James Dale Toombs, MD - Medicare Family Practice in Ballwin, MO

James Dale Toombs, MD is a medicare enrolled "Family Medicine" physician in Ballwin, Missouri. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy East Ambulatory Services Llc and his current practice location is 1348 Rusticview Dr, Ballwin, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 823-8066.

James Dale Toombs is licensed to practice in Missouri (license number 2001014708) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417916222.

Contact Information

James Dale Toombs, MD
1348 Rusticview Dr,
Ballwin, MO 63011-4271
(573) 823-8066
Not Available

Map and Direction




Physician's Profile

Full NameJames Dale Toombs
GenderMale
SpecialityFamily Practice
Experience24 Years
Location1348 Rusticview Dr, Ballwin, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James Dale Toombs graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1417916222
  • Provider Enumeration Date: 03/21/2006
  • Last Update Date: 09/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0547511289
  • Enrollment ID: I20180919003507

Medical Identifiers

Medical identifiers for James Dale Toombs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417916222NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081P2900XPhysical Medicine & Rehabilitation - Pain Medicine 2001014708 (Missouri)Secondary
207Q00000XFamily Medicine 2001014708 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy East Ambulatory Services Llc236573924092

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. James Dale Toombs allows following entities to bill medicare on his behalf.
Entity NameOur Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902815863
PECOS PAC ID: 5799782496
Enrollment ID: O20061020000531
Entity NameMercy East Ambulatory Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134673148
PECOS PAC ID: 2365739240
Enrollment ID: O20160920002054

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James Dale Toombs is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
James Dale Toombs, MD
1348 Rusticview Dr,
Ballwin, MO 63011-4271

Ph: (573) 823-8066
James Dale Toombs, MD
1348 Rusticview Dr,
Ballwin, MO 63011-4271

Ph: (573) 823-8066

Reviews and Comments


Family Medicine Doctors in Ballwin, MO

Dr. Eric Nalagan, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 683 Big Bend Rd, Ballwin, MO 63021
Phone: 636-227-1511    Fax: 636-227-2452
Dr. Blake Anderson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1344 Red Oak Plantation Dr, Ballwin, MO 63021
Phone: 314-591-3417    
Dr. Brian L. Mahaffey, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15945 Clayton Rd, Suite 210, Ballwin, MO 63011
Phone: 314-251-1556    Fax: 636-893-1362
Nicholas Austin Greiner, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15945 Clayton Rd Ste 210, Ballwin, MO 63011
Phone: 368-931-3606    Fax: 636-893-1362
Timothy P. Murphy, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15945 Clayton Rd, Ballwin, MO 63011
Phone: 636-256-5380    Fax: 636-256-5396
Martin Barry Mcclintock, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 15421 Clayton Rd, Suite G-2, Ballwin, MO 63011
Phone: 636-227-2707    Fax: 636-227-1216
Dr. Mark Alan Lichtenfeld, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14748 Manchester Rd # B, Ballwin, MO 63011
Phone: 636-256-3636    Fax: 636-256-8734

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.