NPPES file of Aug 9, 2026

Kevin D. Toon, MD

Emergency Medical Services (Emergency Medicine) Physician · Athens, GA

Kevin D. Toon, MD is an emergency medical services (emergency medicine) physician with a practice address in Athens, Georgia, and NPI 1053393637, issued on Nov 18, 2005. Check the license (Georgia 56231, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053393637
Name
Kevin D. Toon
Credential
MD
Primary taxonomy
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
License number
56231 GA
Self-reported in NPPES; status is on the state search
Practice location
1199 Prince Ave, Athens, GA 30606
Phone
(800) 532-6151
Enumerated
Nov 18, 2005
Record last updated
Jul 13, 2026
Fax
(706) 354-5769
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 1199 Prince Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ibipo Abdurraheem-Salami, MDInternal Medicine Physician1962024323
  2. Sarah Adams, PHARMDPharmacist1548102742
  3. Eric Afari, MDInternal Medicine Physician1215399068
  4. Fakhar Ahmad, M.D.Hospitalist Physician1295781094
  5. Mohammad Ahmad, FNPFamily Nurse Practitioner1588315667
  6. Thomas Aiken, M.D.Emergency Medicine Physician1598127979

Verify Kevin D. Toon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersGeorgia Composite Medical Board
    Search for license 56231
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Georgia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

37% fewer Medicare Part D claims than the average emergency medical services (emergency medicine) physician in 2024

184 Medicare Part D claims for 140 beneficiaries, against an average of 292 among the 1,653 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims. 44 claims were for opioids.

  1. Kevin Toon184
  2. Specialty average292

Most prescribed

  1. Hydrocodone-Acetaminophen25 claims
  2. Ondansetron Odt22 claims
  3. Cyclobenzaprine Hcl16 claims
  4. Cefdinir15 claims
  5. Oxycodone-Acetaminophen12 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 81 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score71.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $18.07

1 payment: food and beverage; the largest payer was Janssen Pharmaceuticals, Inc. The 489 providers of this specialty with any payment received $337.59 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Kevin Toon$18.07
  2. Specialty average$337.59

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Kevin D. Toon among 67 emergency medical services (emergency medicine) physician records in Georgia

Kevin D. Toon, MD is one of 67 emergency medical services (emergency medicine) physician records with a practice address in Georgia. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 94% newer
  • In a Medicare fileYes · 66% of these records are
  • In the CMS Doctors and Clinicians fileNo · 46% of these records are
  • Record last updated2026 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207PE0004X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Emergency Medical Services (Emergency Medicine) Physician providers in Georgia

There are 67 emergency medical services (emergency medicine) physician records in Georgia.

The 8 emergency medical services (emergency medicine) physician records with the nearest ZIP codes

  1. Harry Wingate, M.D.Watkinsville, GA 306771972554699
  2. Paul Janotka, MDChatsworth, GA 307051639106289
  3. Alexander Benz, MDGainesville, GA 305061497712236
  4. Michael Oates, MDSwainsboro, GA 304011922045681
  5. Lisa Tadayon, MDAtlanta, GA 303421487729992
  6. Valencia KellyCollege Park, GA 303371407626278
  7. Jimson Smith, M.D.Atlanta, GA 303281689820961
  8. Todd Taylor, M.D.Atlanta, GA 303221902098916

Common questions

What is Kevin D. Toon, MD's NPI number?

Kevin D. Toon, MD's National Provider Identifier (NPI) is 1053393637, issued on Nov 18, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Kevin D. Toon, MD located?

The NPPES record lists a practice address at 1199 Prince Ave, Athens, GA, 30606. Phone: (800) 532-6151. Providers update this record themselves, so call before visiting.

How can I verify Kevin D. Toon, MD's license?

NPPES lists Georgia license number 56231, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Kevin D. Toon, MD prescribe under Medicare Part D?

In 2024, Kevin D. Toon, MD had 184 Medicare Part D claims for 140 beneficiaries; the average among emergency medical services (emergency medicine) physician prescribers was 292. Part D covers Medicare prescriptions only.

What is Kevin D. Toon, MD's MIPS final score?

The 2023 MIPS final score is 81 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.