Dr. John Donald Toth , DO
Orthopaedic Surgery • Gilbert, AZ
1920 N Higley Rd Ste 206
Gilbert, AZ 852341624
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on January 16, 2007; this date does not establish years in practice.
-
Published CMS data list 1,785 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- J3301 — Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 676 service units.
- 73030 — X-ray of shoulder, minimum of 2 views: 296 service units.
- 20610 — Aspiration and/or injection of fluid from large joint: 158 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 17 records in the table · Guide: How to read Medicare Part B data
-
Published CMS data list 43 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 32 prescription fills, including refills.
- Meloxicam — 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
-
Close to the middle for Medicare Part B services among clinicians listed under Orthopaedic Surgery in Gilbert, AZ (2024, 19 clinicians with data). Median for this group: 1,785. Middle half: 684 to 3,157.
Close to the middle for Medicare Part B services among clinicians listed under Orthopaedic Surgery in Arizona (2024, 251 clinicians with data). Median for this group: 1,287. Middle half: 291 to 3,613.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 1,058 in 2020 to 1,785 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1920 N Higley Rd Ste 206
Gilbert, AZ 852341624
CMS Doctors and Clinicians lists 1 group name: Banner Physician Specialists Arizona Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Mid West Medical College
2003
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
384 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $195,449 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $149,674 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
43 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$357 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $2,424.95 across 14 records.
By nature of payment
- Consulting Fee: $2,000.00 across 1 record.
- Food and Beverage: $424.95 across 13 records.
Reporting-company totals
- Stryker Corporation: $2,364.46 across 10 records.
- Smith+Nephew, Inc.: $48.51 across 3 records.
- Orthofix Medical, Inc.: $11.98 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
23 years (graduated 2003)
CMS Doctors and Clinicians data list 2003 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Toth has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Toth as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Gilbert and Arizona
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Orthopaedic Surgery in Gilbert, AZ (2024, 19 clinicians with data). Median for this group: 1,785. Middle half: 684 to 3,157.
Close to the middle for clinicians listed under Orthopaedic Surgery in Arizona (2024, 251 clinicians with data). Median for this group: 1,287. Middle half: 291 to 3,613.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Orthopaedic Surgery in Gilbert, AZ (2024, 19 clinicians with data). Median for this group: $116,563. Middle half: $36,578 to $242,530.
A higher Medicare-allowed amount than 75% of clinicians listed under Orthopaedic Surgery in Arizona (2024, 251 clinicians with data). Median for this group: $108,811. Middle half: $33,771 to $192,709.
Paid by Medicare
A higher Medicare payment amount than 65% of clinicians listed under Orthopaedic Surgery in Gilbert, AZ (2024, 19 clinicians with data). Median for this group: $87,509. Middle half: $27,139 to $187,823.
A higher Medicare payment amount than 75% of clinicians listed under Orthopaedic Surgery in Arizona (2024, 251 clinicians with data). Median for this group: $83,485. Middle half: $24,956 to $147,303.
Medicare Part D prescriptions
Fewer Part D prescriptions than 85% of clinicians listed under Orthopaedic Surgery in Gilbert, AZ (2024, 17 clinicians with data). Median for this group: 189. Middle half: 60 to 473.
Fewer Part D prescriptions than 75% of clinicians listed under Orthopaedic Surgery in Arizona (2024, 226 clinicians with data). Median for this group: 162. Middle half: 57 to 417.
Part D drug cost
A lower Part D drug cost than 80% of clinicians listed under Orthopaedic Surgery in Gilbert, AZ (2024, 17 clinicians with data). Median for this group: $837. Middle half: $558 to $3,405.
A lower Part D drug cost than 70% of clinicians listed under Orthopaedic Surgery in Arizona (2024, 226 clinicians with data). Median for this group: $1,076. Middle half: $334 to $3,462.
23 active clinicians are listed under Orthopaedic Surgery with a practice address in Gilbert, AZ (465 in Arizona).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Gilbert
13% of these 23 clinicians have the CMS telehealth indicator.
87% of these 23 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services increased 69% from 1,058 in 2020 to 1,785 in 2024.
- 2020: 1,058
- 2021: 1,164
- 2022: 2,189
- 2023: 1,972
- 2024: 1,785
-
Medicare-allowed amount
Medicare-allowed amount increased 36% from $143,410 in 2020 to $195,449 in 2024.
- 2020: $143,410
- 2021: $167,243
- 2022: $218,474
- 2023: $173,916
- 2024: $195,449
-
Paid by Medicare
Paid by Medicare increased 37% from $109,346 in 2020 to $149,674 in 2024.
- 2020: $109,346
- 2021: $129,760
- 2022: $166,808
- 2023: $133,340
- 2024: $149,674
-
Medicare Part D prescriptions
Medicare Part D prescriptions went from 19 in 2020 to 43 in 2024.
- 2020: 19
- 2021: 79
- 2022: 70
- 2023: 33
- 2024: 43
-
30-day fills
30-day fills went from 19 in 2020 to 43 in 2024.
- 2020: 19
- 2021: 79
- 2022: 70
- 2023: 33
- 2024: 43
-
Part D drug cost
Part D drug cost went from $134 in 2020 to $357 in 2024.
- 2020: $134
- 2021: $633
- 2022: $553
- 2023: $190
- 2024: $357
-
Industry payments (Open Payments)
Industry payments (Open Payments) increased 42% from $1,709.63 in 2021 to $2,424.95 in 2025.
- 2021: $1,709.63
- 2022: $28.15
- 2023: $2,913.46
- 2024: $2,669.07
- 2025: $2,424.95
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 14 records totaling $2,424.95.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Stryker Corporation |
Consulting Fee
Cash or cash equivalent
|
AEQUALIS | General | $2,000.00 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
AEQUALIS PERFORM | General | $142.39 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
AEQUALIS PERFORM | General | $74.90 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
AEQUALIS FLEX REVIVE | General | $35.01 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION | General | $24.69 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
AEQUALIS ASCEND FLEX | General | $20.67 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
|
Bioinductive Implant with Arthroscopic Delivery System - Medium | General | $18.66 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
AEQUALIS PERFORM | General | $18.54 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
AEQUALIS FLEX REVIVE | General | $17.90 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
AEQUALIS ASCEND FLEX | General | $15.62 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
|
Bioinductive Implant with Arthroscopic Delivery System - Medium | General | $15.47 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
AEQUALIS ASCEND FLEX | General | $14.74 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
|
Bioinductive Implant with Arthroscopic Delivery System - Medium | General | $14.38 |
| Orthofix Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Physio-Stim | General | $11.98 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
676 | 149 | $2.48 | $0.96 |
|
73030
X-ray of shoulder, minimum of 2 views
|
296 | 251 | $83.92 | $33.74 |
|
20610
Aspiration and/or injection of fluid from large joint
|
158 | 151 | $167.59 | $65.84 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
150 | 150 | $270.86 | $107.44 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
150 | 116 | $218.35 | $88.64 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
70 | 68 | $309.50 | $123.90 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
44 | 44 | $406.55 | $163.03 |
|
23472
Prosthetic repair of shoulder joint, total shoulder
|
39 | 38 | $3788.00 | $1399.93 |
|
29823
Removal of extensive shoulder joint tissue using an endoscope
|
29 | 28 | $1634.00 | $121.74 |
|
29826
Shaving of part of shoulder bone and repair of ligament using an endoscope
|
29 | 28 | $456.00 | $164.34 |
|
29827
Repair of shoulder rotator cuff using an endoscope
|
29 | 28 | $2789.00 | $1039.13 |
|
29824
Partial removal of collar bone at shoulder using an endoscope
|
28 | 27 | $1756.00 | $203.83 |
|
99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
|
24 | 23 | $351.00 | $126.38 |
|
17999
Other procedure on skin, mucous membrane, and tissue
|
18 | 17 | $552.00 | $102.90 |
|
27245
Treatment of broken neck of thigh bone with bone implant
|
16 | 15 | $3052.88 | $1128.55 |
|
29828
Release of tendon connecting biceps muscle and shoulder using an endoscope
|
16 | 15 | $2393.00 | $434.76 |
|
73562
X-ray of knee, 3 views
|
13 | 12 | $100.00 | $39.86 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 32 | 203 | $334.33 | 31 |
| Meloxicam | Meloxicam | 11 | 314 | $22.23 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20090825000689
AZ
1153496484
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Banner Physician Specialists Arizona Llc
6644 E Baywood Ave, Mesa, AZ 852061747
Phone: 4803212000
Banner Physician Specialists Arizona Llc
9165 W Thunderbird Rd, Peoria, AZ 853814847
Phone: 6232851120
Banner Physician Specialists Arizona Llc
1400 S Dobson Rd, Mesa, AZ 852024707
Phone: 4804123000
Banner Physician Specialists Arizona Llc
10401 W Thunderbird Blvd, Sun City, AZ 853513004
Phone: 6238324000
Banner Physician Specialists Arizona Llc
1920 N Higley Rd, Gilbert, AZ 852341624
Phone: 4805436700
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Podiatrist - Foot & Ankle Surgery
Doctor of Podiatric Medicine
Orthopaedic Surgery
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant (Certified)
Orthopaedic Surgery
Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated January 16, 2007.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Gilbert
- Dr. Mario Taylor, MD
- Dr. Christopher Bryce, MD
- Dr. Joseph Nelson, MD
- Dr. William Meszaros, MD
- Dr. Iustin Moga, MD
- Dr. Craig Weinstein, MD, MPH
Mailing Address
1920 N Higley Rd Ste 206
Gilbert, AZ 852341624
Phone: 4805436700