Active NPI 1326090689 Individual Practitioner Female Practitioner

Dr. Marie Rosy Toussaint , MD

Internal Medicine • Sebring, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Marie Toussaint, MD is a certified Internal Medicine practicing in Sebring, FL. With approximately 45 years of clinical experience since completing medical education in 1981, Dr. Toussaint delivers high-quality medical care to the local community at 119 US HIGHWAY 27 N.

Dr. Toussaint accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, removal of bone, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

119 Us Highway 27 N

Sebring, FL 338702100

Telephone 8633820009

Fax 8633140008

Associated Practice Facility / Clinic

🏢 Highlands Health And Wellness Center Llc Facility NPI 1902828650

Medicare Profile & Education

Medical School

Other

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Sebring, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +22.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

35 Specialists

Practicing in Sebring, FL (10650 Statewide)

Telehealth Adoption Rate

22.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

47.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Toussaint (45 Years) 45 Yrs

Sebring Specialty Average (23.0 Years) 23.0 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	193	66	$193.52	$124.54
11042 Removal of skin and tissue, 20.0 sq cm or less	161	31	$150.00	$57.57
99213 Established patient office or other outpatient visit, typically 15 minutes	90	40	$144.44	$74.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	15	$200.00	$95.17
11044 Removal of bone, 20.0 sq cm or less	42	11	$425.00	$224.99
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	40	14	$275.00	$149.33
97597 Removal of tissue from wound, 20.0 sq cm or less	34	18	$107.21	$34.85
99213 Established patient office or other outpatient visit, typically 15 minutes	32	23	$150.00	$64.53
99443 Telephone medical discussion with physician, 21-30 minutes	19	14	$102.63	$97.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	190	76	$98.26	$76.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	63	$150.58	$123.66
11042 Removal of skin and tissue, 20.0 sq cm or less	81	23	$100.00	$51.22
11042 Removal of skin and tissue, 20.0 sq cm or less	49	14	$150.00	$55.90
97597 Removal of tissue from wound, 20.0 sq cm or less	26	11	$65.00	$35.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$175.00	$119.80
97597 Removal of tissue from wound, 20.0 sq cm or less	20	11	$65.00	$35.47
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$100.00	$65.58
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$146.43	$65.43

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	272	94	$150.29	$125.19
11042 Removal of skin and tissue, 20.0 sq cm or less	259	59	$100.00	$57.47
99213 Established patient office or other outpatient visit, typically 15 minutes	224	99	$98.37	$79.02
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	94	16	$150.00	$27.23
97597 Removal of tissue from wound, 20.0 sq cm or less	60	25	$65.00	$36.79
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	55	21	$240.00	$143.32
99443 Telephone medical discussion with physician, 21-30 minutes	46	29	$125.00	$124.20
G0179 Physician re-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 to affirm the initial imp	29	16	$45.00	$40.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$175.00	$123.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$197.86	$160.93

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	328	95	$149.23	$129.10
99213 Established patient office or other outpatient visit, typically 15 minutes	224	100	$99.35	$86.61
11042 Removal of skin and tissue, 20.0 sq cm or less	150	43	$107.19	$59.38
99443 Telephone medical discussion with physician, 21-30 minutes	90	50	$125.00	$125.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$175.00	$131.83
97597 Removal of tissue from wound, 20.0 sq cm or less	23	11	$65.00	$36.58
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	17	16	$58.00	$52.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$219.12	$167.29

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	480	120	$125.98	$102.99
11042 Removal of skin and tissue, 20.0 sq cm or less	194	30	$103.97	$58.93
99213 Established patient office or other outpatient visit, typically 15 minutes	157	65	$95.71	$59.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	15	$170.00	$113.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$151.42	$114.99
G2010 Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within t	41	30	$75.00	$12.11
99443 Telephone medical discussion with physician, 21-30 minutes	35	22	$125.00	$109.18
97597 Removal of tissue from wound, 20.0 sq cm or less	32	18	$70.31	$38.11
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	17	14	$58.00	$52.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$230.00	$178.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$194.55	$147.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	1,343	17	$8.25	$4.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	533	147	$128.77	$101.93
11042 Removal of skin and tissue, 20.0 sq cm or less	268	92	$125.03	$62.41
99213 Established patient office or other outpatient visit, typically 15 minutes	142	78	$105.62	$62.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	90	24	$173.11	$111.42
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	48	17	$135.33	$27.66
97597 Removal of tissue from wound, 20.0 sq cm or less	47	29	$67.30	$24.14
G0179 Physician re-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 to affirm the initial imp	35	15	$45.00	$40.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$203.82	$141.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$195.85	$77.08
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	$58.00	$52.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$230.00	$169.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	1,106	14	$8.25	$5.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	545	146	$125.42	$103.43
11042 Removal of skin and tissue, 20.0 sq cm or less	124	37	$100.00	$61.52
99213 Established patient office or other outpatient visit, typically 15 minutes	105	48	$94.76	$57.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$196.88	$152.68
97597 Removal of tissue from wound, 20.0 sq cm or less	31	18	$65.00	$23.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	17	$170.00	$108.53
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	23	19	$58.00	$52.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$175.00	$77.52
G0179 Physician re-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 to affirm the initial imp	15	11	$45.00	$40.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	1,975	25	$8.25	$6.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	361	119	$125.78	$98.90
99213 Established patient office or other outpatient visit, typically 15 minutes	141	63	$95.67	$57.62
11042 Removal of skin and tissue, 20.0 sq cm or less	128	44	$100.00	$56.40
97597 Removal of tissue from wound, 20.0 sq cm or less	39	22	$65.00	$21.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$175.00	$72.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	11	$170.00	$104.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$194.71	$140.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$76.25	$35.73
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	12	11	$58.00	$50.10

Medical Specialties & State Licenses

CMS Verified: 2022-11-30

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME57175

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.

Preventive Medicine - Undersea and Hyperbaric Medicine

NUCC Taxonomy Code: 2083P0011X

State License FL ME57175

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

374824300 (FL)

Commercial Insurance / Payer ID Railroad Medicare

P00357887 (FL)

Commercial Insurance / Payer ID Bcbs Florida

10205 (FL)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Deepak Patel , MD

Internal Medicine - Pulmonary Disease

NPI 1821038852

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location November 30, 2022

Registered at 119 US HIGHWAY 27 N, SEBRING, FL 338702100 (Tel: 8633820009)

📍

Updated Business Mailing Address November 30, 2022

Registered at 119 US HIGHWAY 27 N, SEBRING, FL 338702100 (Tel: 6338200009)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2019

Preventive Medicine (License #ME57175 in FL)

✅

NPI Profile Active October 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2016

Registered at 1739 US HIGHWAY 27 S, SEBRING, FL 338704920 (Tel: 8633820009)

📍

Updated Business Mailing Address October 17, 2016

Registered at 1739 US HIGHWAY 27 S, SEBRING, FL 338704920 (Tel: 8633820009)

👤

Provider Name / Credentials Updated October 17, 2016

Recorded as MARIE TOUSSAINT, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2016

Internal Medicine (License #ME57175 in FL)

🟢

Initial NPI Registration & Enumeration May 16, 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: 1326090689

Entity Type:

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

Enumeration Date: May 16, 2006

Last Update: November 30, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

119 Us Highway 27 N

Sebring, FL 338702100

Phone: 6338200009

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.