Quick answers
- Does Duane A. Tolsma accept Medicare assignment?
- Yes. Medicare's clinician data says Duane A. Tolsma accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Duane A. Tolsma see?
- In 2024, CMS data shows 793 Original Medicare patients and 1,292 services for Duane A. Tolsma. This counts Original Medicare only and measures volume, not quality.
- What is Duane A. Tolsma's NPI number?
- 1306841630. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Duane A. Tolsma, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 793 |
|---|---|
| Services billed to Medicare | 1,292 |
| Different services or procedures | 21 |
| Participating Medicare provider | Yes |
| Average age of these patients | 77 |
Most frequent services
- Established patient complete exam of visual system (92014)497 services
- Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)370 services
- Exam to measure eye deviation and range of motion (92060)126 services
- Imaging of retina (92134)68 services
- Imaging of optic nerve (92133)59 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Arthritis51%
- Diabetes30%
- Chronic kidney disease29%
- Anxiety23%
Hospitals where Duane A. Tolsma works
Medicare's Facility Affiliation Data lists Duane A. Tolsma at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Lakeland Hospital, St JosephSt Joseph, MI · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 230021
Practice locations
Addresses where Duane A. Tolsma is enrolled with Medicare (CMS data updated October 2, 2026).
- 120 Longmeadow Village DrNiles, MI 49120 (269) 684‑6400
- 2848 Niles RdSaint Joseph, MI 49085 (269) 428‑3300
Group practices
Medicare enrollment lists Duane A. Tolsma as a member of this group (CMS data updated October 2, 2026).
- Great Lakes Eye Care PC12 clinicians in the group
Specialties
- Optometryprimary
Other optometrists in Niles
Clinicians with the same Medicare primary specialty in Niles, MI — not a recommendation.
Other clinicians in Great Lakes Eye Care PC
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | OD |
|---|---|
| Optometry school | Ferris State College - College Of Optometry |
| Graduation year | 1988 (38 years since optometry school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1306841630 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians