Active NPI 1144771288 Individual Practitioner Male Practitioner

Toby C Silvertooth , FNP-C

Nurse Practitioner • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Toby Silvertooth, FNP-C is a certified Nurse Practitioner practicing in Tyler, TX. With approximately 10 years of clinical experience since completing medical education in 2016, Toby Silvertooth delivers high-quality medical care to the local community at 703 S FLEISHEL AVE.

Toby Silvertooth is affiliated with Christus Trinity Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

703 S Fleishel Ave
Ste. 4000

Tyler, TX 757012015

Telephone 9036067000

Fax 9036067521

Associated Practice Facility / Clinic

🏢 Christus Trinity Clinic - Cardiology Facility NPI 1356892277

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Tyler, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +0.3 yrs vs City Avg

City Avg: 9.7 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

148 Specialists

Practicing in Tyler, TX (4894 Statewide)

Telehealth Adoption Rate

11.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Silvertooth (10 Years) 10 Yrs

Tyler Specialty Average (9.7 Years) 9.7 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	1,161	897	$289.00	$80.81
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	299	249	$24.00	$13.81
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	238	230	$19.00	$6.75
36415 Insertion of needle into vein for collection of blood sample	57	34	$30.00	$8.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	36	$406.00	$120.39

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	943	743	$289.00	$80.22
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	288	272	$19.00	$6.78
99213 Established patient office or other outpatient visit, typically 15 minutes	211	196	$204.00	$54.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	47	$406.00	$117.01
36415 Insertion of needle into vein for collection of blood sample	37	34	$20.24	$8.40
93244 Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days	18	17	$56.00	$19.53

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	804	628	$262.04	$80.78
99213 Established patient office or other outpatient visit, typically 15 minutes	383	347	$182.67	$54.83
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	237	228	$19.00	$6.81
36415 Insertion of needle into vein for collection of blood sample	37	30	$11.00	$2.96

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	848	651	$236.00	$82.79
99213 Established patient office or other outpatient visit, typically 15 minutes	421	377	$161.00	$56.11
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	116	114	$19.00	$6.95
36415 Insertion of needle into vein for collection of blood sample	50	35	$11.00	$3.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$316.00	$122.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,054	808	$164.45	$43.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	335	283	$221.76	$66.22
36415 Insertion of needle into vein for collection of blood sample	43	35	$13.42	$2.98
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	39	38	$23.67	$7.23
99442 Telephone medical discussion with physician, 11-20 minutes	19	17	$162.11	$43.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$295.11	$94.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,055	810	$168.00	$42.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	513	445	$206.00	$65.58
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	60	59	$26.00	$7.13
99213 Established patient office or other outpatient visit, typically 15 minutes	30	30	$168.00	$60.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	27	$269.00	$92.81
36415 Insertion of needle into vein for collection of blood sample	19	17	$19.00	$2.94
81003 Automated urinalysis test	11	11	$113.00	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	740	625	$168.00	$42.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	710	601	$206.00	$64.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	33	$269.00	$92.01
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	34	34	$26.00	$7.06
36415 Insertion of needle into vein for collection of blood sample	25	23	$19.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$168.00	$59.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	892	777	$168.00	$42.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	264	250	$206.00	$64.61
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	27	26	$26.00	$7.02

Medical Specialties & State Licenses

CMS Verified: 2025-12-09

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP132260

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

365451901 (TX)

Commercial Insurance / Payer ID Bcbs

8441MA (TX)

Commercial Insurance / Payer ID Tricare

75-2616977-123 (TX)

Commercial Insurance / Payer ID Rail Road Medicare

P01762497 (TX)

Hospital & Practice Group Affiliations

Christus Trinity Clinic

703 S Fleishel Ave, Tyler, TX 757012015

Phone: 9036062013

Secondary Practice Locations

1783 Troup Hwy

Tyler, TX 757015869

Phone: 9035952283

619 S Fleishel Ave Ste 201

Tyler, TX 757012004

Phone: 9035930900

3201 S Loop 256

Palestine, TX 758016901

Phone: 9036617057

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dr. Ramon Kumar , MD

Internal Medicine - Interventional Cardiology

NPI 1093030934

Doctor of Medicine (M.D.)

Galaedriel Thomas , APRN

Nurse Practitioner - Acute Care

NPI 1184313942

Advanced Practice Registered Nurse

Dr. Peter Pitonak , MD

Internal Medicine - Cardiovascular Disease

NPI 1225128259

Doctor of Medicine (M.D.)

Jessica Carter

Pharmacist

NPI 1285208397

Stephanie Carter , PA-C

Physician Assistant

NPI 1376535054

Physician Assistant (Certified)

Dr. Elizabeth Peck , PharmD

Pharmacist

NPI 1437840055

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 10, 2017

Registered at 703 S FLEISHEL AVE, STE. 4000, TYLER, TX 757012015 (Tel: 9036067000)

📍

Updated Business Mailing Address February 10, 2017

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246400)

👤

Provider Name / Credentials Updated February 10, 2017

Recorded as TOBY SILVERTOOTH, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Nurse Practitioner (License #AP132260 in TX)

✅

NPI Profile Active January 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 03, 2017

Registered at 703 S FLEISHEL AVE, STE. 4000, TYLER, TX 757012015 (Tel: 9036067000)

📍

Updated Business Mailing Address January 03, 2017

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246400)

👤

Provider Name / Credentials Updated January 03, 2017

Recorded as TOBY SILVERTOOTH, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2017

Nurse Practitioner (License #AP132260 in TX)

🟢

Initial NPI Registration & Enumeration October 24, 2016

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: 1144771288

Entity Type:

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

Enumeration Date: October 24, 2016

Last Update: December 09, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 846098

Dallas, TX 752846098

Phone: 9033246400

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.