Active NPI 1154374841 Individual Practitioner Female Practitioner

Dr. Melissa Mccullum Toner , MD

Internal Medicine • Gardendale, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Melissa Toner, MD is a certified Internal Medicine practicing in Gardendale, AL. With approximately 30 years of clinical experience since graduating from University Of Alabama School Of Medicine in 1996, Dr. Toner delivers high-quality medical care to the local community at 2217 DECATUR HWY.

Dr. Toner is affiliated with Vincentian Physician Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, chronic care management services, first, chronic care management services for two or more chronic conditions, additional. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2217 Decatur Hwy
Suite 101

Gardendale, AL 350712301

Telephone 2054181200

Fax 2054181210

Associated Practice Facility / Clinic

🏢 North Jefferson Imaging, Llc Facility NPI 1467490920

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Gardendale, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +0.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

11 Specialists

Practicing in Gardendale, AL (1784 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Toner (30 Years) 30 Yrs

Gardendale Specialty Average (29.5 Years) 29.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	79	$242.13	$116.40
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	88	17	$76.01	$58.76
99213 Established patient office or other outpatient visit, typically 15 minutes	72	61	$170.25	$84.72
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	46	15	$59.00	$44.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	22	$36.00	$13.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$155.00	$122.37
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	29	15	$6.00	$1.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	145	$208.88	$117.14
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	202	19	$59.00	$43.72
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	167	19	$64.06	$56.85
99213 Established patient office or other outpatient visit, typically 15 minutes	120	89	$148.51	$83.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	120	$155.00	$118.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	71	26	$36.00	$13.02
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	58	17	$6.00	$1.54
G0008 Administration of influenza virus vaccine	34	33	$36.00	$28.50
90662 Influenza vaccine split virus, preservative free	31	30	$82.00	$71.82
83036 Hemoglobin A1C level	21	21	$15.00	$9.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	277	172	$192.00	$121.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	131	131	$155.00	$122.94
99213 Established patient office or other outpatient visit, typically 15 minutes	112	79	$135.00	$83.33
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	93	14	$59.00	$45.21
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	86	14	$57.00	$56.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	78	32	$36.00	$13.44
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	65	22	$6.00	$1.71
83036 Hemoglobin A1C level	51	42	$15.00	$9.56
G0008 Administration of influenza virus vaccine	45	45	$36.00	$27.42
90662 Influenza vaccine split virus, preservative free	38	38	$82.00	$68.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$83.00	$51.71
99495 Transitional care management services for problem of at least moderate complexity	14	13	$218.00	$194.80
81002 Urinalysis, manual test	13	11	$5.00	$3.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	183	$180.35	$122.76
99213 Established patient office or other outpatient visit, typically 15 minutes	181	133	$122.36	$86.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	143	143	$155.00	$126.27
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	81	36	$36.00	$13.42
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	61	23	$6.00	$1.98
G0008 Administration of influenza virus vaccine	36	35	$36.00	$15.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$72.92	$52.71
90662 Influenza vaccine split virus, preservative free	23	23	$82.00	$65.26
0004A Fee covid-19 vac 1 res	20	20	$50.00	$37.22
99495 Transitional care management services for problem of at least moderate complexity	20	16	$218.00	$196.43
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$53.00	$14.05
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$25.85	$20.38
81002 Urinalysis, manual test	13	13	$5.00	$3.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	198	$180.00	$103.31
99213 Established patient office or other outpatient visit, typically 15 minutes	225	142	$122.00	$70.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	161	161	$155.00	$111.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	83	40	$36.00	$13.56
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	66	30	$6.00	$2.00
G0008 Administration of influenza virus vaccine	57	57	$36.00	$15.60
99497 Advance care planning, first 30 minutes	40	40	$103.00	$84.02
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	30	30	$25.00	$19.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	28	$72.00	$41.14
90662 Influenza vaccine split virus, preservative free	27	27	$75.00	$59.69
G0009 Administration of pneumococcal vaccine	16	16	$36.00	$15.55
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$53.00	$16.08
99495 Transitional care management services for problem of at least moderate complexity	14	13	$218.00	$177.39
81002 Urinalysis, manual test	12	12	$5.00	$3.21
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$78.00	$50.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	387	227	$180.00	$101.46
99213 Established patient office or other outpatient visit, typically 15 minutes	254	156	$122.00	$67.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	203	203	$155.00	$108.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	100	44	$36.00	$15.58
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	75	28	$6.00	$1.80
G0008 Administration of influenza virus vaccine	53	53	$36.00	$15.30
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	53	53	$24.81	$18.65
G0009 Administration of pneumococcal vaccine	44	44	$36.00	$15.30
93000 Routine ekg using at least 12 leads including interpretation and report	36	34	$53.00	$15.74
90670 Pneumococcal vaccine for injection into muscle	29	29	$227.00	$207.22
99495 Transitional care management services for problem of at least moderate complexity	24	21	$218.00	$154.26
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$108.00	$105.79
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	11	$78.00	$49.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	437	254	$152.31	$99.30
99213 Established patient office or other outpatient visit, typically 15 minutes	263	161	$99.56	$67.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	177	177	$155.00	$107.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	158	62	$36.00	$18.86
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	116	39	$6.00	$1.97
G0008 Administration of influenza virus vaccine	96	90	$36.00	$18.73
J1100 Injection, dexamethasone sodium phosphate, 1 mg	68	19	$1.00	$0.12
90653 Vaccine for influenza for injection into muscle	56	56	$45.00	$44.10
G0009 Administration of pneumococcal vaccine	49	49	$36.00	$18.73
90670 Pneumococcal vaccine for injection into muscle	41	41	$227.00	$198.63
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	28	28	$31.00	$23.57
93000 Routine ekg using at least 12 leads including interpretation and report	27	25	$52.56	$15.60
99495 Transitional care management services for problem of at least moderate complexity	19	17	$218.00	$152.60
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$230.00	$159.54
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	12	12	$21.00	$17.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	403	264	$143.00	$98.91
99213 Established patient office or other outpatient visit, typically 15 minutes	403	227	$96.00	$67.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	185	64	$36.00	$22.80
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	138	42	$6.00	$2.79
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	136	136	$230.00	$158.97
G0008 Administration of influenza virus vaccine	85	85	$36.00	$22.77
J1100 Injection, dexamethasone sodium phosphate, 1 mg	83	18	$1.00	$0.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$155.00	$105.65
G0009 Administration of pneumococcal vaccine	66	65	$36.00	$22.34
90670 Pneumococcal vaccine for injection into muscle	61	60	$227.00	$183.83
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	51	51	$17.00	$16.33
71020 X-ray of chest, 2 views, front and side	47	43	$48.21	$24.39
77080 Dxa bone density measurement of hip, pelvis, spine	41	41	$148.37	$35.88
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	31	31	$21.00	$17.34
93000 Routine ekg using at least 12 leads including interpretation and report	22	21	$38.36	$14.80
72100 X-ray of lower and sacral spine, 2-3 views	18	18	$49.22	$30.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	14	$78.00	$49.72
81003 Automated urinalysis test	12	12	$3.00	$2.94
76700 Ultrasound of abdomen	12	12	$161.00	$111.85
73502 X-ray of hip, 2-3 views	12	11	$48.00	$37.42

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AL 21240

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

051530579 (AL)

Commercial Insurance / Payer ID Railroad Medicare

P00264325 (AL)

Commercial Insurance / Payer ID United Healthcare

0411279 (AL)

Hospital & Practice Group Affiliations

Vincentian Physician Services Llc

2217 Decatur Hwy, Gardendale, AL 350712301

Phone: 2054181200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners

Dr. Nolan Hudson , MD

Internal Medicine

NPI 1154376416

Doctor of Medicine (M.D.)

Dr. William Howell , MD

Internal Medicine

NPI 1174577084

Doctor of Medicine (M.D.)

Dr. Sirisha Chada , MD

Family Medicine

NPI 1184061699

Doctor of Medicine (M.D.)

Jeffrey Terrell , PT

Physical Therapist

NPI 1205880119

Physical Therapist

Dr. John Nichols , MD

Internal Medicine

NPI 1316992670

Doctor of Medicine (M.D.)

Amanda Henderson , PT

Physical Therapist

NPI 1336195494

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 29, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 29, 2013

Registered at 2217 DECATUR HWY, SUITE 101, GARDENDALE, AL 350712301 (Tel: 2054181200)

📍

Updated Business Mailing Address January 29, 2013

Registered at 2217 DECATUR HWY, SUITE 101, GARDENDALE, AL 350712301 (Tel: 2054181200)

👤

Provider Name / Credentials Updated January 29, 2013

Recorded as MELISSA TONER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2013

Internal Medicine (License #21240 in AL)

🟢

Initial NPI Registration & Enumeration May 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154374841

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 17, 2006

Last Update: January 29, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2217 Decatur Hwy, Suite 101

Gardendale, AL 350712301

Phone: 2054181200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.