Dr. Charles Gordon Toby Mathias , MD
Dermatology • Cincinnati, OH
379 Dixmyth Ave
Cincinnati, OH 452202475
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 21, 2006; this date does not establish years in practice.
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Published CMS data list 3,248 Original Medicare Part B services in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Published rows only; this is not a quality measure.
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Published Part B service records, 2019:
- 95044 — Test for allergy using skin patch: 1,236 service units.
- 17003 — Destruction of precancer skin growth, 2-14 growths: 588 service units.
- 99213 — Established patient outpatient office visit: 512 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2018 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2019). CPT notice
See all 19 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 91 Medicare Part D prescriptions, including refills, in 2020.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020. Published rows only; this is not a quality measure.
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Published Part D records, 2020:
- Triamcinolone Acetonide — 43 prescription fills, including refills.
- Betamethasone Diprop Augmented (Betamethasone/Propylene Glyc) — 21 prescription fills, including refills.
- Hydrocortisone — 14 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 3,586 in 2017 to 3,248 in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2019.
Practice Location & Contact Primary Location
379 Dixmyth Ave
Cincinnati, OH 452202475
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Dermatology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $102,940 in 2019
The total amount Medicare approved for these services in 2019. 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, 2019.
Paid by Medicare
About $71,156 in 2019
The part of the Medicare-allowed amount that Medicare itself paid in 2019, 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, 2019.
30-day fills
103 standardized 30-day fills in 2020
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
$2,636 in 2020
The total cost of these prescriptions in 2020, 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, 2020.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
NPI first issued
2006
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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.
Compared with the same specialty in Cincinnati and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Mathias are from 2019.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Mathias are from 2020.
53 active clinicians are listed under Dermatology with a practice address in Cincinnati, OH (508 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Cincinnati
9.4% of these 53 clinicians have the CMS telehealth indicator.
66% of these 53 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.
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Medicare Part B services
Medicare Part B services stayed about the same: 3,586 in 2017 and 3,248 in 2019.
- 2017: 3,586
- 2018: 3,278
- 2019: 3,248
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Medicare-allowed amount
Medicare-allowed amount decreased 20% from $129,297 in 2017 to $102,940 in 2019.
- 2017: $129,297
- 2018: $111,336
- 2019: $102,940
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Paid by Medicare
Paid by Medicare decreased 21% from $89,939 in 2017 to $71,156 in 2019.
- 2017: $89,939
- 2018: $76,725
- 2019: $71,156
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 93% from 1,218 in 2016 to 91 in 2020.
- 2016: 1,218
- 2017: 1,090
- 2018: 932
- 2019: 858
- 2020: 91
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30-day fills
30-day fills decreased 92% from 1,332 in 2016 to 103 in 2020.
- 2016: 1,332
- 2017: 1,189
- 2018: 1,031
- 2019: 963
- 2020: 103
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Part D drug cost
Part D drug cost decreased 96% from $60,007 in 2016 to $2,636 in 2020.
- 2016: $60,007
- 2017: $51,203
- 2018: $45,962
- 2019: $37,503
- 2020: $2,636
Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2018 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, 2017–2019; 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 |
|---|---|---|---|---|
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95044
Test for allergy using skin patch
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1,236 | 17 | $14.00 | $5.30 |
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17003
Destruction of precancer skin growth, 2-14 growths
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588 | 151 | $16.00 | $5.37 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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512 | 435 | $158.00 | $71.88 |
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17000
Destruction of precancer skin growth, 1 growth
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250 | 223 | $159.00 | $51.12 |
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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181 | 25 | $5.00 | $1.60 |
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17110
Destruction of skin growth, 1-14 growths
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111 | 104 | $236.00 | $98.89 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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73 | 71 | $235.00 | $104.07 |
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11102
Biopsy of related skin growth, first growth
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49 | 47 | $242.73 | $70.40 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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46 | 40 | $95.00 | $43.41 |
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11301
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
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44 | 41 | $257.00 | $102.08 |
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11302
Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm
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38 | 28 | $302.00 | $118.83 |
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96372
Injection of drug or substance under skin or into muscle
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23 | 17 | $56.00 | $16.03 |
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11103
Biopsy of related skin growth, each additional growth
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16 | 11 | $149.38 | $51.04 |
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99202
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
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16 | 16 | $162.00 | $73.87 |
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17262
Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
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15 | 12 | $377.00 | $155.26 |
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11306
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm
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14 | 12 | $261.00 | $96.02 |
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11104
Punch biopsy, first skin growth
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12 | 12 | $289.33 | $113.88 |
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11307
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
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12 | 11 | $308.00 | $127.43 |
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17261
Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm
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12 | 11 | $309.00 | $116.32 |
Source: CMS Part B by Provider and Service, 2019; 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 2020.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Triamcinolone Acetonide | Triamcinolone Acetonide | 43 | 1,135 | $537.49 | 25 |
| Betamethasone Diprop Augmented | Betamethasone/Propylene Glyc | 21 | 468 | $1,809.25 | — |
| Hydrocortisone | Hydrocortisone | 14 | 206 | $82.71 | — |
| Spironolactone | Spironolactone | 13 | 570 | $206.70 | — |
Source: CMS Part D by Provider and Drug, 2020; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207N00000X
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dermatology
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Otolaryngology
Doctor of Medicine (M.D.)
Dermatology
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated June 21, 2006.
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 Dermatology Specialists in Cincinnati
- Dr. Lana Long, MD
- Dr. Alan Fleischer, MD
- Dr. Anne Housholder, MD
- Dr. Taylor Tabatabai, MD
- Dr. Tiffany Pickup, MD
- Dr. Samantha Sears, MD
Mailing Address
4685 Forest Ave Ste C
Cincinnati, OH 452123359
Phone: 5132467796