDIO CONSTANTINO TOLEDO (M.D.) still practicing?
CLAUDIO CONSTANTINO TOLEDO (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does CLAUDIO CONSTANTINO TOLEDO (M.D.) hold?
Scheduling teams often label CLAUDIO CONSTANTINO TOLEDO (M.D.) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is CLAUDIO CONSTANTINO TOLEDO (M.D.) based?
CLAUDIO CONSTANTINO TOLEDO (M.D.) is tied to Spring Branch, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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