DR. TOKS E MACARTHY (MD) – Hospitalist Physician, NPI 1164608964
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,216 INTERNAL MEDICINE in KY
Provider Addresses for DR. TOKS E MACARTHY (MD)
West Lincoln Avenue, West Allis, Milwaukee County, Wisconsin, 53227, United States
WEST ALLIS, WI 53227
Phone: (414) 328-6000
Type: Mailing
1401 Harrodsburg Rd
Lexington, KY 405043751
Phone: (859) 258-6784
Type: Location
3579 Highway 138 SE Ste 103
Stockbridge, GA 302814127
Phone: (770) 629-4374
Fax: (678) 545-1735
Type: Location
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: 2025-08-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130220000056 | I | Internal Medicine | IL | TBD |
| I20130909000477 | I | Internal Medicine | TN | TBD |
| I20230519000574 | I | Internal Medicine | NY | TBD |
| I20250407002682 | I | Internal Medicine | KY | TBD |
| I20250710000459 | I | Internal Medicine | OH | TBD |
| I20250829002903 | I | Internal Medicine | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 201 | 192 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 103 | 103 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 53227)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | GA | |
| - | GA | |
| Internal Medicine | FL | |
| Internal Medicine, Hospitalist | KY | |
| Internal Medicine | GA | |
| Internal Medicine | AL | |
| H O S P I T A L I S T | CA | |
| - | AL | |
| Physician Assistant | GA |
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