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Dr. Kyle Matthew Toth , DO

Hospitalist โ€ข Columbus, OH

Active NPI 1730748385 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

5100 W Broad St
Columbus, OH 432281607

Call 6145442058 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5100 W Broad St

Columbus, OH 432281607

Telephone 6145442058
Fax 6145442444
Organization at the Same NPPES Address or Phone
Pathology Services, Inc. Facility NPI 1093799561

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Ohiohealth Corporation. 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

Medical School

Ohio University, College Of Osteopathic Medicine

Graduation Year

2019

Medicare patients

240 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $38,021 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.

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 โ€“ by Provider and Service, 2024.

Paid by Medicare

About $29,093 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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 โ€“ by Provider and Service, 2024.

30-day fills

598 standardized 30-day fills in 2022

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

$15,142 in 2022

The total cost of these prescriptions in 2022, paid by Medicare drug plans, patients and other payers together.

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 โ€“ by Provider and Drug, 2022.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional 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

2019

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.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

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.

Guide: What Medicare enrollment (PECOS) means

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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Columbus and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Hospitalist in Columbus, OH (2024, 254 clinicians with data). Median for this group: 265. Middle half: 163 to 396.

Fewer Medicare Part B services than 65% of clinicians listed under Hospitalist in Ohio (2024, 743 clinicians with data). Median for this group: 349. Middle half: 202 to 579.

Medicare-allowed amount

A higher Medicare-allowed amount than 65% of clinicians listed under Hospitalist in Columbus, OH (2024, 254 clinicians with data). Median for this group: $29,525. Middle half: $20,511 to $42,357.

Close to the middle for clinicians listed under Hospitalist in Ohio (2024, 743 clinicians with data). Median for this group: $36,950. Middle half: $23,085 to $60,970.

Paid by Medicare

A higher Medicare payment amount than 65% of clinicians listed under Hospitalist in Columbus, OH (2024, 254 clinicians with data). Median for this group: $23,072. Middle half: $15,930 to $33,054.

Close to the middle for clinicians listed under Hospitalist in Ohio (2024, 743 clinicians with data). Median for this group: $29,027. Middle half: $17,971 to $47,650.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Toth are from 2022.

318 active clinicians are listed under Hospitalist with a practice address in Columbus, OH (982 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Columbus

2.8% of these 318 clinicians have the CMS telehealth indicator.

84.3% of these 318 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“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 โ€“ by Provider and Service data, 2023โ€“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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
191 187 $359.00 $163.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
29 29 $245.00 $124.25
99291 Critical care, first 30-74 minutes
16 16 $403.00 $202.88

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 2022.

CMS Part D ยท Data Year 2022
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 64 4,057 $844.22 21
Nifedipine Er Nifedipine 25 1,185 $1,177.62 โ€”
Amlodipine Besylate Amlodipine Besylate 24 2,100 $103.82 12
Losartan Potassium Losartan Potassium 23 1,500 $238.11 11
Gabapentin Gabapentin 19 630 $215.36 โ€”
Famotidine Famotidine 19 786 $205.29 โ€”
Levothyroxine Sodium Levothyroxine Sodium 17 1,100 $263.14 โ€”
Lisinopril Lisinopril 16 1,440 $80.32 โ€”
Omeprazole Omeprazole 16 900 $177.06 โ€”
Metformin Hcl Metformin Hcl 15 908 $129.50 โ€”
Eliquis Apixaban 15 570 $10,652.76 โ€”
Metoprolol Succinate Metoprolol Succinate 13 940 $333.74 โ€”
Rosuvastatin Calcium Rosuvastatin Calcium 13 780 $424.58 โ€”
Furosemide Furosemide 12 690 $58.74 โ€”
Hydroxyzine Hcl Hydroxyzine Hcl 11 190 $237.24 โ€”

Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-22
Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

License # reported to NPPES OH 34.016433

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - HOSPITALIST

Medicare Enrollment ID

I20230628000651

Enrollment State Jurisdiction

OH

PECOS Control ID

4789912973

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Ohiohealth Corporation

111 S Grant Ave, Columbus, OH 432154701

Phone: 6145669489

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
NPI 1457799074

Doctor of Medicine (M.D.)

Megan Atkinson , CNP

Nurse Practitioner - Family

NPI 1033656459

Certified Nurse Practitioner

Dr. Lucia Chowdhury , MD

Internal Medicine - Critical Care Medicine

NPI 1851346647

Doctor of Medicine (M.D.)

NPI 1699904292

Doctor of Medicine (M.D.)

Dr. Joseph Duffy , MD

Internal Medicine - Pulmonary Disease

NPI 1386897544

Doctor of Medicine (M.D.)

NPI 1376171090

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Practice Location August 22, 2023

Registered at 5100 W BROAD ST, COLUMBUS, OH 432281607 (Tel: 6145442058)

๐Ÿ“
Updated Business Mailing Address August 22, 2023

Registered at PO BOX 7527, DUBLIN, OH 430170727

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2023

Hospitalist (license number reported to NPPES: OH 34.016433)

โœ…
NPI Profile Active June 07, 2019

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 07, 2019

Registered at 2231 N HIGH ST, COLUMBUS, OH 432011194 (Tel: 6142932700)

๐Ÿ“
Business Mailing Address (Initial Record) June 07, 2019

Registered at 2231 N HIGH ST, COLUMBUS, OH 432011194 (Tel: 6142932700)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 07, 2019

Recorded as KYLE TOTH, DO

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2019

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration June 07, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730748385
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2019
Last Update: August 22, 2023
Sole Proprietor: No

Other Hospitalists in Columbus

All Hospitalists in Columbus

Mailing Address

Po Box 7527

Dublin, OH 430170727

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.